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Proceedings of the National Academy of Sciences
Article . 2006 . Peer-reviewed
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Hypoglycemia leads to age-related loss of vision

Authors: Y, Umino; D, Everhart; E, Solessio; K, Cusato; J C, Pan; T H, Nguyen; E T, Brown; +9 Authors

Hypoglycemia leads to age-related loss of vision

Abstract

The retina is among the most metabolically active tissues in the body, requiring a constant supply of blood glucose to sustain function. We assessed the impact of low blood glucose on the vision of C57BL/6J mice rendered hypoglycemic by a null mutation of the glucagon receptor gene, Gcgr . Metabolic stress from moderate hypoglycemia led to late-onset loss of retinal function in Gcgr −/− mice, loss of visual acuity, and eventual death of retinal cells. Retinal function measured by the electroretinogram b-wave threshold declined >100-fold from age 9 to 13 months, whereas decreases in photoreceptor function measured by the ERG a-wave were delayed by 3 months. At 10 months of age Gcgr −/− mice began to lose visual acuity and exhibit changes in retinal anatomy, including an increase in cell death that was initially more pronounced in the inner retina. Decreases in retinal function and visual acuity correlated directly with the degree of hypoglycemia. This work demonstrates a metabolic-stress-induced loss of vision in mammals, which has not been described previously. Linkage between low blood glucose and loss of vision in mice may highlight the importance for glycemic control in diabetics and retinal diseases related to metabolic stress as macular degeneration.

Keywords

Blood Glucose, Mice, Knockout, Age Factors, Vision Disorders, Apoptosis, Immunohistochemistry, Hypoglycemia, Retina, Mice, Inbred C57BL, Mice, Electroretinography, In Situ Nick-End Labeling, Receptors, Glucagon, Animals

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
57
Top 10%
Top 10%
Top 10%
bronze