Skip to main content
Erschienen in: Acta Diabetologica 1/2017

20.09.2016 | Original Article

Acetagastrodin effects on retinal oscillatory potentials in patients during the early stages of diabetes

verfasst von: Xiaochun Yang, Jianbiao Xu, Jun Liu, Ninghua Ni, Yan Mei, Huo Lei, Juanjuan Wang, Ben Niu

Erschienen in: Acta Diabetologica | Ausgabe 1/2017

Einloggen, um Zugang zu erhalten

Abstract

Aims

To investigate the protective effect of acetagastrodin on visual electrophysiology in patients with early-stage diabetes.

Methods

A prospective, randomized, controlled, double-blind trial was conducted. Subjects who were randomly assigned to either the treatment group or the control group were orally administered acetagastrodin or placebo, respectively, for 6 months. The quantity, mean amplitude and mean latency of oscillatory potentials (OPs) wavelets at baseline and 6 months were measured on electroretinogram (ERG), in all subjects.

Results

A total of 92 right eyes in 92 patients with type 2 diabetes, who were diagnosed for the first time, were enrolled. Each group consisted of 46 cases (46 eyes). There was no significant difference in baseline characteristic between treatment and control groups at baseline, but quantity in treatment group was more than that in control group at 6 months (P = 0.001). The mean amplitude of OPs was reduced in the control group 6 months later compared with treatment group (P = 0.001). As to mean latency of OPs, statistical difference was also detectable between the treatment group and control group 6 months later (P < 0.001). No statistical differences were found in hemoglobin between both groups at 6 months (P > 0.05).

