PMID- 37717351 OWN - NLM STAT- Publisher LR - 20231008 IS - 1873-460X (Electronic) IS - 1056-8727 (Linking) VI - 37 IP - 10 DP - 2023 Oct TI - Protective effect of evolocumab on Muller cells in the rat retina under hyperglycaemic and hypoxic conditions. PG - 108593 LID - S1056-8727(23)00191-5 [pii] LID - 10.1016/j.jdiacomp.2023.108593 [doi] AB - AIMS: In this study, rat retinal Muller cells (RMCs) were cultured in vitro to investigate the protective mechanism of evolocumab on rat RMCs in diabetes mellitus (DM) and the expression of relevant inflammatory factors. METHODS: The expression of proprotein convertase subtilisin/kexin type 9 (PCSK9) in the retinal tissues of diabetic rats was detected by immunohistochemistry. Sprague-Dawley (SD) rats at 5-7 d of life were selected as the source of RMCs and divided equally into three groups of 12 rats/24 eyes each. The effect of CoCl(2) and evolocumab on the cellular activity of RMCs was determined by CCK-8 assay. The effect of CoCl(2) and evolocumab on the migration level of RMCs after 72 h was measured by scratch test and the expression of various proteins after 72 h was measured by Western blot. RESULTS: In STZ rats, the expression of PCSK9 was significantly upregulated in the retina, especially in the inner nuclear layer, which is mainly composed of RMCs. High glucose and CoCl(2) stimulation markedly elevated PCSK9 and GFAP expression at the protein level in RMCs (P < 0.05). Evolocumab treatment (100 mug/ml) reduced the expression and secretion of inflammatory factors in stimulated RMCs (P < 0.05). Furthermore, evolocumab downregulates toll-like receptor-4 (TLR-4) levels and inhibited nuclear transcription factor-kappaB (NF-kappaB) phosphorylation in RMCs (P < 0.05). CONCLUSIONS: Evolocumab protects against inflammation in RMCs, at least in part, by negatively regulating the activation of the TLR-4/NF-kappaB signalling pathway. Evolocumab may be a promising anti-inflammatory therapy for ocular fundus diseases, such as DR. CI - Copyright (c) 2023 Elsevier Inc. All rights reserved. FAU - Zhou, Qing AU - Zhou Q AD - Department of Ophthalmology, Changzhou Traditional Chinese Medicine Hospital, Changzhou, China. FAU - Tang, Huan AU - Tang H AD - Department of Ophthalmology, Changzhou Traditional Chinese Medicine Hospital, Changzhou, China. FAU - Li, Shuting AU - Li S AD - Department of Ophthalmology, The Third Affiliated Hospital of Soochow University, Changzhou, China. Electronic address: lishuting1015@163.com. LA - eng PT - Journal Article DEP - 20230830 PL - United States TA - J Diabetes Complications JT - Journal of diabetes and its complications JID - 9204583 SB - IM OTO - NOTNLM OT - Diabetic retinopathy OT - Evolocumab OT - Inflammation OT - Muller cells OT - TLR-4/NF-kappaB pathway COIS- Declaration of competing interest The authors declare no conflicts of interest in this work. EDAT- 2023/09/18 00:41 MHDA- 2023/09/18 00:41 CRDT- 2023/09/17 18:03 PHST- 2023/02/19 00:00 [received] PHST- 2023/07/30 00:00 [revised] PHST- 2023/08/19 00:00 [accepted] PHST- 2023/09/18 00:41 [pubmed] PHST- 2023/09/18 00:41 [medline] PHST- 2023/09/17 18:03 [entrez] AID - S1056-8727(23)00191-5 [pii] AID - 10.1016/j.jdiacomp.2023.108593 [doi] PST - ppublish SO - J Diabetes Complications. 2023 Oct;37(10):108593. doi: 10.1016/j.jdiacomp.2023.108593. Epub 2023 Aug 30.