Sasase T, Yamada H, Sakoda K, Imagawa N, Abe T, Ito M, Sagawa S, Tanaka M, Matsushita M
Japan Tobacco, Central Pharmaceutical Research Institute, Murasaki-cho, Takatsuki, Osaka, Japan.
Diabetes Obes Metab. 2005 Sep;7(5):586-94. doi: 10.1111/j.1463-1326.2004.00447.x.
Activation of protein kinase C (PKC) is thought to play an important role in the pathogenesis of diabetic microvascular complications. PKC-beta is elevated in hyperglycaemic conditions, both in vivo and in vitro. In this study, pharmacological effects of a novel PKC-beta isoform selective inhibitor, JTT-010 ((2R)-3-(2-aminomethyl-2,3-dihydro-1H-3a-azacyclopenta(a)inden-8-yl)-4-phenylaminopyrrole-2,5-dione monomethanesulphonate), on diabetic neuropathy were examined.
PKC inhibitory activity of JTT-010 was evaluated with an enzyme assay. For the in vivo study, streptozotocin (STZ)-induced diabetic rats were treated with JTT-010 for 12 weeks and tail/sciatic nerve conduction velocity (NCV) evaluated. Hyper/hypoalgesia was evaluated using tail-flick and formalin tests.
JTT-010 inhibited PKC-betaI and -betaII with IC50 values of 4.0 and 2.3 nm respectively. For other PKC isoforms, IC50 values were 54 nm or greater. In STZ-induced diabetic rats showing a reduction in tail/sciatic nerve conduction velocities, JTT-010 (0.3-3 mg/kg) ameliorated the reduction of these velocities. In a formalin test, STZ-induced diabetic rats had hyperalgesia in the first phase. JTT-010 reduced nociceptive response at doses of 0.1 mg/kg or higher. Furthermore, STZ-induced diabetic rats showed hypoalgesia in the second phase of the formalin test and tail-flick test. JTT-010 also ameliorates these symptoms at doses of 0.1 mg/kg or higher.
These observations suggest that PKC-beta contributes not only to diabetic hyperalgesia, but also to hypoalgesia and also contributes to defects in NCV. PKC-beta inhibitor, JTT-010, may be beneficial in suppressing the development of diabetic nerve dysfunction, including hyperalgesia and hypoalgesia.
蛋白激酶C(PKC)的激活被认为在糖尿病微血管并发症的发病机制中起重要作用。在体内和体外的高血糖条件下,PKC-β都会升高。在本研究中,检测了一种新型PKC-β亚型选择性抑制剂JTT-010((2R)-3-(2-氨基甲基-2,3-二氢-1H-3a-氮杂环戊并[a]茚-8-基)-4-苯基氨基吡咯-2,5-二酮甲磺酸盐)对糖尿病神经病变的药理作用。
通过酶法测定JTT-010的PKC抑制活性。在体内研究中,用链脲佐菌素(STZ)诱导的糖尿病大鼠接受JTT-010治疗12周,并评估尾/坐骨神经传导速度(NCV)。使用甩尾试验和福尔马林试验评估痛觉过敏/痛觉减退。
JTT-010抑制PKC-βI和-βII,IC50值分别为4.0和2.3纳米。对于其他PKC亚型,IC50值为54纳米或更高。在STZ诱导的糖尿病大鼠中,尾/坐骨神经传导速度降低,JTT-010(0.3-3毫克/千克)改善了这些速度的降低。在福尔马林试验中,STZ诱导的糖尿病大鼠在第一阶段有痛觉过敏。JTT-010在0.1毫克/千克或更高剂量时降低了伤害性反应。此外,STZ诱导的糖尿病大鼠在福尔马林试验和甩尾试验的第二阶段表现出痛觉减退。JTT-010在0.1毫克/千克或更高剂量时也改善了这些症状。
这些观察结果表明,PKC-β不仅导致糖尿病性痛觉过敏,还导致痛觉减退,并且还导致NCV缺陷。PKC-β抑制剂JTT-010可能有助于抑制糖尿病神经功能障碍的发展,包括痛觉过敏和痛觉减退。