Conclusions

Electrophysiological changes would go on worsening even hemoglobin was under control during the initial stage of diabetes. Acetagastrodin treatment may be an effective treatment to protect retinal neurons against such functional impairment during the early stages of diabetes.
Literatur
1.
Zurück zum Zitat Li Q, Zenel E, Miller B, Perlman I (2002) Early retinal damage in experimental diabetes electroretinographical and morphological observations. Exp Eye Res 74(5):615–625CrossRefPubMed Li Q, Zenel E, Miller B, Perlman I (2002) Early retinal damage in experimental diabetes electroretinographical and morphological observations. Exp Eye Res 74(5):615–625CrossRefPubMed
2.
Zurück zum Zitat Luu CD, Szental JA, Lee SY, Lavanya R, Wong TY (2010) Correlation between retinal oscillatory potentials and retinal vascular caliber in type 2 diabetes. Invest Ophthalmol Vis Sci 51(1):482–486CrossRefPubMed Luu CD, Szental JA, Lee SY, Lavanya R, Wong TY (2010) Correlation between retinal oscillatory potentials and retinal vascular caliber in type 2 diabetes. Invest Ophthalmol Vis Sci 51(1):482–486CrossRefPubMed
3.
Zurück zum Zitat Yong W, Xing TR, Wang S, Chen L, Hu P, Li CC, Wang HL, Wang M, Chen JT, Ruan DY (2009) Protective effects of gastrodin on lead-induced synaptic plasticity deficits in rat hippocampus. Planta Med 75(10):1112–1117CrossRefPubMed Yong W, Xing TR, Wang S, Chen L, Hu P, Li CC, Wang HL, Wang M, Chen JT, Ruan DY (2009) Protective effects of gastrodin on lead-induced synaptic plasticity deficits in rat hippocampus. Planta Med 75(10):1112–1117CrossRefPubMed
4.
Zurück zum Zitat Sun W, Miao B, Wang XC, Duan JH, Ye X, Han WJ, Wang WT, Luo C, Hu SJ (2012) Gastrodin inhibits allodynia and hyperalgesia in painful diabetic neuropathy rats by decreasing excitability of nociceptive primary sensory neurons. PLoS ONE 7(6):e39647CrossRefPubMedPubMedCentral Sun W, Miao B, Wang XC, Duan JH, Ye X, Han WJ, Wang WT, Luo C, Hu SJ (2012) Gastrodin inhibits allodynia and hyperalgesia in painful diabetic neuropathy rats by decreasing excitability of nociceptive primary sensory neurons. PLoS ONE 7(6):e39647CrossRefPubMedPubMedCentral
5.
Zurück zum Zitat Semkova I, Huemmeke M, Ho MS, Merkl B, Abari E, Paulsson M, Joussen AM, Plomann M (2010) Retinal lacation of the glutamate receptor GluR2-regulating proteins in diabetic rats. Exp Eye Res 90(2):244–253CrossRefPubMed Semkova I, Huemmeke M, Ho MS, Merkl B, Abari E, Paulsson M, Joussen AM, Plomann M (2010) Retinal lacation of the glutamate receptor GluR2-regulating proteins in diabetic rats. Exp Eye Res 90(2):244–253CrossRefPubMed
6.
Zurück zum Zitat Yang XC, Duan XC (2013) Minocycline inhibits the production of the precursor form of nerve growth factor by retinal microglial cells. Neural Regen Res. 8(4):320–327PubMedPubMedCentral Yang XC, Duan XC (2013) Minocycline inhibits the production of the precursor form of nerve growth factor by retinal microglial cells. Neural Regen Res. 8(4):320–327PubMedPubMedCentral
7.
Zurück zum Zitat Sadikot SM, Nigam A, Das S, Bajaj S, Zargar AH, Prasannakumar KM, Sosale A, Munichoodappa C, Seshiah V, Singh SK, Jamal A, Sai K, Sadasivrao Y, Murthy SS, Hazra DK, Jain S, Mukherjee S, Bandyopadhay S, Sinha NK, Mishra R, Dora M, Jena B, Patra P, Goenka K, DiabetesIndia (2004) Comparing the ADA 1997 and the WHO 1999 criteria: prevalence of diabetes in India study. Diabetes Res Clin Pract 66(3):309–315CrossRefPubMed Sadikot SM, Nigam A, Das S, Bajaj S, Zargar AH, Prasannakumar KM, Sosale A, Munichoodappa C, Seshiah V, Singh SK, Jamal A, Sai K, Sadasivrao Y, Murthy SS, Hazra DK, Jain S, Mukherjee S, Bandyopadhay S, Sinha NK, Mishra R, Dora M, Jena B, Patra P, Goenka K, DiabetesIndia (2004) Comparing the ADA 1997 and the WHO 1999 criteria: prevalence of diabetes in India study. Diabetes Res Clin Pract 66(3):309–315CrossRefPubMed
8.
