Noda K, Umeda F, Ono H, Hisatomi A, Chijiiwa Y, Nawata H, Ibayashi H
Third Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Diabetes. 1990 May;39(5):608-12. doi: 10.2337/diab.39.5.608.
After induction of diabetes with streptozocin (STZ-D) in rats, we measured vasoactive intestinal polypeptide (VIP) content in sciatic nerve and spinal cord obtained from nondiabetic, untreated STZ-D, and insulin-treated STZ-D rats. Eight weeks after the onset of diabetes, caudal nerve conduction velocity (NCV) in the untreated STZ-D rats (n = 13) was slower than in the controls (n = 11; mean +/- SE 30.9 +/- 0.6 vs. 41.4 +/- 1.8 m/s, P less than 0.001). The decrease in NCV was less marked in the insulin-treated STZ-D rats (n = 11; 36.3 +/- 0.9 m/s, P less than 0.05 vs. control). VIP content in sciatic nerve decreased in the untreated STZ-D rats (1.33 +/- 0.23 ng/g wet wt) compared with the other groups (control, 3.10 +/- 0.44, P less than 0.01; insulin-treated STZ-D, 2.44 +/- 0.55, P less than 0.05). However, in spinal cord, VIP content was not significantly different among the three groups. The VIP levels in sciatic nerve showed a positive correlation with NCV (r = 0.430, P less than 0.01). In addition, an inverse correlation between VIP levels and blood glucose levels was observed (r = -0.5624, P less than 0.001). NCV was also inversely correlated with blood glucose levels (r = -0.7662, P less than 0.001). Together with a previous morphological study, these findings suggest a possible causal relationship between reduced VIP content and diabetic neuropathy.
用链脲佐菌素诱导大鼠患糖尿病(STZ - D)后,我们测量了取自非糖尿病大鼠、未治疗的STZ - D大鼠以及胰岛素治疗的STZ - D大鼠的坐骨神经和脊髓中的血管活性肠肽(VIP)含量。糖尿病发病八周后,未治疗的STZ - D大鼠(n = 13)的尾神经传导速度(NCV)比对照组(n = 11;平均±标准误 30.9±0.6 与 41.4±1.8 m/s,P < 0.001)慢。胰岛素治疗的STZ - D大鼠(n = 11;36.3±0.9 m/s,与对照组相比P < 0.05)的NCV下降不那么明显。与其他组相比,未治疗的STZ - D大鼠坐骨神经中的VIP含量降低(1.33±0.23 ng/g湿重)(对照组,3.10±0.44,P < 0.01;胰岛素治疗的STZ - D组,2.44±0.55,P < 0.05)。然而,在脊髓中,三组之间的VIP含量没有显著差异。坐骨神经中的VIP水平与NCV呈正相关(r = 0.430,P < 0.01)。此外,观察到VIP水平与血糖水平呈负相关(r = -0.5624,P < 0.001)。NCV也与血糖水平呈负相关(r = -0.7662,P < 0.001)。结合之前的形态学研究,这些发现表明VIP含量降低与糖尿病神经病变之间可能存在因果关系。