Vareniuk Igor, Pavlov Ivan A, Drel Viktor R, Lyzogubov Valeriy V, Ilnytska Olga, Bell Seth R, Tibrewala Jyoti, Groves John T, Obrosova Irina G
Pennington Biomedical Research Center, Louisiana State University System, 6400 Perkins Road, Baton Rouge, LA 70808, USA.
Exp Neurol. 2007 Jun;205(2):425-36. doi: 10.1016/j.expneurol.2007.03.019. Epub 2007 Mar 27.
Nitrosative stress contributes to nerve conduction slowing, thermal hypoalgesia, and impaired nitrergic innervation in animal models of Type 1 diabetes. The role for reactive nitrogen species in Type 2 diabetes-associated neuropathy remains unexplored. This study evaluated the role for nitrosative stress in functional and structural neuropathic changes in ob/ob mice, a model of Type 2 diabetes with mild hyperglycemia and obesity. Two structurally diverse peroxynitrite decomposition catalysts, Fe(III) tetrakis-2-(N-triethylene glycol monomethyl ether)-pyridyl porphyrin (FP15) and Fe(III) tetra-mesitylporphyrin octasulfonate (FeTMPS), were administered to control and 8-week-old ob/ob mice for 3 weeks at the doses of 5 mg kg(-1) day(-1) (FP15) and 5 and 10 mg kg(-1) day(-1) (FeTMPS). The 11-week-old ob/ob mice developed motor nerve conduction velocity (MNCV) and hind-limb digital sensory nerve conduction velocity (SNCV) deficits, thermal hypoalgesia, tactile allodynia, and a remarkable ( approximately 78%) loss of intraepidermal nerve fibers. They also had increased nitrotyrosine and poly(ADP-ribose) immunofluorescence in the sciatic nerve, spinal cord, and dorsal root ganglion neurons. Treatment with two structurally diverse peroxynitrite decomposition catalysts was associated with restoration of normal MNCV and SNCV, and alleviation of thermal hypoalgesia. Tactile response thresholds increased in response to peroxynitrite decomposition catalyst treatment, but still remained approximately 2.7- to 3.2-fold lower compared with non-diabetic controls. Intraepidermal nerve fiber loss was not alleviated by either FP15 or FeTMPS. Nitrotyrosine and poly(ADP-ribose) immunofluorescence in sciatic nerve, spinal cord, and dorsal root ganglia of peroxynitrite decomposition catalyst-treated ob/ob mice were essentially normal. In conclusion, nitrosative stress plays an important role in functional abnormalities associated with large motor, large sensory, and small sensory fiber neuropathy, but not in small sensory nerve fiber degeneration, in this animal model. Peroxynitrite decomposition catalysts alleviate Type 2 diabetes-associated sensory nerve dysfunction, likely by mechanism(s) not involving arrest of degenerative changes or enhanced regeneration of small sensory nerve fibers.
在1型糖尿病动物模型中,亚硝化应激会导致神经传导减慢、热痛觉减退和氮能神经支配受损。活性氮物质在2型糖尿病相关神经病变中的作用尚待探索。本研究评估了亚硝化应激在ob/ob小鼠(一种伴有轻度高血糖和肥胖的2型糖尿病模型)功能性和结构性神经病变变化中的作用。给对照小鼠和8周龄的ob/ob小鼠施用两种结构不同的过氧亚硝酸盐分解催化剂,即Fe(III)四-2-(N-三甘醇单甲醚)-吡啶基卟啉(FP15)和Fe(III)四-均三甲苯基卟啉八磺酸酯(FeTMPS),剂量分别为5 mg kg(-1) 天(-1)(FP15)以及5和10 mg kg(-1) 天(-1)(FeTMPS),持续3周。11周龄的ob/ob小鼠出现运动神经传导速度(MNCV)和后肢趾部感觉神经传导速度(SNCV)缺陷、热痛觉减退、触觉异常性疼痛以及表皮内神经纤维显著(约78%)缺失。它们在坐骨神经、脊髓和背根神经节神经元中的硝基酪氨酸和聚(ADP-核糖)免疫荧光也增加。用两种结构不同的过氧亚硝酸盐分解催化剂治疗可使MNCV和SNCV恢复正常,并减轻热痛觉减退。过氧亚硝酸盐分解催化剂治疗后触觉反应阈值升高,但与非糖尿病对照组相比仍低约2.7至3.2倍。FP15或FeTMPS均未减轻表皮内神经纤维的缺失。过氧亚硝酸盐分解催化剂治疗的ob/ob小鼠坐骨神经、脊髓和背根神经节中的硝基酪氨酸和聚(ADP-核糖)免疫荧光基本正常。总之,在该动物模型中,亚硝化应激在与大运动、大感觉和小感觉纤维神经病变相关的功能异常中起重要作用,但在小感觉神经纤维变性中不起作用。过氧亚硝酸盐分解催化剂可能通过不涉及阻止退行性变化或增强小感觉神经纤维再生的机制来减轻2型糖尿病相关的感觉神经功能障碍。