Skip to main content
Log in

The Polyol Pathway in Retinal Microangiopathy

  • Section 1 The Polyol Pathway and Complications of Diabetes
  • Published:
Drugs Aims and scope Submit manuscript

Summary

Two structurally unrelated aldose reductase inhibitors (sorbinil and tolrestat) were used for assessing the possible role of aldose reductase in the thickening of retinal capillary basement membranes of rats. Rats were fed either a normal diet, a 50% galactose diet, or a 50% galactose diet with the addition of an aldose reductase inhibitor. Micrographs of capillaries in the outer plexiform layer of the retina were analysed. This showed that the basement membrane thickening and the ultrastructural changes in the retinal capillaries that were induced by the galactose diet were inhibited by the addition of an aldose reductase inhibitor. Thickening of the basement membrane may be related to other tissue lesions in diabetic retinopathy. Therefore, its prevention might have a favourable influence on other aspects of this retinopathy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Akagi Y, Kador PF, Kuwabara T, Kinoshita JH. Aldose reductase localization in human retinal mural cells. Investigative Ophthalmology and Visual Science 24: 1516–1519, 1983

    PubMed  CAS  Google Scholar 

  • Ashton N. Pathogenesis of diabetic retinopathy. In Little, et al. (Eds) Diabetic retinopathy, pp. 85–106, Thieme-Stratton, New York, 1983

    Google Scholar 

  • Ashton N. Vascular basement membrane changes in diabetic retinopathy. British Journal of Ophthalmology 58: 344–366, 1974

    Article  PubMed  CAS  Google Scholar 

  • Bloodworth Jr JMB. Fine structure of retina in human and canine diabetes mellitus. In Kimura & Cayhill (Eds) Vascular complications of diabetes mellitus, with special emphasis on microangiopathy of the eye, pp. 73–98, Mosby, Saint Louis, 1967

    Google Scholar 

  • Buzney SM, Frank RN, Varma SD, Tanishima T, Gabbay KH. Aldose reductase in retinal mural cells. Investigative Ophthalmology and Visual Science 16: 392–396, 1977

    PubMed  CAS  Google Scholar 

  • Chandler ML, Shannon WA, De Santis L. Prevention of retinal capillary basement membrane thickening in diabetic rats by aldose reductase inhibitors. Investigative Ophthalmology and Visual Science 25 (Suppl.) 159, 1984

    Google Scholar 

  • Cogan DG, Kinoshita JH, Kador PF, Robison Jr WG, Datiles MB, et al. Aldose reductase and complications of diabetes. Annals of Internal Medicine 101: 82–91, 1984

    PubMed  CAS  Google Scholar 

  • Cogan DG, Kuwabara T. The mural cell in perspective. Archives of Ophthalmology 78: 133–139, 1967

    Article  PubMed  CAS  Google Scholar 

  • Engerman RL, Kern TS. Experimental galactosemia produces diabetic-like retinopathy. Diabetes 33: 97–100, 1984

    Article  PubMed  CAS  Google Scholar 

  • Frank RN, Keirn RJ, Kennedy A, Frank KW. Galactose-induced retinal capillary basement membrane thickening: prevention by sorbinil. Investigative Ophthalmology and Visual Science 24: 1519–1524, 1983

    PubMed  CAS  Google Scholar 

  • Kador PF, Robison Jr WG, Kinoshita JH. The pharmacology of aldose reductase inhibitors. Annual Review of Pharmacology and Toxicology 25: 691–714, 1985

    Article  PubMed  CAS  Google Scholar 

  • Kern TS, Engerman RL. Hexitol production by canine retinal microvessels. Investigative Ophthalmology and Visual Science 26: 382–384, 1985

    PubMed  CAS  Google Scholar 

  • Kinoshita JH, Kador P, Datiles M. Aldose reductase in diabetic cataracts. Journal of the American Medical Association 246: 257–261, 1981

    Article  PubMed  CAS  Google Scholar 

  • Osterby R. Basement membrane morphology in diabetes mellitus. In Ellenberg & Rifkin (Eds) Diabetes mellitus, theory and practice, 3rd ed., pp. 323–341, Medical Examination Publication, New York, 1983

    Google Scholar 

  • Robison Jr WG, Kador PF, Kinoshita JH. Retinal capillaries: basement membrane thickening by galactosemia prevented with aldose reductase inhibitor. Science 221: 1177–1179, 1983

    Article  PubMed  CAS  Google Scholar 

  • Rohrbach DH, Martin GR. Structure of basement membrane in normal and diabetic tissue. Annals of the New York Academy of Sciences 401: 203–211, 1982

    Article  PubMed  CAS  Google Scholar 

  • Williamson JR, Chang K, Rowold E, Marvel J, Tomlinson M, et al. Sorbinil prevents diabetes-induced increases in vascular permeability but does not alter collagen cross-linking. Diabetes 34: 703–705, 1985

    Article  PubMed  CAS  Google Scholar 

  • Williamson JR, Kilo C. Current status of capillary basement-membrane disease in diabetes mellitus. Diabetes 26: 65–75, 1977

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Robison, W.G., Kinoshita, J.H. & Kador, P.F. The Polyol Pathway in Retinal Microangiopathy. Drugs 32 (Suppl 2), 19–22 (1986). https://doi.org/10.2165/00003495-198600322-00006

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.2165/00003495-198600322-00006

Keywords

Navigation