細胞間的縫隙連結 (Gap junction intercellular communication; GJIC)在細胞間的聯繫扮演著重要的角色,而高糖壓力下可能會使縫隙結合 (gap junction)退化。已知甲型-硫辛酸能有效治療糖尿病及視網膜病變的患者,但其針對高糖壓力下視網膜色素上皮細胞 (ARPE-19)之關係尚未明瞭,因此本研究欲利用ARPE-19細胞株,在17.5、25、33、50 mM葡萄糖濃度下以及分別加入100、200、500 μM甲型-硫辛酸的條件下,於37°C,5% CO2環境培養八天,以台盼藍染色法 (Tryphan blue assay)分析其細胞死亡率,以西方墨點法分析胞間蛋白CX 43、ZO-1、Occludin、RPE 65之蛋白表現量,以螢光染色觀察CX 43、ZO-1、Occludin、RPE 65之表現,最後以刮痕染劑轉移法 (Scrape loading/dye transfer assay)分析細胞間的縫隙連結之通透性。結果顯示,高糖壓力下,ARPE-19細胞之細胞長寬比會隨著甲型-硫辛酸的濃度提高而上升,細胞數目則會有顯著性的減少,胞間蛋白CX 43、ZO-1、Occludin及視覺循環相關蛋白RPE 65之表現量亦無法隨著甲型-硫辛酸之劑量增加而有修復的效果,但其細胞通透性則能得到改善的功效,綜合以上結果,甲型-硫辛酸對於高糖壓力下之ARPE-19細胞無法有效的治療其胞間蛋白之損傷,且認為甲型-硫辛酸的服用時機應當在糖尿病發生前就該補充並避免造成此傷害。
The gap junction intercellular communication (GJIC) is considered to play an important role in intercellular communications, and hyperglycemia might cause gap junction degeneration. Alpha-lipoic acid (ALA) was commonly used for protection against diabetes and diabetic retinopathy, despite that whether it can ameliorate damages to retinal pigment epithelium (ARPE-19) under hyperglycemic stress remains unknown. In this study, ARPE-19 cells were incubated with 17.5, 25, 33, 50 mM glucose, and 100, 200, 500 μM alpha-lipoic acid at 37°C,5% CO2 for 8 days. Cell viability was determined by the Tryphan blue assay. The expression levels of Connexin 43 (Cx43), ZO-1, Occludin, RPE 65 were determined by Western blot analysis. The integrity gap junction was examined under immunofluorescence microscopy. Gap junction intercellular communication (GJIC) was determined by the scrape-load/dye transfer assay. The results showed that the size and shape of ARPE-19 cells were changed and the cells number were decreased under high glucose pressure and alpha-lipoic acid supplement, and alpha-lipoic acid could not restore gap junction proteins such as CX 43, ZO-1, Occludins’ expression, visual cycle associated protein RPE 65 had the same result, but their GJIC permeability was increased. In summary, alpha-lipoic acid could not help to improve ARPE-19 cells’ junction protein under hyperglycemia pressure and suggested that we should use alpha-lipoic acid in diary day to prevent diabetes happened instead of under diabetes condition.