Zurück zum Zitat Wilkinson CP, Ferris FL 3rd, Klein RE, Lee PP, Agardh CD, Davis M, Dills D, Kampik A, Pararajasegaram R, Verdaguer JT, Global Diabetic Retinopathy Project Group (2003) Proposed international clinical diabetic retinopathy and diabetic macular edema disease severity scales. Ophthalmology 110(9):1677–1682CrossRefPubMed Wilkinson CP, Ferris FL 3rd, Klein RE, Lee PP, Agardh CD, Davis M, Dills D, Kampik A, Pararajasegaram R, Verdaguer JT, Global Diabetic Retinopathy Project Group (2003) Proposed international clinical diabetic retinopathy and diabetic macular edema disease severity scales. Ophthalmology 110(9):1677–1682CrossRefPubMed
9.
Zurück zum Zitat Hajat C, Shather Z (2012) Prevalence of metabolic syndrome and prediction of diabetes using IDF versus ATPIII criteria in a Middle East population. Diabetes Res Clin Pract 98(3):481–486CrossRefPubMed Hajat C, Shather Z (2012) Prevalence of metabolic syndrome and prediction of diabetes using IDF versus ATPIII criteria in a Middle East population. Diabetes Res Clin Pract 98(3):481–486CrossRefPubMed
10.
Zurück zum Zitat Arend O, Harris A, Arend S, Remky A, Martin BJ (1998) The acute effect of topical beta-adrenoreceptor blocking agents on retinal and optic nerve head circulation. Acta Ophthalmol Scand 76(1):43–49CrossRefPubMed Arend O, Harris A, Arend S, Remky A, Martin BJ (1998) The acute effect of topical beta-adrenoreceptor blocking agents on retinal and optic nerve head circulation. Acta Ophthalmol Scand 76(1):43–49CrossRefPubMed
11.
Zurück zum Zitat Hood DC, Bach M, Brigell M, Keating D, Kondo M, Lyons JS, Marmor MF, McCulloch DL, Palmowski-Wolfe AM, International Society For Clinical Electrophysiology of Vision (2012) ISCEV standard for clinical multifocal electroretinography (mfERG) (2011 edition). Doc Ophthalmol 124(1):1–13CrossRefPubMed Hood DC, Bach M, Brigell M, Keating D, Kondo M, Lyons JS, Marmor MF, McCulloch DL, Palmowski-Wolfe AM, International Society For Clinical Electrophysiology of Vision (2012) ISCEV standard for clinical multifocal electroretinography (mfERG) (2011 edition). Doc Ophthalmol 124(1):1–13CrossRefPubMed
12.
Zurück zum Zitat Yi EH, Zhang DX, Li LJ (2010) Applied research of laser-Doppler retinal blood flowmeter and oscillatory potential in early diagnosis of diabetic retinopathy. Int J Ophthalmol 10(11):2114–2117 Yi EH, Zhang DX, Li LJ (2010) Applied research of laser-Doppler retinal blood flowmeter and oscillatory potential in early diagnosis of diabetic retinopathy. Int J Ophthalmol 10(11):2114–2117
13.
Zurück zum Zitat Beltramo E, Porta M (2013) Pericyte loss in diabetic retinopathy: mechanisms and consequences. Curr Med Chem 20(26):3218–3225CrossRefPubMed Beltramo E, Porta M (2013) Pericyte loss in diabetic retinopathy: mechanisms and consequences. Curr Med Chem 20(26):3218–3225CrossRefPubMed
14.
Zurück zum Zitat Ludovico J, Bernardes R, Pires I, Figueira J, Lobo C, Cunha-Vaz J (2003) Alterations of retinal capillary blood flow in preclinical retinopathy in subjects with type 2 diabetes. Graefes Arch Clin Exp Ophthalmol 241(3):181–186CrossRefPubMed Ludovico J, Bernardes R, Pires I, Figueira J, Lobo C, Cunha-Vaz J (2003) Alterations of retinal capillary blood flow in preclinical retinopathy in subjects with type 2 diabetes. Graefes Arch Clin Exp Ophthalmol 241(3):181–186CrossRefPubMed
15.
Zurück zum Zitat Frank RN, Turczyn TJ, Das A (1990) Pericyte coverage of retinal and cerebral capillaries. Invest Ophthalmol Vis Sci 31(6):999–1007PubMed Frank RN, Turczyn TJ, Das A (1990) Pericyte coverage of retinal and cerebral capillaries. Invest Ophthalmol Vis Sci 31(6):999–1007PubMed
16.
Zurück zum Zitat Yune TY, Lee JY, Jung GY, Kim SJ, Jiang MH, Kim YC, Oh YJ, Markelonis GJ, Oh TH (2007) Minocycline alleviates death of oligodendrocytes by inhibiting pro-nerve growth factor production in microglia after spinal cord injury. J Neurosci 27(29):7751–7761CrossRefPubMed Yune TY, Lee JY, Jung GY, Kim SJ, Jiang MH, Kim YC, Oh YJ, Markelonis GJ, Oh TH (2007) Minocycline alleviates death of oligodendrocytes by inhibiting pro-nerve growth factor production in microglia after spinal cord injury. J Neurosci 27(29):7751–7761CrossRefPubMed
17.
Zurück zum Zitat Niemeyer G (1999) Indications for electrophysiologic studies of the eye. Klin Monbl Augenheilkd 194(5):333–336CrossRef Niemeyer G (1999) Indications for electrophysiologic studies of the eye. Klin Monbl Augenheilkd 194(5):333–336CrossRef
18.
