Loss of pericytes, considered an early hallmark of
diabetic retinopathy, is thought to involve abnormal activation of
protein kinase C (PKC). We previously showed that the anti-
amyotrophic lateral sclerosis (ALS) drug
riluzole functions as a PKC inhibitor. Here, we examined the effects of
riluzole on pathological changes in
diabetic retinopathy. Pathological endpoints examined in vivo included the number of pericytes and integrity of retinal vessels in
streptozotocin (STZ)-induced diabetic mice. In addition, PKC activation and the induction of
monocyte chemotactic protein (MCP1) were assessed in diabetic mice and in human
retinal pericytes exposed to
advanced glycation end product (AGE) or modified
low-density lipoprotein (mLDL). The diameter of retinal vessels and the number of pericytes were severely reduced, and the levels of MCP1 and PKC were increased in STZ-induced diabetic mice. Administration of
riluzole reversed all of these changes. Furthermore, the increased expression of MCP1 in AGE- or mLDL-treated cultured
retinal pericytes was inhibited by treatment with
riluzole or the PKC inhibitor
GF109203X. In silico modeling showed that
riluzole fits well within the catalytic pocket of PKC. Taken together, our results demonstrate that
riluzole attenuates both MCP1 induction and pericyte loss in
diabetic retinopathy, likely through its direct inhibitory effect on PKC.