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热休克蛋白 70 是改善线粒体生物能并逆转 KU-32 治疗后糖尿病感觉神经病变所必需的。

Heat shock protein 70 is necessary to improve mitochondrial bioenergetics and reverse diabetic sensory neuropathy following KU-32 therapy.

机构信息

Department of Pharmacology and Toxicology (J.M., K.L.F., P.P. M.J.U., R.T.D.) and Department of Medicinal Chemistry (H.Z., B.S.J.B.), The University of Kansas, Lawrence, Kansas.

出版信息

J Pharmacol Exp Ther. 2014 Feb;348(2):281-92. doi: 10.1124/jpet.113.210435. Epub 2013 Nov 21.

Abstract

Impaired neuronal mitochondrial bioenergetics contributes to the pathophysiologic progression of diabetic peripheral neuropathy (DPN) and may be a focal point for disease management. We have demonstrated that modulating heat shock protein (Hsp) 90 and Hsp70 with the small-molecule drug KU-32 ameliorates psychosensory, electrophysiologic, morphologic, and bioenergetic deficits of DPN in animal models of type 1 diabetes. The current study used mouse models of type 1 and type 2 diabetes to determine the relationship of changes in sensory neuron mitochondrial bioenergetics to the onset of and recovery from DPN. The onset of DPN showed a tight temporal correlation with a decrease in mitochondrial bioenergetics in a genetic model of type 2 diabetes. In contrast, sensory hypoalgesia developed 10 weeks before the occurrence of significant declines in sensory neuron mitochondrial bioenergetics in the type 1 model. KU-32 therapy improved mitochondrial bioenergetics in both the type 1 and type 2 models, and this tightly correlated with a decrease in DPN. Mechanistically, improved mitochondrial function following KU-32 therapy required Hsp70, since the drug was ineffective in diabetic Hsp70 knockout mice. Our data indicate that changes in mitochondrial bioenergetics may rapidly contribute to nerve dysfunction in type 2 diabetes, but not type 1 diabetes, and that modulating Hsp70 offers an effective approach toward correcting sensory neuron bioenergetic deficits and DPN in both type 1 and type 2 diabetes.

摘要

神经元线粒体生物能量学受损是导致糖尿病周围神经病变(DPN)病理生理进展的原因之一,可能成为疾病治疗的重点。我们已经证明,用小分子药物 KU-32 调节热休克蛋白(Hsp)90 和 Hsp70 可以改善 1 型糖尿病动物模型中 DPN 的感觉、电生理、形态和生物能量缺陷。本研究使用 1 型和 2 型糖尿病小鼠模型,确定感觉神经元线粒体生物能量变化与 DPN 的发生和恢复之间的关系。在 2 型糖尿病的遗传模型中,DPN 的发生与线粒体生物能量的降低密切相关。相比之下,在 1 型模型中,感觉神经痛发生在感觉神经元线粒体生物能量显著下降之前 10 周。KU-32 治疗改善了 1 型和 2 型模型中的线粒体生物能量,这与 DPN 的减少密切相关。从机制上讲,KU-32 治疗后线粒体功能的改善需要 Hsp70,因为该药物在糖尿病 Hsp70 敲除小鼠中无效。我们的数据表明,线粒体生物能量的变化可能会导致 2 型糖尿病神经功能障碍迅速发生,但不会导致 1 型糖尿病发生,而调节 Hsp70 为纠正 1 型和 2 型糖尿病中感觉神经元生物能量缺陷和 DPN 提供了一种有效的方法。

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