Affiliation:
1. Henan Eye Institute, Henan Provincial Eye Hospital, People’s Hospital of Zhengzhou University, Zhengzhou, China
2. Department of Ophthalmology, People’s Hospital, Peking University, Beijing, China
Abstract
Diabetic retinopathy (DR) is one of the most common causes of blindness globally. Proliferative DR (PDR), an advanced stage of DR, is characterized by the formation of fibrotic membranes at the vitreoretinal interface. The proliferation, migration, and secretion of extracellular matrix molecules in retinal pigment epithelial (RPE) cells contribute to the formation of fibrotic membranes in PDR. Gremlin has been reported to be upregulated in response to elevated glucose levels in the retina of diabetic rat and bovine pericytes. However, the role of gremlin in PDR remains unclear. In the present study, the vitreous concentrations of gremlin were significantly higher in the PDR (67.79±33.96) group than in the control (45.31±12.31) group, and high glucose levels induced the expression of gremlin in RPE cells. The elevated expression of extracellular matrix molecules, such as fibronectin and collagen IV, was significantly reduced by gremlin siRNA in human RPE cells under high-glucose conditions. Thus, gremlin may play a vital role in the development of PDR.
Funder
Science and Technology Department, Henan Province
Subject
Endocrinology,Endocrinology, Diabetes and Metabolism
Cited by
4 articles.
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