Wada R, Nishizawa Y, Yagihashi N, Takeuchi M, Ishikawa Y, Yasumura K, Nakano M, Yagihashi S
Department of Pathology, Hirosaki University School of Medicine, Japan.
Eur J Clin Invest. 2001 Jun;31(6):513-20. doi: 10.1046/j.1365-2362.2001.00826.x.
Nonenzymatic glycation of neural proteins and their end-products (advanced glycation end-products, AGE) have been implicated in the pathogenesis of diabetic neuropathy. We need a development of effective ant-glycation agents for future clinical use.
We examined the effects of OPB-9195 (OPB), a new inhibitor of glycation, on the peripheral nerve structure and function in diabetic rats. Eight-week-old Wistar rats were made diabetic by streptozotocin (40 mg kg(-1), i.v.) and OPB (60 mg kg(-1) day(-1)) was given by gavage for 24 weeks. Age- and sex-matched normal Wistar rats were used for comparison.
During the experimental period, OPB treatment did not affect the reduced body weight, elevated levels of blood glucose and glycated haemoglobin in diabetic rats. At the end of the experiment, delayed tibial motor nerve conduction velocity was significantly improved (by 60%) in treated diabetic rats, with reduction of serum AGE levels. Expression of immunoreactive AGE in the sciatic nerve was reduced in treated diabetic rats compared with those in untreated rats. Sciatic nerve (Na+, K+)-ATPase activity was also restored in treated diabetic rats. On the cross-sectioned sciatic nerves, positive cells with oxidative stress-related DNA damage, as expressed by 8-hydroxy-2'-deoxyguanosine, were less in the peripheral nerve of treated diabetic rats compared with those of untreated rats.
The current study suggested that OPB is beneficial for the reduction of serum AGE and the prevention of diabetic neuropathy.
神经蛋白的非酶糖基化及其终产物(晚期糖基化终产物,AGE)与糖尿病神经病变的发病机制有关。我们需要开发有效的抗糖基化药物以供未来临床使用。
我们研究了新型糖基化抑制剂OPB - 9195(OPB)对糖尿病大鼠外周神经结构和功能的影响。8周龄的Wistar大鼠通过静脉注射链脲佐菌素(40 mg kg⁻¹)制成糖尿病模型,OPB(60 mg kg⁻¹ 天⁻¹)通过灌胃给药24周。年龄和性别匹配的正常Wistar大鼠用于对照。
在实验期间,OPB治疗对糖尿病大鼠体重减轻、血糖和糖化血红蛋白水平升高没有影响。实验结束时,治疗组糖尿病大鼠胫神经运动神经传导速度明显改善(提高了60%),血清AGE水平降低。与未治疗的大鼠相比,治疗组糖尿病大鼠坐骨神经中免疫反应性AGE的表达减少。治疗组糖尿病大鼠坐骨神经(Na⁺,K⁺)-ATP酶活性也得到恢复。在坐骨神经横断面中,以8 - 羟基 - 2'-脱氧鸟苷表示的与氧化应激相关的DNA损伤阳性细胞在治疗组糖尿病大鼠外周神经中比未治疗组大鼠少。
当前研究表明,OPB有利于降低血清AGE并预防糖尿病神经病变。