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1 Department of Cellular and Molecular Physiology, Penn State College of Medicine, Hershey, PA, USA
2 Laboratory of Metabolic Control, NIAAA, NIH, Rockville, MD, USA
3 Department of Ophthalmology, Penn State College of Medicine, Hershey, PA, USA
4 Department of Neural and Behavioral Sciences, Penn State College of Medicine, Hershey, PA, USA
5 Department of Cellular and Molecular Physiology, Penn State College of Medicine, Hershey, PA, USA; Department of Neural and Behavioral Sciences, Penn State College of Medicine, Hershey, PA, USA
* To whom correspondence should be addressed. E-mail: klanoue{at}psu.edu.
This study was conceived in an effort to understand cause and effect relationships between hyperglycemia and diabetic retinopathy. Numerous studies show that hyperglycemia leads to oxidative stress in the diabetic retinas, but the mechanisms which generate oxidative stress have not been resolved. Increased electron pressure on the mitochondrial electron transfer chain, increased generation of cytosolic NADH, and decreases in cellular NADPH have all been cited as possible sources of reactive oxygen species and nitrous oxide. In the present study excised retinas from control and diabetic rats were exposed to euglycemic and hyperglycemic conditions. Using a microwave irradiation quenching technique to study retinas of diabetic rats in vivo, glucose, glucose-derived metabolites, and NADH oxidation/reduction status were measured. Studying excised retinas in vitro, glycolytic flux, lactate production, and citric acid cycle flux were evaluated. Enzymatically assayed glucose-6-phosphate and fructose-6-phosphate were only slightly elevated by hyperglycemia and/or diabetes, but polyols were dramatically increased. Cytosolic NADH/NAD ratios were not elevated by hyperglycemia nor by diabetes in vivo or in vitro. Citric acid cycle flux was not increased by the diabetic state nor by hyperglycemia. On the other hand small increases in glycolytic flux were observed with hyperglycemia, but glycolytic flux was always lower in diabetic, compared to control animals. Therefore it is concluded that glucose metabolism, downstream of hexokinase, is not elevated by hyperglycemia or diabetes. Metabolites upstream of glucose such as the sorbitol pathway (which decreases NADPH) and polyol synthesis are increased.
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