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Nutrient supplementation with n3 polyunsaturated fatty acids, lutein, and zeaxanthin decrease A2E accumulation and VEGF expression in the retinas of Ccl2/Cx3cr1-deficient mice on Crb1rd8 background.

Abstract
The Age-Related Eye Diseases Study 2 (AREDS2) clinical trial is assessing the effects of higher dietary xanthophyll (lutein and zeaxanthin) and long-chain n3 polyunsaturated fatty acid (LCPUFA) docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA) intake on progression to advanced age-related macular degeneration (AMD). This study's purpose was to examine the retinal effects of the AREDS2 formulation on Chemokine (C-C motif) ligand 2 (Ccl2(-/-))/CX3C chemokine receptor 1 (Cx3cr1(-/-)) mice on Crumbs homolog 1 retinal degeneration phenotype 8 (Crb1(rd8)) background (DKO), which develop focal retinal lesions with certain features similar to AMD. DKO and C57BL/6N rd8 background mice (WT) were bred and randomized into 4 groups. Two groups, WT mice on AREDS2 diet (A-WT) and DKO mice on AREDS2 diet (A-DKO), were supplemented daily with 1.76 μmol of lutein, 35.1 μmol of zeaxanthin, 215 μmol EPA, and 107 μmol of DHA, and 2 control groups, WT mice on control diet (C-WT) and DKO mice on control diet (C-DKO), were fed an isocaloric diet. All mice had monthly fundus photos and were killed after 3 mo for biochemical and histologic analyses. After 3 mo, 81% of A-DKO mice had lesion regression compared with 25% of C-DKO mice (P < 0.05). Toxic retinal 2-[2,6-dimethyl-8-(2,6,6-trimethyl-1-cyclohexen-1-yl)-1E,3E,5E,7E-octatetra-enyl]-1-(2-hydroxyethyl)-4-[4-methyl-6(2,6,6-trimethyl-1-cyclohexen-1-yl) 1E,3E,5E,7E-hexatrienyl]-pyridinium (A2E) concentrations were significantly lower in A-DKO compared with C-DKO mice. The outer nuclear layer thickness in A-DKO mice was significantly greater than that in C-DKO mice. Retinal expression of inducible nitric oxide synthase (iNos) tumor necrosis factor-α (Tnf-α), Cyclooxygenase-2 (Cox-2), interleukin1beta (IL-1β), and vascular endothelial growth factor (Vegf) was significantly lower in A-DKO compared with C-DKO mice. Xanthophylls and LCPUFAs have antiinflammatory, neuroprotective, and antiangiogenic properties. Our data provide potential mechanisms by which the AREDS2 formula has a protective effect on retinal lesions in DKO mice.
AuthorsHema L Ramkumar, Jingsheng Tuo, De F Shen, Jun Zhang, Xiaoguang Cao, Emily Y Chew, Chi-Chao Chan
JournalThe Journal of nutrition (J Nutr) Vol. 143 Issue 7 Pg. 1129-35 (07 2013) ISSN: 1541-6100 [Electronic] United States
PMID23677863 (Publication Type: Journal Article, Research Support, N.I.H., Intramural, Research Support, Non-U.S. Gov't)
Chemical References
  • A2-E (N-retinylidene-N-retinylethanolamine)
  • Angiogenesis Inhibitors
  • Anti-Inflammatory Agents
  • CX3C Chemokine Receptor 1
  • Ccl2 protein, mouse
  • Chemokine CCL2
  • Cx3cr1 protein, mouse
  • Interleukin-1beta
  • Pyridinium Compounds
  • Receptors, Chemokine
  • Retinoids
  • Tumor Necrosis Factor-alpha
  • Vascular Endothelial Growth Factor A
  • Xanthophylls
  • Zeaxanthins
  • vascular endothelial growth factor A, mouse
  • Docosahexaenoic Acids
  • Eicosapentaenoic Acid
  • Nitric Oxide Synthase Type II
  • Nos2 protein, mouse
  • Ptgs2 protein, mouse
  • Cyclooxygenase 2
  • Lutein
Topics
  • Angiogenesis Inhibitors (administration & dosage)
  • Animals
  • Anti-Inflammatory Agents (administration & dosage)
  • CX3C Chemokine Receptor 1
  • Chemokine CCL2 (genetics, metabolism)
  • Cyclooxygenase 2 (genetics, metabolism)
  • Dietary Supplements
  • Docosahexaenoic Acids (administration & dosage)
  • Eicosapentaenoic Acid (administration & dosage)
  • Gene Expression Profiling
  • Interleukin-1beta (genetics, metabolism)
  • Lutein (administration & dosage)
  • Macular Degeneration (drug therapy, genetics, pathology)
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Microscopy, Electron, Transmission
  • Nitric Oxide Synthase Type II (genetics, metabolism)
  • Phenotype
  • Pyridinium Compounds (pharmacokinetics)
  • Receptors, Chemokine (genetics, metabolism)
  • Retina (drug effects, metabolism)
  • Retinal Degeneration (drug therapy, genetics, pathology)
  • Retinoids (pharmacokinetics)
  • Tumor Necrosis Factor-alpha (genetics, metabolism)
  • Vascular Endothelial Growth Factor A (genetics, metabolism)
  • Xanthophylls (administration & dosage)
  • Zeaxanthins

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