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Publication : Diabetes induces IL-17A-Act1-FADD-dependent retinal endothelial cell death and capillary degeneration.

First Author  Lindstrom SI Year  2019
Journal  J Diabetes Complications Volume  33
Issue  9 Pages  668-674
PubMed ID  31239234 Mgi Jnum  J:298428
Mgi Id  MGI:6480105 Doi  10.1016/j.jdiacomp.2019.05.016
Citation  Lindstrom SI, et al. (2019) Diabetes induces IL-17A-Act1-FADD-dependent retinal endothelial cell death and capillary degeneration. J Diabetes Complications 33(9):668-674
abstractText  PURPOSE: Diabetes leads to progressive complications such as diabetic retinopathy, which is the leading cause of blindness within the working-age population worldwide. Interleukin (IL)-17A is a cytokine that promotes and progresses diabetes. The objective of this study was to determine the role of IL-17A in retinal capillary degeneration, and to identify the mechanism that induces retinal endothelial cell death. These are clinically meaningful abnormalities that characterize early-stage non-proliferative diabetic retinopathy. METHODS: Retinal capillary degeneration was examined in vivo using the streptozotocin (STZ) diabetes murine model. Diabetic-hyperglycemia was sustained for an 8-month period in wild type (C57BL/6) and IL-17A(-/-) mice to elucidate the role of IL-17A in retinal capillary degeneration. Further, ex vivo studies were performed in retinal endothelial cells to identify the IL-17A-dependent mechanism that induces cell death. RESULTS: It was determined that diabetes-induced retinal capillary degeneration was significantly lower in IL-17A(-/-) mice. Further, retinal endothelial cell death occurred through an IL-17A/IL-17RAct1/FADD signaling cascade, which caused caspase-mediated apoptosis. CONCLUSION: These are the first findings that establish a pathologic role for IL-17A in retinal capillary degeneration. Further, a novel IL-17A-dependent apoptotic mechanism was discovered, which identifies potential therapeutic targets for the early onset of diabetic retinopathy.
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