Russell L C, Burchiel K J
Seattle Veterans Affairs Medical Center, WA 98108.
Diabetes. 1993 Jun;42(6):814-9. doi: 10.2337/diab.42.6.814.
This study was conducted to test whether abnormal spontaneous activity similar to that found after peripheral nerve trauma develops in diabetic nerve, and whether duration and/or severity of hyperglycemia affected ongoing activity. We maintained 32 diabetic BB Wistar rats on a euglycemic or hyperglycemic control regimen for 3-15 mo; 22 nondiabetic BB rats served as controls. All animals underwent acute saphenous nerve recordings. Whole nerve conduction velocities in 3- to 6-mo-old euglycemic diabetic rats were not different from controls, but 3- to 6-mo-old hyperglycemic diabetic conduction velocities were slower than in controls (P < 0.001) or euglycemic diabetic rats (P < 0.05). Compared with controls, 9- to 12-mo-old diabetic nerve conduction velocities were slower under both euglycemic (P < 0.029) and hyperglycemic (P < 0.04) regimens, but treatment groups did not differ. Combined 3- to 6-mo-old diabetic rats exhibited less resting sympathetic activity than controls under both euglycemic (P < 0.022) and hyperglycemic (P < 0.001) regimens. Sympathetic activity in 9- to 12-mo-old diabetic rats did not differ from controls. However, less sympathetic activity was found in older controls than in younger ones (P < 0.028).
本研究旨在测试糖尿病神经是否会出现类似于外周神经损伤后发现的异常自发活动,以及高血糖的持续时间和/或严重程度是否会影响持续的活动。我们将32只糖尿病BB Wistar大鼠维持在正常血糖或高血糖控制方案下3至15个月;22只非糖尿病BB大鼠作为对照。所有动物均进行了急性隐神经记录。3至6月龄正常血糖的糖尿病大鼠的全神经传导速度与对照组无差异,但3至6月龄高血糖的糖尿病大鼠的传导速度比对照组慢(P<0.001)或比正常血糖的糖尿病大鼠慢(P<0.05)。与对照组相比,9至12月龄的糖尿病大鼠在正常血糖(P<0.029)和高血糖(P<0.04)方案下神经传导速度均较慢,但治疗组之间无差异。在正常血糖(P<0.022)和高血糖(P<0.001)方案下,3至6月龄的糖尿病大鼠组合的静息交感神经活动均低于对照组。9至12月龄糖尿病大鼠的交感神经活动与对照组无差异。然而,老年对照组的交感神经活动比年轻对照组少(P<0.028)。
1)糖尿病BB大鼠的隐神经传导速度比对照组慢;2)良好的血糖控制可使年轻成年人保持正常的传导速度,但随着年龄增长,这种效果会减弱;3)年轻成年BB大鼠的静息交感神经活动水平低于对照组;4)无论是否患有糖尿病,老年BB大鼠的交感神经活动均会减弱。