Cardiovascular

Nitazoxanide reduced inflammatory markers and mitochondrial changes in human retinal endothelial cells grown in high glucose.

TL;DR

Nitazoxanide increased MNRR1 levels in retinal endothelial cells, reduced inflammatory markers, and increased oxygen consumption rate and mitochondrial mass in cells grown in high glucose, suggesting NZT may offer a new therapeutic option for diabetic retinopathy.

Key Findings

MNRR1 protein levels were reduced in the diabetic retina of both humans and mice.

  • Control and diabetic human retinal protein samples were analyzed by western blotting
  • Control and diabetic mouse retinal samples were also analyzed by western blotting
  • MNRR1 was localized to retinal endothelial cells (RECs) using immunostaining

NZT treatment significantly increased MNRR1 levels in RECs grown in both normal and high glucose conditions.

  • RECs were grown in normal (5 mM) glucose and high (25 mM) glucose conditions
  • MNRR1 levels were measured by western blotting
  • NZT-treated cells had 'significantly higher MNRR1 levels' compared to untreated cells in both glucose conditions

NZT reduced inflammatory markers in RECs grown in high glucose.

  • Inflammatory markers measured included high mobility group box 1 (HMGB1), interleukin 1β (IL-1β), and tumor necrosis factor α (TNF-α)
  • Markers were assessed by western blotting in RECs grown in high (25 mM) glucose
  • NZT treatment was associated with reduced levels of these inflammatory mediators

NZT increased the oxygen consumption rate (OCR) in RECs grown in high glucose, associated with an increase in Tom20.

  • OCR was measured using a Seahorse XFe24 Bioanalyzer
  • Measurements were performed in RECs under different glucose conditions with and without NZT treatment
  • Increased OCR was associated with an increase in Tom20, a mitochondrial outer membrane protein used as a marker of mitochondrial mass
  • Tom20 levels were measured by western blotting

MNRR1 was localized specifically to retinal endothelial cells within the retina.

  • Localization was determined using immunostaining of retinal tissue
  • This finding was used to support the relevance of REC-based in vitro experiments for studying diabetic retinopathy
  • Both human and mouse retinal samples were used in the study

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Citation

Jiang Y, Purandare N, Liu L, Al-Shabrawey M, Grossman L, Steinle J. (2026). Nitazoxanide reduced inflammatory markers and mitochondrial changes in human retinal endothelial cells grown in high glucose.. Molecular vision. https://pubmed.ncbi.nlm.nih.gov/41867367/