PMID- 34800480 OWN - NLM STAT- MEDLINE DCOM- 20211227 LR - 20211227 IS - 1096-0007 (Electronic) IS - 0014-4835 (Linking) VI - 213 DP - 2021 Dec TI - Glyceraldehyde-3-phosphate dehydrogenase and glutamine synthetase inhibition in the presence of pro-inflammatory cytokines contribute to the metabolic imbalance of diabetic retinopathy. PG - 108845 LID - S0014-4835(21)00411-5 [pii] LID - 10.1016/j.exer.2021.108845 [doi] AB - Diabetic retinopathy (DR) is the leading cause of vision impairment in working age adults. In addition to hyperglycemia, retinal inflammation is an important driving factor for DR development. Although DR is clinically described as diabetes-induced damage to the retinal blood vessels, several studies have reported that metabolic dysregulation occurs in the retina prior to the development of microvascular damage. The two most commonly affected metabolic pathways in diabetic conditions are glycolysis and the glutamate pathway. We investigated the role of glyceraldehyde 3-phosphate dehydrogenase (GAPDH) and glutamine synthetase (GS) in an in-vitro model of DR incorporating high glucose and pro-inflammatory cytokines. We found that GAPDH and GS enzyme activity were not significantly affected in hyperglycemic conditions or after exposure to cytokines alone, but were significantly decreased in the DR model. This confirmed that pro-inflammatory cytokines IL-1beta and TNFalpha enhance the hyperglycemic metabolic deficit. We further investigated metabolite and amino acid levels after specific pharmacological inhibition of GAPDH or GS in the absence/presence of pro-inflammatory cytokines. The results indicate that GAPDH inhibition increased glucose and addition of cytokines increased lactate and ATP levels and reduced glutamate levels. GS inhibition did not alter retinal metabolite levels but the addition of cytokines increased ATP levels and caused glutamate accumulation in Muller cells. We conclude that it is the action of pro-inflammatory cytokines concomitantly with the inhibition of the glycolytic or GS mediated glutamate recycling that contribute to metabolic dysregulation in DR. Therefore, in the absence of good glycemic control, therapeutic interventions aimed at regulating inflammation may prevent the onset of early metabolic imbalance in DR. CI - Copyright (c) 2021 Elsevier Ltd. All rights reserved. FAU - Shivashankar, Gaganashree AU - Shivashankar G AD - School of Optometry and Vision Science and the New Zealand National Eye Centre, University of Auckland, Auckland, New Zealand. FAU - Lim, Julie C AU - Lim JC AD - Department of Physiology, School of Medical and Health Sciences and the New Zealand National Eye Centre, University of Auckland, Auckland, New Zealand. FAU - Acosta, Monica L AU - Acosta ML AD - School of Optometry and Vision Science and the New Zealand National Eye Centre, University of Auckland, Auckland, New Zealand. Electronic address: m.acosta@auckland.ac.nz. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20211117 PL - England TA - Exp Eye Res JT - Experimental eye research JID - 0370707 RN - 0 (Enzyme Inhibitors) RN - 0 (Interleukin-1beta) RN - 0 (Tumor Necrosis Factor-alpha) RN - 1982-67-8 (Methionine Sulfoximine) RN - 8L70Q75FXE (Adenosine Triphosphate) RN - EC 1.1.1.27 (L-Lactate Dehydrogenase) RN - EC 1.2.1.- (Glyceraldehyde-3-Phosphate Dehydrogenases) RN - EC 6.3.1.2 (Glutamate-Ammonia Ligase) RN - IY9XDZ35W2 (Glucose) RN - WF5188V710 (Iodoacetic Acid) SB - IM MH - Adenosine Triphosphate/metabolism MH - Animals MH - Blotting, Western MH - Diabetic Retinopathy/*enzymology/pathology MH - Enzyme Inhibitors/*pharmacology MH - Female MH - Glucose/pharmacology MH - Glutamate-Ammonia Ligase/*antagonists & inhibitors MH - Glyceraldehyde-3-Phosphate Dehydrogenases/*antagonists & inhibitors MH - Hyperglycemia/metabolism MH - Interleukin-1beta/*pharmacology MH - Iodoacetic Acid/pharmacology MH - L-Lactate Dehydrogenase/metabolism MH - Methionine Sulfoximine/pharmacology MH - Mice MH - Mice, Inbred C57BL MH - Retina/*drug effects/enzymology/pathology MH - Tumor Necrosis Factor-alpha/*pharmacology OTO - NOTNLM OT - Diabetic retinopathy OT - Glutamate recycling OT - Glutamine synthetase OT - Glyceraldehyde 3-phosphate dehydrogenase OT - Glycolysis OT - Inflammation OT - Metabolic dysregulation OT - Retina EDAT- 2021/11/21 06:00 MHDA- 2021/12/28 06:00 CRDT- 2021/11/20 20:10 PHST- 2021/07/15 00:00 [received] PHST- 2021/10/12 00:00 [revised] PHST- 2021/11/12 00:00 [accepted] PHST- 2021/11/21 06:00 [pubmed] PHST- 2021/12/28 06:00 [medline] PHST- 2021/11/20 20:10 [entrez] AID - S0014-4835(21)00411-5 [pii] AID - 10.1016/j.exer.2021.108845 [doi] PST - ppublish SO - Exp Eye Res. 2021 Dec;213:108845. doi: 10.1016/j.exer.2021.108845. Epub 2021 Nov 17.