柚皮苷通过调节链脲佐菌素诱导的痛性糖尿病周围神经病变中的内源性生物标志物发挥神经保护作用。

Neuroprotective effect of naringin by modulation of endogenous biomarkers in streptozotocin induced painful diabetic neuropathy.

机构信息

Centre of Advance Research in Pharmaceutical Sciences, Department of Pharmacology, Poona College of Pharmacy, Bharati Vidyapeeth Deemed University, Pune, Maharashtra, 411038, India

出版信息

Fitoterapia. 2012 Jun;83(4):650-9. doi: 10.1016/j.fitote.2012.01.010. Epub 2012 Feb 9.

Abstract

Diabetes mellitus is a serious debilitating epidemic affecting all social strata in developing as well as developed countries. Diabetic neuropathy is most common of secondary complications associated with diabetes mellitus and is characterized by slowing of nerve conduction velocity, elevated pain, sensory loss and nerve fiber degeneration. The aim of the present investigation was to evaluate the neuroprotective effect of naringin against streptozotocin (STZ) induced diabetic neuropathic pain in laboratory rats. Four weeks after intraperitoneal injection of STZ resulted in significant decrease in mechano-tactile allodynia, mechanical hyperalgesia, thermal hyperalgesia and motor nerve conduction velocity. Activity of endogenous antioxidant like superoxide dismutase as well as membrane bound inorganic phosphate enzyme was also found to be significantly decreased. It not only caused neural cell apoptosis but also enhanced lipid peroxide, nitrite, and inflammatory mediators' (TNF-α) level. Chronic treatment with naringin (40 and 80mg/kg) for 4 weeks significantly and dose dependently attenuated the decrease in level of nociceptive threshold, endogenous antioxidant and membrane bound inorganic phosphate enzyme. It also decreased the elevated levels of oxidative-nitrosative stress, inflammatory mediators as well as apoptosis in neural cells significantly and dose dependently. The important finding of the study is that, the naringin-insulin combination not only attenuated the diabetic condition but also reversed the neuropathic pain, whereas insulin or naringin alone only improved hyperglycemia but partially reversed the pain response in diabetic rats. Thus, naringin is a potential flavonone bearing antioxidant, antiapoptotic and disease modifying property acting via modulation of endogenous biomarker to inhibit diabetes induced neuropathic pain.

摘要

糖尿病是一种严重的使人虚弱的疾病,影响着发展中国家和发达国家的所有社会阶层。糖尿病性神经病是与糖尿病相关的最常见的继发性并发症,其特征是神经传导速度减慢、疼痛升高、感觉丧失和神经纤维变性。本研究旨在评估柚皮苷对链脲佐菌素(STZ)诱导的实验大鼠糖尿病性神经痛的神经保护作用。腹腔注射 STZ 4 周后,机械性触诱发痛、机械性痛觉过敏、热痛觉过敏和运动神经传导速度显著降低。内源性抗氧化剂如超氧化物歧化酶和膜结合无机磷酶的活性也明显降低。它不仅导致神经细胞凋亡,而且增强脂质过氧化物、亚硝酸盐和炎症介质(TNF-α)水平。慢性给予柚皮苷(40 和 80mg/kg)4 周可显著和剂量依赖性地减轻痛觉阈值、内源性抗氧化剂和膜结合无机磷酶的降低。它还显著和剂量依赖性地降低氧化-硝化应激、炎症介质以及神经细胞中升高的细胞凋亡水平。该研究的重要发现是,柚皮苷-胰岛素联合治疗不仅能减轻糖尿病病情,还能逆转神经病理性疼痛,而胰岛素或柚皮苷单独治疗仅能改善高血糖,但部分逆转糖尿病大鼠的疼痛反应。因此,柚皮苷是一种具有潜在的类黄酮抗氧化剂、抗凋亡和疾病修饰特性的物质,通过调节内源性生物标志物来抑制糖尿病引起的神经病理性疼痛。

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