Eucalyptol Alleviates Amyloid-β-Responsive ER Stress-Induced Endothelial Apoptosis in Diabetic Eyes
Abstract Objectives Prolonged endoplasmic reticulum (ER) stress impairs the protein folding capacity, and the accumulation of unfolded proteins in the ER eventually triggers apoptosis. This study was aimed to explore that amyloid-β (Aβ) deposited in the diabetic retina, induced retinal endothelial ER stress and apoptosis, which was attenuated by eucalyptol, a monoterpenoid and an achiral aromatic component of many plants, including Salvia and Eucalyptus leaves. Methods Primary human retinal microvascular endothelial cells (HRMVEC) were cultured in media containing 33 mM glucose and 5 μM amyloid-β for 3 days in the presence of 1–20 μM eucalyptol. The in vivo animal study employed db/db mice orally administrated with 10 mg/kg eucalyptol. Cell lysates and mouse eye tissue extracts were prepared for Western blotting, in which antibodies of Aβ, phospho-PERK, phospho-elF2α, ATF4, CHOP and Bax were used. Results Hyperglycemia enhanced the induction of Aβ protein in microvascular endothelial cells, which was inhibited by eucalyptol. Exposure of HRMVEC to high glucose and Aβ elevated the unfolded protein response to ER stress, evidenced by activation of PERK-elF2α-ATF4-CHOP. Eucalyptol diminished formation of glucose- and Aβ-induced ER stress and induction of apoptosis-related bax. Consistently, oral administration of eucalyptol to db/db mice curtailed the eye tissue levels of ER-responsive components and apoptotic proteins. Conclusions Eucalyptol may be a potent retinoprotective agent allaying diabetes-mediated Aβ-induced ER stress leading to apoptotic cell death. Funding Sources This work was supported by the National Research Foundation of Korea (NRF) grants funded by the Korea government (2020R1A6A3A13069116 and 2017R1A6A3A04011473) and was supported by the BK21 FOUR(Fostering Outstanding Universities for Research, 4220200913807) funded by the National Research Foundation of Korea (NRF).