Xu Xiao-Feng, Zhang Dan-Dan, Liao Jin-Chi, Xiao Li, Wang Qing, Qiu Wei
The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong Province, China.
South China Botanical Garden, Chinese Academy of Sciences, Guangzhou, Guangdong Province, China.
Neural Regen Res. 2016 Sep;11(9):1517-1526. doi: 10.4103/1673-5374.191228.
Various studies have reported that galanin can promote axonal regeneration of dorsal root ganglion neurons and inhibit neuropathic pain. However, little is known about its effects on diabetic peripheral neuropathy, and experimental data are lacking. We hypothesized that repeated applications of exogenous galanin over an extended time frame may also repair nerve damage in diabetic peripheral neuropathy, and relieve pain . We found that neuropathic pain occurred in streptozotocin-induced diabetic rats and was more severe after sciatic nerve pinch injury at 14 and 28 days than in diabetic sham-operated rats. Treatment with exogenous galanin alleviated the neuropathic pain and promoted sciatic nerve regeneration more effectively in diabetic rats than in non-diabetic rats after sciatic nerve pinch injury. This was accompanied by changes in the levels of endogenous galanin, and its receptors galanin receptor 1 and galanin receptor 2 in the dorsal root ganglia and the spinal dorsal horn when compared with nerve pinch normal rats. Our results show that application of exogenous galanin daily for 28 days can promote the regeneration of injured sciatic nerves, and alleviate neuropathic pain in diabetic rats.
多项研究报告称,甘丙肽可促进背根神经节神经元的轴突再生并抑制神经性疼痛。然而,其对糖尿病性周围神经病变的影响却鲜为人知,且缺乏实验数据。我们推测,在较长时间内反复应用外源性甘丙肽或许也能修复糖尿病性周围神经病变中的神经损伤并缓解疼痛。我们发现,链脲佐菌素诱导的糖尿病大鼠出现了神经性疼痛,且在坐骨神经夹伤后第14天和第28天,其疼痛程度比糖尿病假手术大鼠更严重。坐骨神经夹伤后,与非糖尿病大鼠相比,外源性甘丙肽治疗能更有效地减轻糖尿病大鼠的神经性疼痛并促进坐骨神经再生。与神经夹伤正常大鼠相比,这伴随着背根神经节和脊髓背角内源性甘丙肽及其受体甘丙肽受体1和甘丙肽受体2水平的变化。我们的结果表明,连续28天每日应用外源性甘丙肽可促进受损坐骨神经的再生,并减轻糖尿病大鼠的神经性疼痛。