Department of Anesthesiology, The Affiliated Hospital of Guizhou Medical University, Guiyang 550000, China.
College of Anesthesiology, Guizhou Medical University, Guiyang 550000, China.
Contrast Media Mol Imaging. 2022 Aug 17;2022:1888153. doi: 10.1155/2022/1888153. eCollection 2022.
As one of the common complications of diabetes mellitus (DM), Diabetic Peripheral Neuropathy (DPN) threatens human lives seriously. Emerging evidences have confirmed the protective effects of lidocaine on DPN. However, the possible role and underlying mechanisms of lidocaine in DPN have not been clarified. In this study, the potential role of lidocaine in DPN is explored, and the possible mechanisms are investigated. The rat DPN model is constructed through administration of streptozotocin (STZ, 60 mg/kg). All rats are randomly divided into four groups, including the control group, DPN group, lidocaine (3.78 mg/time) group, and lidocaine combined with the SP600125 (15 mg/kg) group. Mechanical threshold, thermal latency, and blood glucose of rats before and after treatment are detected, and Nerve Conduction Velocity (NCV) is assessed. Moreover, qRT-PCR and western blot assays are carried out to determine the expressions of the c-Jun signaling pathway. The experimental results demonstrate that lidocaine remarkably downregulates the mRNA and protein expressions of the c-Jun signaling pathway in serum and DRGs induced with DPN. Besides, lidocaine combined with SP600125 can obtain better effects than lidocaine alone. It is clearly evident that lidocaine has a certain therapeutic effect on DPN.
作为糖尿病(DM)的常见并发症之一,糖尿病周围神经病变(DPN)严重威胁着人类的生命。新出现的证据证实了利多卡因对 DPN 的保护作用。然而,利多卡因在 DPN 中的可能作用和潜在机制尚未阐明。在本研究中,探索了利多卡因在 DPN 中的潜在作用,并研究了可能的机制。通过给予链脲佐菌素(STZ,60mg/kg)构建大鼠 DPN 模型。所有大鼠随机分为四组,包括对照组、DPN 组、利多卡因(3.78mg/次)组和利多卡因联合 SP600125(15mg/kg)组。检测治疗前后大鼠的机械阈值、热潜伏期和血糖,评估神经传导速度(NCV)。此外,进行 qRT-PCR 和 Western blot 检测以确定 c-Jun 信号通路的表达。实验结果表明,利多卡因显著下调了 DPN 诱导的血清和 DRG 中 c-Jun 信号通路的 mRNA 和蛋白表达。此外,利多卡因联合 SP600125 比单独使用利多卡因能获得更好的效果。显然,利多卡因对 DPN 具有一定的治疗作用。