Drel Viktor R, Pacher Pal, Vareniuk Igor, Pavlov Ivan, Ilnytska Olga, Lyzogubov Valeriy V, Tibrewala Jyoti, Groves John T, Obrosova Irina G
Pennington Biomedical Research Center, Louisiana State University System, Baton Rouge, LA 70808, USA.
Eur J Pharmacol. 2007 Aug 13;569(1-2):48-58. doi: 10.1016/j.ejphar.2007.05.055. Epub 2007 Jun 9.
Whereas an important role of free radicals and oxidants in peripheral diabetic neuropathy is well established, the contribution of nitrosative stress and, in particular, of the highly reactive oxidant peroxynitrite, has not been properly explored. Our previous findings implicate peroxynitrite in diabetes-associated motor and sensory nerve conduction deficits and peripheral nerve energy deficiency and poly(ADP-ribose) polymerase activation associated with Type 1 diabetes. In this study the role of nitrosative stress in diabetic sensory neuropathy is evaluated. The peroxynitrite decomposition catalyst Fe(III) tetrakis-2-(N-triethylene glycol monomethyl ether)pyridyl porphyrin (FP15) was administered to control and streptozotocin (STZ)-diabetic mice at the dose of 5 mg kg(-1) day(-1) (FP15), for 3 weeks after initial 3 weeks without treatment. Mice with 6-week duration of diabetes developed clearly manifest thermal hypoalgesia (paw withdrawal, tail-flick, and hot plate tests), mechanical hypoalgesia (tail pressure Randall-Sellito test), tactile allodynia (flexible von Frey filament test), and approximately 38% loss of intraepidermal nerve fibers. They also had increased nitrotyrosine and poly(ADP-ribose) immunofluorescence in the sciatic nerve, grey matter of spinal cord, and dorsal root ganglion neurons. FP15 treatment was associated with alleviation of thermal and mechanical hypoalgesia. Tactile response threshold tended to increase in response to peroxynitrite decomposition catalyst treatment, but still remained approximately 59% lower compared with non-diabetic controls. Intraepidermal nerve fiber density was 25% higher in FP15-treated than in untreated diabetic rats, but the difference between two groups did not achieve statistical significance (p=0.054). Nitrotyrosine and poly(ADP-ribose) immunofluorescence in sciatic nerve, spinal cord, and dorsal root ganglion neurons of peroxynitrite decomposition catalyst-treated diabetic mice were markedly reduced. In conclusion, nitrosative stress plays an important role in sensory neuropathy associated with Type 1 diabetes. The findings provide rationale for further studies of peroxynitrite decomposition catalysts in a long-term diabetic model.
虽然自由基和氧化剂在糖尿病周围神经病变中的重要作用已得到充分证实,但亚硝化应激,尤其是高活性氧化剂过氧亚硝酸盐的作用尚未得到充分研究。我们之前的研究结果表明,过氧亚硝酸盐与糖尿病相关的运动和感觉神经传导缺陷、周围神经能量缺乏以及与1型糖尿病相关的聚(ADP-核糖)聚合酶激活有关。在本研究中,评估了亚硝化应激在糖尿病性感觉神经病变中的作用。将过氧亚硝酸盐分解催化剂四(2-(N-三甘醇单甲醚)吡啶基)铁(III)卟啉(FP15)以5 mg kg⁻¹天⁻¹的剂量给予对照小鼠和链脲佐菌素(STZ)诱导的糖尿病小鼠(FP15组),在最初3周不治疗后持续给药3周。糖尿病病程为6周的小鼠出现明显的热痛觉减退(足趾撤离、甩尾和热板试验)、机械痛觉减退(尾部压力Randall-Sellito试验)、触觉异常性疼痛(柔性von Frey细丝试验),并且表皮内神经纤维损失约38%。它们在坐骨神经、脊髓灰质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。FP15治疗与热痛觉减退和机械痛觉减退的减轻相关。触觉反应阈值在过氧亚硝酸盐分解催化剂治疗后有升高趋势,但与非糖尿病对照组相比仍低约59%。FP15治疗的糖尿病大鼠表皮内神经纤维密度比未治疗的大鼠高25%,但两组之间的差异未达到统计学意义(p = 0.054)。过氧亚硝酸盐分解催化剂治疗的糖尿病小鼠坐骨神经、脊髓和背根神经节神经元中的硝基酪氨酸和聚(ADP-核糖)免疫荧光明显降低。总之,亚硝化应激在1型糖尿病相关的感觉神经病变中起重要作用。这些发现为在长期糖尿病模型中进一步研究过氧亚硝酸盐分解催化剂提供了理论依据。