A mitochondrial therapeutic reverses visual decline in mouse models of diabetes

Diabetic retinopathy is characterized by progressive vision loss and the advancement of retinal micoraneurysms, edema and angiogenesis. Unfortunately, managing glycemia or targeting vascular complications with anti-vascular endothelial growth factor agents has shown only limited efficacy in treating...

Full description

Bibliographic Details
Main Authors: Nazia M. Alam, William C. Mills, Aimee A. Wong, Robert M. Douglas, Hazel H. Szeto, Glen T. Prusky
Format: Article
Language:English
Published: The Company of Biologists 2015-07-01
Series:Disease Models & Mechanisms
Subjects:
Online Access:http://dmm.biologists.org/content/8/7/701
_version_ 1818151908777394176
author Nazia M. Alam
William C. Mills
Aimee A. Wong
Robert M. Douglas
Hazel H. Szeto
Glen T. Prusky
author_facet Nazia M. Alam
William C. Mills
Aimee A. Wong
Robert M. Douglas
Hazel H. Szeto
Glen T. Prusky
author_sort Nazia M. Alam
collection DOAJ
description Diabetic retinopathy is characterized by progressive vision loss and the advancement of retinal micoraneurysms, edema and angiogenesis. Unfortunately, managing glycemia or targeting vascular complications with anti-vascular endothelial growth factor agents has shown only limited efficacy in treating the deterioration of vision in diabetic retinopathy. In light of growing evidence that mitochondrial dysfunction is an independent pathophysiology of diabetes and diabetic retinopathy, we investigated whether selectively targeting and improving mitochondrial dysfunction is a viable treatment for visual decline in diabetes. Measures of spatial visual behavior, blood glucose, bodyweight and optical clarity were made in mouse models of diabetes. Treatment groups were administered MTP-131, a water-soluble tetrapeptide that selectively targets mitochondrial cardiolipin and promotes efficient electron transfer, either systemically or in eye drops. Progressive visual decline emerged in untreated animals before the overt symptoms of metabolic and ophthalmic abnormalities were manifest, but with time, visual dysfunction was accompanied by compromised glucose clearance, and elevated blood glucose and bodyweight. MTP-131 treatment reversed the visual decline without improving glycemic control or reducing bodyweight. These data provide evidence that visuomotor decline is an early complication of diabetes. They also indicate that selectively treating mitochondrial dysfunction with MTP-131 has the potential to remediate the visual dysfunction and to complement existing treatments for diabetic retinopathy.
first_indexed 2024-12-11T13:46:18Z
format Article
id doaj.art-ddf9a972039a4e37b78f865e3ff09759
institution Directory Open Access Journal
issn 1754-8411
1754-8403
language English
last_indexed 2024-12-11T13:46:18Z
publishDate 2015-07-01
publisher The Company of Biologists
record_format Article
series Disease Models & Mechanisms
spelling doaj.art-ddf9a972039a4e37b78f865e3ff097592022-12-22T01:04:29ZengThe Company of BiologistsDisease Models & Mechanisms1754-84111754-84032015-07-018770171010.1242/dmm.020248020248A mitochondrial therapeutic reverses visual decline in mouse models of diabetesNazia M. Alam0William C. Mills1Aimee A. Wong2Robert M. Douglas3Hazel H. Szeto4Glen T. Prusky5 Department of Physiology and Biophysics, Weill Cornell Medical College, New York, NY, USA Research Program in Mitochondrial Therapeutics, Department of Pharmacology, Weill Cornell Medical College, New York, NY, USA Burke Medical Research Institute, White Plains, NY, USA Department of Ophthalmology and Visual Sciences, University of British Columbia, Vancouver, British Columbia, Canada Research Program in Mitochondrial Therapeutics, Department of Pharmacology, Weill Cornell Medical College, New York, NY, USA Department of Physiology and Biophysics, Weill Cornell Medical College, New