PMID- 35203674 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220401 IS - 2227-9059 (Print) IS - 2227-9059 (Electronic) IS - 2227-9059 (Linking) VI - 10 IP - 2 DP - 2022 Feb 16 TI - Minimum Effective Dose of DPP-4 Inhibitors for Treating Early Stages of Diabetic Retinopathy in an Experimental Model. LID - 10.3390/biomedicines10020465 [doi] LID - 465 AB - The neurovascular unit (NVU) plays an essential role in the development of diabetic retinopathy (DR). We previously reported that the topical administration (eye drops) of sitagliptin and saxagliptin, two dipeptidyl peptidase-4 inhibitors (DPP-4i), prevents retinal neurodegeneration and vascular leakage in db/db mice. The aim of the present study is to evaluate the minimum effective dose of the topical administration of these DPP-4i. For this purpose, sitagliptin and saxagliptin were tested at different concentrations (sitagliptin: 1 mg/mL, 5 and 10 mg/mL, twice per day; saxagliptin: 1 and 10 mg/mL, once or twice per day) in db/db mice. As end points of efficacy, the hallmarks of NVU impairment were evaluated: reactive gliosis, neural apoptosis, and vascular leakage. These parameters were assessed by immunohistochemistry, cell counting, and the Evans blue method, respectively. Our results demonstrated that the minimum effective dose is 5 mg/mL twice per day for sitagliptin, and 10 mg/mL twice per day for saxagliptin. In conclusion, this study provides useful results for the design of future preclinical regulatory studies and for planning clinical trials. FAU - Bogdanov, Patricia AU - Bogdanov P AUID- ORCID: 0000-0003-0669-4958 AD - Diabetes and Metabolism Research Unit, Vall d'Hebron Research Institute, 08035 Barcelona, Spain. AD - Centro de Investigacion Biomedica en Red de Diabetes y Enfermedades Metabolicas Asociadas (CIBERDEM), Instituto de Salud Carlos III (ICSIII), 28029 Madrid, Spain. FAU - Ramos, Hugo AU - Ramos H AUID- ORCID: 0000-0001-6443-7576 AD - Diabetes and Metabolism Research Unit, Vall d'Hebron Research Institute, 08035 Barcelona, Spain. AD - Centro de Investigacion Biomedica en Red de Diabetes y Enfermedades Metabolicas Asociadas (CIBERDEM), Instituto de Salud Carlos III (ICSIII), 28029 Madrid, Spain. FAU - Valeri, Marta AU - Valeri M AD - Unit of High Technology, Vall d'Hebron Research Institute, 08035 Barcelona, Spain. FAU - Deas-Just, Anna AU - Deas-Just A AUID- ORCID: 0000-0002-3129-6313 AD - Diabetes and Metabolism Research Unit, Vall d'Hebron Research Institute, 08035 Barcelona, Spain. FAU - Huerta, Jordi AU - Huerta J AUID- ORCID: 0000-0002-9908-8051 AD - Diabetes and Metabolism Research Unit, Vall d'Hebron Research Institute, 08035 Barcelona, Spain. FAU - Simo, Rafael AU - Simo R AUID- ORCID: 0000-0003-0475-3096 AD - Diabetes and Metabolism Research Unit, Vall d'Hebron Research Institute, 08035 Barcelona, Spain. AD - Centro de Investigacion Biomedica en Red de Diabetes y Enfermedades Metabolicas Asociadas (CIBERDEM), Instituto de Salud Carlos III (ICSIII), 28029 Madrid, Spain. AD - Department of Medicine, Universitat Autonoma de Barcelona, 08193 Barcelona, Spain. FAU - Hernandez, Cristina AU - Hernandez C AUID- ORCID: 0000-0002-3109-1721 AD - Diabetes and Metabolism Research Unit, Vall d'Hebron Research Institute, 08035 Barcelona, Spain. AD - Centro de Investigacion Biomedica en Red de Diabetes y Enfermedades Metabolicas Asociadas (CIBERDEM), Instituto de Salud Carlos III (ICSIII), 28029 Madrid, Spain. AD - Department of Medicine, Universitat Autonoma de Barcelona, 08193 Barcelona, Spain. LA - eng GR - PID2019-104225RB-I00/Ministerio de Economia y Competitividad/ GR - DTS18/0163, PI19/01215 and ICI20/00129/Instituto de Salud Carlos III/ PT - Journal Article DEP - 20220216 PL - Switzerland TA - Biomedicines JT - Biomedicines JID - 101691304 PMC - PMC8962353 OTO - NOTNLM OT - db/db mice OT - diabetic retinopathy OT - dipeptidyl peptidase-4 inhibitors OT - experimental diabetes OT - neurovascular unit OT - retinal neurodegeneration OT - saxagliptin OT - sitagliptin COIS- The authors declare no conflict of interest. Vall d'Hebron Research Institute holds intellectual property related to the use of ocular DPP-4 inhibitors to treat diabetic retinopathy. No other potential conflict of interest relevant to this article were reported. EDAT- 2022/02/26 06:00 MHDA- 2022/02/26 06:01 PMCR- 2022/02/16 CRDT- 2022/02/25 01:02 PHST- 2022/01/14 00:00 [received] PHST- 2022/02/11 00:00 [revised] PHST- 2022/02/13 00:00 [accepted] PHST- 2022/02/25 01:02 [entrez] PHST- 2022/02/26 06:00 [pubmed] PHST- 2022/02/26 06:01 [medline] PHST- 2022/02/16 00:00 [pmc-release] AID - biomedicines10020465 [pii] AID - biomedicines-10-00465 [pii] AID - 10.3390/biomedicines10020465 [doi] PST - epublish SO - Biomedicines. 2022 Feb 16;10(2):465. doi: 10.3390/biomedicines10020465.