Purpose. Clinical trials have demonstrated that the onset and progress
ion of diabetic retinopathy is influenced by the glucose control of th
e patient. The disease is characterised by the coexistence of impaired
cell growth and excessive cell proliferation, and we wished to determ
ine the effect that glucose has upon these parameters. Methods. Bovine
retinal endothelial cells were exposed to a range of glucose concentr
ations from 0-25 mmol/l. The level of DNA synthesis and cell number wa
s then determined using pulse labelling with tritiated thymidine and a
Coomassie blue dye-based assay, respectively. Results. The level of D
NA synthesis declined significantly as the concentration of glucose in
creased. DNA synthesis was further decreased by the presence of an inh
ibitor of PI3 kinase (Wortmannin). The decline in DNA synthesis was ab
rogated by the presence of a protein kinase C (PKC) inhibitor or by in
cubating the cells with antibodies specific for the GLUT-1 and GLUT-3
specific isoforms of glucose transporter proteins. TGF-beta antibody s
ignificantly increased the level of DNA synthesis in cells exposed to
high concentrations of glucose. The changes that are observed in the l
evel of DNA synthesis was not coincident with any significant changes
in cell number as measured by the Coomassie blue assay. Conclusions. T
his demonstrated that the decline in DNA syn thesis is dependent upon
the entry of glucose into the cells and that this is mediated via a PK
C dependent pathway.