Zurück zum Zitat Perlman I, Gdal-On M, Miller B, Zonis S (1985) Retinal function of the diabetic retina after argon laser photocoagulation assessed electroretinographically. Br J Ophthalmol 69(4):240–246CrossRefPubMedPubMedCentral Perlman I, Gdal-On M, Miller B, Zonis S (1985) Retinal function of the diabetic retina after argon laser photocoagulation assessed electroretinographically. Br J Ophthalmol 69(4):240–246CrossRefPubMedPubMedCentral
19.
Zurück zum Zitat Zhou W, Rangaswamy N, Ktonas P, Frishman LJ (2007) Oscillatory potentials of the slow-sequence multifocal ERG in primates extracted using the Matching Pursuit method. Vision Res 47(15):2021–2036CrossRefPubMedPubMedCentral Zhou W, Rangaswamy N, Ktonas P, Frishman LJ (2007) Oscillatory potentials of the slow-sequence multifocal ERG in primates extracted using the Matching Pursuit method. Vision Res 47(15):2021–2036CrossRefPubMedPubMedCentral
20.
Zurück zum Zitat Wu LZ, Wu DZ (1999) Clinical visual electrophysiology, 1st edn. Science Press, Beijing, pp 129–130 Wu LZ, Wu DZ (1999) Clinical visual electrophysiology, 1st edn. Science Press, Beijing, pp 129–130
21.
Zurück zum Zitat Onozu H, Yamamoto S (2003) Oscillatory potentials of multifocal electroretinogram retinopathy. Doc Ophthalmol 106(3):327–332CrossRefPubMed Onozu H, Yamamoto S (2003) Oscillatory potentials of multifocal electroretinogram retinopathy. Doc Ophthalmol 106(3):327–332CrossRefPubMed
22.
Zurück zum Zitat Brunette JR, Lafond G (1983) Electroretinographic evaluation of diabetic retinopathy: sensitivity of amplitude and time of response. Can J Ophthalmol 18(6):285–289PubMed Brunette JR, Lafond G (1983) Electroretinographic evaluation of diabetic retinopathy: sensitivity of amplitude and time of response. Can J Ophthalmol 18(6):285–289PubMed
23.
Zurück zum Zitat Sun W, Miao B, Wang XC, Duan JH, Ye X, Han WJ (2012) Gastrodin inhibits allodynia and hyperalgesia in painful diabetic neuropathy rats by decreasing excitability of nociceptive primary sensory neurons. PLoS ONE 7(6):396–447 Sun W, Miao B, Wang XC, Duan JH, Ye X, Han WJ (2012) Gastrodin inhibits allodynia and hyperalgesia in painful diabetic neuropathy rats by decreasing excitability of nociceptive primary sensory neurons. PLoS ONE 7(6):396–447
24.
Zurück zum Zitat An H, Kim IS, Koppula S, Kim BW, Park PJ, Lim BO (2010) Protective effects of gastrodia elata blume on MPP+-induced cytotoxicity in human dopaminergic SH-SY5Y cells. J Ethnopharmacol 130(2):290–298CrossRefPubMed An H, Kim IS, Koppula S, Kim BW, Park PJ, Lim BO (2010) Protective effects of gastrodia elata blume on MPP+-induced cytotoxicity in human dopaminergic SH-SY5Y cells. J Ethnopharmacol 130(2):290–298CrossRefPubMed
25.
Zurück zum Zitat Yang XC, Xu JB, Mei Y, Lei H, Ni NH, Wang J, Liu J (2015) Protective effects of acetagastrodin and gastrodin on retinal ganglion cells in diabetic rats. Rec Adv Ophthalmol 35(1):25–27 Yang XC, Xu JB, Mei Y, Lei H, Ni NH, Wang J, Liu J (2015) Protective effects of acetagastrodin and gastrodin on retinal ganglion cells in diabetic rats. Rec Adv Ophthalmol 35(1):25–27
26.
Zurück zum Zitat Bandello F, Lattanzio R, Zucchiatti I, Del Turco C (2013) pathophysiology and treatment of diabetic retinopathy. Acta Diabetol 50:1–20CrossRefPubMed Bandello F, Lattanzio R, Zucchiatti I, Del Turco C (2013) pathophysiology and treatment of diabetic retinopathy. Acta Diabetol 50:1–20CrossRefPubMed
27.
Zurück zum Zitat Várkonyi T, Kempler P (2008) Diabetic neuropathy: new strategies for treatment. Diabetes Obes Metab 10(2):99–108PubMed Várkonyi T, Kempler P (2008) Diabetic neuropathy: new strategies for treatment. Diabetes Obes Metab 10(2):99–108PubMed
Metadaten
Titel
Acetagastrodin effects on retinal oscillatory potentials in patients during the early stages of diabetes
verfasst von
Xiaochun Yang
Jianbiao Xu
Jun Liu
Ninghua Ni
Yan Mei
Huo Lei
Juanjuan Wang
Ben Niu
Publikationsdatum
20.09.2016
Verlag
Springer Milan
Erschienen in
Acta Diabetologica / Ausgabe 1/2017
Print ISSN: 0940-5429
Elektronische ISSN: 1432-5233
DOI
https://doi.org/10.1007/s00592-016-0914-5

Weitere Artikel der Ausgabe 1/2017

Acta Diabetologica 1/2017 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.