Jiangsu Key Laboratory of New Drug Research and Clinical Pharmacy, Jiangsu Center for the Collaboration and Innovation of Cancer Biotherapy, Xuzhou Medical University, Xuzhou, China.
Department of Neurology, Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
J Neurosci Res. 2018 Jan;96(1):138-150. doi: 10.1002/jnr.24098. Epub 2017 Jun 13.
Diabetic encephalopathy (DE), one of the most prevalent chronic complications of diabetes mellitus, is short of effective prevention and formidable therapeutic strategies. The aim of the present study is to reveal the imbalance of tryptophan (Trp) and its metabolites in streptozotocin (STZ)-induced experimental DE rats to underscore their critical values in clinical diagnosis of the disease. For this purpose, we first developed an accurate and appropriate simultaneous method for measuring Trp and its metabolites using liquid chromatography-tandem mass spectrometry, which was in accordance with the requirements of biological sample analysis. Secondly, a single STZ intraperitoneal injection was administered to male Sprague-Dawley rats, and their cognitive function was detected by Morris water maze tests. Cerebrospinal fluid (CSF), serum, and brain tissue were then collected for the determination of Trp and its metabolites. Compared with age-matched control rats, the levels of neuroprotective serotonin decreased significantly in the samples of cortices, hippocampi, striatum, CSF, and serums in the STZ-induced DE rats, while the levels of neurotoxic 3-hydroxykynurenine increased significantly. Moreover, analogous changes of both compounds were found in the central nervous system and peripheral blood of the STZ-induced DE rats. In conclusion, we established a quantitative method for the simultaneous detection of Trp and its metabolites, and we also present a critical elucidation of the nervous system dysfunction in DE.
糖尿病脑病(DE)是糖尿病最常见的慢性并发症之一,目前缺乏有效的预防和治疗策略。本研究旨在揭示链脲佐菌素(STZ)诱导的实验性 DE 大鼠色氨酸(Trp)及其代谢物失衡,强调其在疾病临床诊断中的重要价值。为此,我们首先开发了一种准确、合适的液相色谱-串联质谱法同时测定 Trp 及其代谢物的方法,符合生物样本分析的要求。其次,通过单次腹腔注射 STZ 建立雄性 Sprague-Dawley 大鼠模型,通过 Morris 水迷宫实验检测其认知功能。然后收集脑脊液(CSF)、血清和脑组织,测定 Trp 及其代谢物。与同龄对照组大鼠相比,STZ 诱导的 DE 大鼠皮质、海马、纹状体、CSF 和血清中神经保护型 5-羟色胺水平显著降低,而神经毒性 3-羟基犬尿氨酸水平显著升高。此外,在 STZ 诱导的 DE 大鼠的中枢神经系统和外周血中也发现了这两种化合物的类似变化。总之,我们建立了一种同时检测 Trp 及其代谢物的定量方法,并对 DE 中的神经系统功能障碍进行了深入阐述。