Diabetes complications

Interpericyte tunnelling nanotube loss in very early diabetic retinal disease

DiabetologiaPublished Mechanistic study

Authors' conclusion

These observations suggest that IP-TNT loss is a very early feature of diabetic retinopathy that can selectively precede alterations to pericytes and retinal capillaries. Given that IP-TNTs are intimately associated with pericytes, there is the potential that IP-TNT loss contributes to perfusion abnormalities and may be one of the major pathogenic factors in diabetic retinopathy. Future studies should confirm this exploratory work; the development of therapeutic agents designed to maintain IP-TNT structure and function may be an important factor for the preservation of retinal health.

Study context

Population
Human donor retinas; macular vasculature of individuals with preclinical diabetic retinopathy and controls
Participants
7 vs 12
Comparison
Preclinical diabetic retinopathy vs control
  • Diabeticn = 7
  • Controln = 12reference
Outcome
IP-TNTs per 500 × 500 µm area
Methodological detailshuman donor retina, high-resolution confocal microscopy with isolated perfusion labelling
  • Human donor retina
  • High-resolution confocal microscopy with isolated perfusion labelling

Main finding

As reported in the abstract

Superficial vascular plexus (SVP): diabetic vs control, mean ± SD

2.5 ± 0.79 vs 3.93 ± 0.82

p<0.0001

Intermediate capillary plexus (ICP): diabetic vs control, mean ± SD

1.40 ± 0.83 vs 1.98 ± 0.88

p=0.012

Deep capillary plexus (DCP): diabetic vs control, mean ± SD

1.11 ± 0.87 vs 1.75 ± 0.99

p=0.011

Original publication

Interpericyte tunnelling nanotube loss in very early diabetic retinal disease. Diabetologia. Published 20 November 2025. doi:10.1007/s00125-025-06602-4

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