Department of General Surgery, Qiqihar First Hospital, Qiqihar 161006, China.
Department of Embryology, Qiqihar Medical College, Qiqihar 161006, China.
Dis Markers. 2021 Nov 22;2021:3470950. doi: 10.1155/2021/3470950. eCollection 2021.
Globally, diabetes has assumed epidemic proportions with the neuropathic complications attributed to the malady emerging as a substantial burden on patients and society. DNP has greatly affected the daily life of patients, the effect of traditional treatment methods is not ideal, and it is easy to produce drug resistance. This work is aimed at scrutinizing the effect of upregulating the expression of TNFAIP3 on diabetic neuralgia in mice. This work entailed ascertaining the effects of TNFAIP3 on a murine DNP system. This inspired us to observe the analgesic effect via high expression of lentivirus-mediated TNFAIP3 by intrathecal injection in the animal model to explore its regulatory impacts, symptom relief, and mechanistic role in pain. The results displayed an attenuation of hind paw pain hypersensitivity by LV-TNFAIP3 in the animals. The spinal cord and dorsal root ganglion of mice with neuropathic pain displayed an evident dip in TNFAIP3. Inhibition of the ERK/NF-B signaling pathway employing LV-TNFAIP3 conspicuously suppressed this pathway while the diabetic pain hypersensitivity was quelled. This effect was also seen with insulin treatment evidently. In conclusion, according to the above analyses, the interaction between DNP and extracellular signal-regulated kinase signal transduction pathway is one of the key factors of pathogenesis.
全球范围内,糖尿病的发病率呈上升趋势,其神经病变并发症已成为患者和社会的沉重负担。DNP 极大地影响了患者的日常生活,传统治疗方法效果不理想,容易产生耐药性。本研究旨在探讨上调 TNFAIP3 表达对糖尿病神经痛小鼠的影响。本研究旨在确定 TNFAIP3 对小鼠 DNP 系统的影响。这启发我们通过鞘内注射慢病毒介导的 TNFAIP3 高表达来观察动物模型中的镇痛效果,以探讨其调节作用、缓解症状以及在疼痛中的机制作用。结果显示,LV-TNFAIP3 可减轻动物后爪痛觉过敏。神经病理性疼痛小鼠的脊髓和背根神经节中 TNFAIP3 明显下降。采用 LV-TNFAIP3 抑制 ERK/NF-B 信号通路可明显抑制该通路,同时抑制糖尿病痛觉过敏。胰岛素治疗也明显有此效果。总之,根据上述分析,DNP 与细胞外信号调节激酶信号转导通路的相互作用是发病机制的关键因素之一。