Zochodne D W, Ho L T, Allison J A
Department of Clinical Neurosciences, University of Calgary, Alberta, Canada.
J Neurol Sci. 1994 Dec 1;127(1):36-42. doi: 10.1016/0022-510x(94)90132-5.
Abnormalities in the microenvironment of dorsal root ganglia (DRG) might play a role in the pathogenesis of sensory abnormalities in human diabetic neuropathy. We examined aspects of DRG microenvironment by measuring local blood flow and oxygen tension in the L4 dorsal root ganglia of female BB Wistar (BBW) diabetic rats with mild neuropathy. The findings were compared with concurrent measurements of local sciatic endoneurial blood flow and oxygen tension. Diabetic rats were treated with insulin and underwent electrophysiological, blood flow and oxygen tension measurements at either 7-11 or 17-23 weeks after the development of glycosuria. Nondiabetic female BB Wistar rats from the same colony served as controls. At both ages, BBW diabetic rats had significant abnormalities in sensory, but not motor conduction compared to nondiabetic controls. Sciatic endoneurial blood flow in the diabetic rats of both ages was similar to control values, but the older (17-23 week diabetic) BBW diabetic rats had a selective reduction in DRG blood flow. Sciatic endoneurial oxygen tensions were not significantly altered in the diabetic rats. DRG oxygen tension appeared lowered in younger (7-11 week diabetic) but not older (17-23 week diabetic) BBW rats. Our findings indicate that there are important changes in the DRG microenvironment of diabetic rats with selective sensory neuropathy.
背根神经节(DRG)微环境异常可能在人类糖尿病性神经病变感觉异常的发病机制中起作用。我们通过测量轻度神经病变的雌性BB Wistar(BBW)糖尿病大鼠L4背根神经节的局部血流和氧张力,研究了DRG微环境的相关方面。将这些结果与同时测量的坐骨神经内膜局部血流和氧张力进行比较。糖尿病大鼠接受胰岛素治疗,并在出现糖尿后的7 - 11周或17 - 23周进行电生理、血流和氧张力测量。来自同一群体的非糖尿病雌性BB Wistar大鼠作为对照。在两个年龄段,与非糖尿病对照组相比,BBW糖尿病大鼠在感觉方面有显著异常,但运动传导无异常。两个年龄段糖尿病大鼠的坐骨神经内膜血流与对照值相似,但年龄较大(17 - 23周糖尿病)的BBW糖尿病大鼠DRG血流有选择性降低。糖尿病大鼠的坐骨神经内膜氧张力无显著改变。在较年轻(7 - 11周糖尿病)的BBW大鼠中DRG氧张力似乎降低,但在年龄较大(17 - 23周糖尿病)的大鼠中未降低。我们的研究结果表明,患有选择性感觉神经病变的糖尿病大鼠的DRG微环境存在重要变化。