Department of Neurology, University of Michigan, Ann Arbor, Michigan.
Department of Molecular & Integrative Physiology, University of Michigan, Ann Arbor, Michigan.
Diabetes Obes Metab. 2017 Oct;19(10):1468-1472. doi: 10.1111/dom.12950. Epub 2017 Jun 2.
Diabetic peripheral neuropathy (DPN) and diabetic kidney disease (DKD) are common diabetic complications with limited treatment options. Experimental studies show that targeting inflammation using chemokine receptor (CCR) antagonists ameliorates DKD, presumably by reducing macrophage accumulation or activation. As inflammation is implicated in DPN development, we assessed whether CCR2 and CCR5 antagonism could also benefit DPN. Five-week-old ob/ob mice were fed a diet containing MK-0812, a dual CCR2-CCR5 receptor antagonist, for 8 weeks; DPN, DKD and metabolic phenotyping were then performed to determine the effect of CCR inhibition. Although MK-0812 reduced macrophage accumulation in adipose tissue, the treatment had largely no effect on metabolic parameters, nerve function or kidney disease in ob/ob mice. These results conflict with published data that demonstrate a benefit of CCR antagonists for DKD and hyperglycaemia. We conclude that CCR signaling blockade is ineffective in ob/ob mice and suspect that this is explained by the severe hyperglycaemia found in this model. It remains to be determined whether MK-0812 treatment, alone or in combination with improved glycaemic control, is useful in preventing diabetic complications in alternate animal models.
糖尿病周围神经病变 (DPN) 和糖尿病肾病 (DKD) 是常见的糖尿病并发症,治疗选择有限。实验研究表明,使用趋化因子受体 (CCR) 拮抗剂靶向炎症可改善 DKD,推测是通过减少巨噬细胞积聚或激活。由于炎症与 DPN 的发展有关,我们评估了 CCR2 和 CCR5 拮抗剂是否也有益于 DPN。将 ob/ob 小鼠喂食含有 MK-0812(一种双重 CCR2-CCR5 受体拮抗剂)的饮食 8 周;然后进行 DPN、DKD 和代谢表型分析,以确定 CCR 抑制的效果。尽管 MK-0812 减少了脂肪组织中的巨噬细胞积聚,但该治疗方法对 ob/ob 小鼠的代谢参数、神经功能或肾脏疾病几乎没有影响。这些结果与已发表的数据相矛盾,这些数据表明 CCR 拮抗剂对 DKD 和高血糖有益。我们得出结论,CCR 信号阻断在 ob/ob 小鼠中无效,我们怀疑这是由于该模型中存在严重的高血糖所致。尚需确定 MK-0812 单独治疗或与改善血糖控制联合治疗是否对预防其他动物模型中的糖尿病并发症有用。