York, NY, USA Diabetic retinopathy is characterized by progressive vision loss and the advancement of retinal micoraneurysms, edema and angiogenesis. Unfortunately, managing glycemia or targeting vascular complications with anti-vascular endothelial growth factor agents has shown only limited efficacy in treating the deterioration of vision in diabetic retinopathy. In light of growing evidence that mitochondrial dysfunction is an independent pathophysiology of diabetes and diabetic retinopathy, we investigated whether selectively targeting and improving mitochondrial dysfunction is a viable treatment for visual decline in diabetes. Measures of spatial visual behavior, blood glucose, bodyweight and optical clarity were made in mouse models of diabetes. Treatment groups were administered MTP-131, a water-soluble tetrapeptide that selectively targets mitochondrial cardiolipin and promotes efficient electron transfer, either systemically or in eye drops. Progressive visual decline emerged in untreated animals before the overt symptoms of metabolic and ophthalmic abnormalities were manifest, but with time, visual dysfunction was accompanied by compromised glucose clearance, and elevated blood glucose and bodyweight. MTP-131 treatment reversed the visual decline without improving glycemic control or reducing bodyweight. These data provide evidence that visuomotor decline is an early complication of diabetes. They also indicate that selectively treating mitochondrial dysfunction with MTP-131 has the potential to remediate the visual dysfunction and to complement existing treatments for diabetic retinopathy.http://dmm.biologists.org/content/8/7/701Diabetic retinopathyRPESS-31MTP-131BendaviaInsulin resistanceHyperglycemiaOptomotorSpatial visionCardiolipinOKTMouse
spellingShingle Nazia M. Alam
William C. Mills
Aimee A. Wong
Robert M. Douglas
Hazel H. Szeto
Glen T. Prusky
A mitochondrial therapeutic reverses visual decline in mouse models of diabetes
Disease Models & Mechanisms
Diabetic retinopathy
RPE
SS-31
MTP-131
Bendavia
Insulin resistance
Hyperglycemia
Optomotor
Spatial vision
Cardiolipin
OKT
Mouse
title A mitochondrial therapeutic reverses visual decline in mouse models of diabetes
title_full A mitochondrial therapeutic reverses visual decline in mouse models of diabetes
title_fullStr A mitochondrial therapeutic reverses visual decline in mouse models of diabetes
title_full_unstemmed A mitochondrial therapeutic reverses visual decline in mouse models of diabetes
title_short A mitochondrial therapeutic reverses visual decline in mouse models of diabetes
title_sort mitochondrial therapeutic reverses visual decline in mouse models of diabetes
topic Diabetic retinopathy
RPE
SS-31
MTP-131
Bendavia
Insulin resistance
Hyperglycemia
Optomotor
Spatial vision
Cardiolipin
OKT
Mouse
url http://dmm.biologists.org/content/8/7/701
work_keys_str_mv AT naziamalam amitochondrialtherapeuticreversesvisualdeclineinmousemodelsofdiabetes
AT williamcmills amitochondrialtherapeuticreversesvisualdeclineinmousemodelsofdiabetes
AT aimeeawong amitochondrialtherapeuticreversesvisualdeclineinmousemodelsofdiabetes
AT robertmdouglas amitochondrialtherapeuticreversesvisualdeclineinmousemodelsofdiabetes
AT hazelhszeto amitochondrialtherapeuticreversesvisualdeclineinmousemodelsofdiabetes
AT glentprusky amitochondrialtherapeuticreversesvisualdeclineinmousemodelsofdiabetes
AT naziamalam mitochondrialtherapeuticreversesvisualdeclineinmousemodelsofdiabetes
AT williamcmills mitochondrialtherapeuticreversesvisualdeclineinmousemodelsofdiabetes
AT aimeeawong mitochondrialtherapeuticreversesvisualdeclineinmousemodelsofdiabetes
AT robertmdouglas mitochondrialtherapeuticreversesvisualdeclineinmousemodelsofdiabetes
AT hazelhszeto mitochondrialtherapeuticreversesvisualdeclineinmousemodelsofdiabetes
AT glentprusky mitochondrialtherapeuticreversesvisualdeclineinmousemodelsofdiabetes