Diabetes complications

3D electron microscopy reveals novel ultrastructural changes in the diabetic retinal neurovascular unit

DiabetologiaPublished Mechanistic study

Authors' conclusion

This study provides new insights into the early ultrastructural changes in the retinal NVU in DRD, offering a basis for a better understanding of the pathological processes that contribute to the development of this disease.

Study context

Population
Retinas from male diabetic and non-diabetic mice and human male donors with and without diabetes; capillaries of the superficial vascular plexus
Comparison
Diabetic vs non-diabetic retinas
Outcome
3D ultrastructural changes in the retinal neurovascular unit (NVU), diabetic vs non-diabetic
Methodological detailsserial block-face scanning electron microscopy (SBF-SEM), 3D reconstruction, mouse and human retinas
  • Serial block-face scanning electron microscopy (SBF-SEM)
  • 3D reconstruction
  • Mouse and human retinas

Main finding

As reported in the abstract

Partial detachment and reduced frequency of pericyte-endothelium peg-and-socket formations
p<0.05-0.001
Localised detachment of endothelial cells and pericytes from the vascular BM
p<0.05-0.01
Increased formation of endothelial tubules
p<0.01-0.001

Original publication

3D electron microscopy reveals novel ultrastructural changes in the diabetic retinal neurovascular unit. Diabetologia. Published 2 October 2025. doi:10.1007/s00125-025-06554-9

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