title: 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.
authors.affiliation: Center for Vision Research, Department of Ophthalmology, State University of New York Upstate Medical University, Syracuse, NY 13210, USA.
authors.forename: Y
authors.initials: Y
authors.lastname: Umino
authors.forename: D
authors.initials: D
authors.lastname: Everhart
authors.forename: E
authors.initials: E
authors.lastname: Solessio
authors.forename: K
authors.initials: K
authors.lastname: Cusato
authors.forename: J C
authors.initials: JC
authors.lastname: Pan
authors.forename: T H
authors.initials: TH
authors.lastname: Nguyen
authors.forename: E T
authors.initials: ET
authors.lastname: Brown
authors.forename: R
authors.initials: R
authors.lastname: Hafler
authors.forename: B A
authors.initials: BA
authors.lastname: Frio
authors.forename: B E
authors.initials: BE
authors.lastname: Knox
authors.forename: G A
authors.initials: GA
authors.lastname: Engbretson
authors.forename: M
authors.initials: M
authors.lastname: Haeri
authors.forename: L
authors.initials: L
authors.lastname: Cui
authors.forename: A S
authors.initials: AS
authors.lastname: Glenn
authors.forename: M J
authors.initials: MJ
authors.lastname: Charron
authors.forename: R B
authors.initials: RB
authors.lastname: Barlow
mesh_terms: D000367:Age Factors; D000818:Animals; D017209:Apoptosis / Q000502:physiology*; D001786:Blood Glucose / Q000378:metabolism; D004596:Electroretinography; D007003:Hypoglycemia / Q000150:complications*; D007150:Immunohistochemistry; D020287:In Situ Nick-End Labeling; D051379:Mice; D008810:Mice, Inbred C57BL; D018345:Mice, Knockout; D018027:Receptors, Glucagon / Q000235:genetics*; D012160:Retina / Q000473:pathology*; D014786:Vision Disorders / Q000209:etiology*
chemical_list: D001786:Blood Glucose; D018027:Receptors, Glucagon