Therapeutic potential of curcumin in diabetic retinopathy (Review).

Diabetic retinopathy (DR) is a type of retinal microangiopathy caused by diabetes mellitus. It has become the leading cause of blindness among working individuals worldwide. DR is becoming increasingly common among younger diabetic patients and there is a need for lifelong treatment. The pathogenic mechanisms of DR are influenced by a number of factors, such as hyperglycemia, hyperlipidemia, inflammatory response and oxidative stress, among others. Currently, the treatment methods for DR mainly include retinal photocoagulation, vitrectomy, or anti­vascular endothelial growth factor (VEGF) therapy. However, these methods have some disadvantages and limitations. Therefore, it is a matter of great interest and urgency to discover drugs that can target the pathogenesis of DR. Since ancient times, traditional Chinese medicine practitioners have accumulated extensive experiences in the use of Chinese herbal medicine for the prevention and treatment of diseases. In the theory of traditional Chinese medicine, curcumin has the effects of promoting blood circulation and relieving pain. A number of studies have also demonstrated that curcumin has multiple biological activities, including exerting anti­apoptotic, anti­inflammatory, antioxidant and antitumor properties. In recent years, studies have also confirmed that curcumin can prevent a variety of diabetic complications, including diabetic nephropathy (DN). However, the preventive and curative effects of curcumin on DR and its mechanisms of action have not yet been fully elucidated. The present review aimed to explore the therapeutic potential of curcumin in diabetes mellitus and DR.

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To get optimal nitrogen (N), phosphorus (P2O5) and potassium (K2O) concentrations range for high quality and yield of eggplant with vermiculite as cultivation substrate, three factors and quadratic saturation D-optimal regression (310) were used to establish a ternary quadratic mathematical model with N, P2O5 and K2O concentrations as independent variables and eggplant yield and quality as objective functions. The results showed that yield and quality of eggplants were significantly influenced by N, P2O5 and K2O concentrations. The yield was most influenced by K2O concentration, and followed by N and then P2O5. The quality was also most influenced by K2O concentration, and followed by P2O5 and then N. There were significant interactive effects of N+P2O5, N+K2O and P2O5+K2O on yield, and significant interaction of N+K2O on eggplant quality. Under lower concentrations, the yield and quality of eggplants enhanced with the increasing N, P2O5 and K2O concentrations. When the nutrient concentrations exceeded a threshold, both yield and quality decreased. According to computer simulations, the yield could reach to 3600 g·plant-1 when the fertilization schemes were N 16.0-20.0 mmol·L-1, P2O5 2.2-2.6 mmol·L-1 and K2O 9.9-12.9 mmol·L-1; the fertilization scheme needed to obtain a comprehensive quality score of higher than 90 were N 18.0-21.1 mmol·L-1, P2O5 1.9-2.6 mmol·L-1 and K2O 10.6-13.3 mmol·L-1. In summary, fertilization scheme of high yield (43.2 kg·plot-1) and high quality(comprehensive score of higher than 90) of eggplants were N 18.0-20.0 mmol·L-1, P2O5 2.2-2.6 mmol·L-1, K2O 10.6-12.9 mmol·L-1, with an appropriate N, P2O5 and K2O proportion of 1:0.13:0.62.