Oxidative stress-associated neuroretinal dysfunction and nitrosative stress in diabetic retinopathy

Lakshmi K. Mandal, Subhadip Choudhuri, Deep Dutta, Bhaskar Mitra, Sunanda Kundu, Imran H. Chowdhury, Aditi Sen, Mitali Chatterjee, Basudev Bhattacharya

Research output: Contribution to journalArticlepeer-review

25 Scopus citations


Objective: The present study was intended to investigate whether oxidative stress is the key regulator to alter neuroretinal biochemical homeostasis and in turn aggravate the process of diabetic retinopathy by inducing nitrosative stress in the retinal neurovascular unit. Methods: Peripheral blood mononuclear cell reactive oxygen species level was measured by flow cytometry along with spectrophotometric detection of malondialdehyde (MDA) and glutamate from serum or plasma and a vitreous sample of study groups (i.e. subjects with proliferative diabetic retinopathy [PDR], type 2 diabetes without retinopathy [DNR] and healthy controls [HCs]). Further, nitrosative stress assessment was performed by spectrophotometric and enzyme-linked immunosorbent assay-based detection of serum and vitreous nitrite and nitrotyrosine concentrations, respectively. Results: The plasma glutamate level remains insignificant between subjects with PDR and DNR (p=0.505) or in HC (p=0.1344) individuals. However, serum MDA (p=0.0004), nitrite (p=0.0147) and nitrotyrosine (p=0.0129) were found to be strikingly higher among PDR subjects compared with the DNR group. Significantly increased levels of peripheral blood mononuclear cell reactive oxygen species (p<0.0001), vitreous glutamate (p=0.0009, p<0.0001), MDA (p=0.0058, p=0.0003), nitrite (p=0.0014, p<0.0001) and nitrotyrosine (p=0.0008, p<0.0001) were found in PDR subjects compared with DNR and HC subjects, respectively. Conclusions: Our observation suggests that oxidative stress is associated with impairment in neuroretinal biochemical homeostasis among PDR subjects, which further augments retinal nitrosative stress and thus worsens the pathogenic process of retinopathy among PDR subjects.

Original languageEnglish (US)
Pages (from-to)401-407
Number of pages7
JournalCanadian Journal of Diabetes
Issue number6
StatePublished - Dec 2013
Externally publishedYes


  • Diabetic retinopathy
  • Glutamate
  • Nitrosative stress
  • Oxidative stress
  • Reactive oxygen species (ROS)

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology


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