基础医学与临床 ›› 2019, Vol. 39 ›› Issue (1): 27-31.

• 研究论文 • 上一篇    下一篇

1型与2型糖尿病大鼠周围神经病变的比较

杨丹1,崔雅忠1,张倩2,王超3,张改丽1,梁晓春4,吴群励2   

  1. 1. 北京协和医院中医科
    2. 北京协和医院
    3. 中日友好医院
    4. 中国医学科学院 北京协和医学院 北京协和医院
  • 收稿日期:2018-09-17 修回日期:2018-11-02 出版日期:2019-01-05 发布日期:2018-12-28
  • 通讯作者: 吴群励 E-mail:chinlie@163.com
  • 基金资助:
    中药筋脉通对糖尿病周围神经病变脂代谢紊乱和内质网应激的影响;中药筋脉通对糖尿病周围神经病变HO-1表达的影响

Comparison of peripheral neuropathy between type 1 and type 2 diabetes mellitus rats

  • Received:2018-09-17 Revised:2018-11-02 Online:2019-01-05 Published:2018-12-28
  • Contact: Qun-Li WU E-mail:chinlie@163.com

摘要: 目的 观察链脲佐菌素(STZ)诱导的1型与2型糖尿病大鼠周围神经病变的区别。 方法 SD大鼠分组每组各10只,腹腔注射STZ建立1型糖尿病(T1DM)模型;高脂高糖饲养6周后按体质量35mg/kg单次腹腔注射STZ建立2型糖尿病(T2DM)模型;设立正常对照(Con)组。检测不同时间点大鼠的体重、血糖水平。成模8周后,电子Von Frey仪检测机械痛阈值,热水甩尾试验检测甩尾潜伏期,并取坐骨神经进行病理形态学检查。 结果 成模后第1、8周,与对照组及T2DM组相比,T1DM组大鼠的体质量显著下降(P <0.01);T1DM组与T2DM组的血糖均显著高于对照组(P <0.01);DM组的甩尾潜伏期均较对照组延长(P <0.01),T2DM组较T1DM组延长更显著(P <0.05)。DM组的机械痛阈值均较对照组显著降低(P <0.01),T2DM组较T1DM组降低更明显(P <0.01);DM组大鼠的坐骨神经有髓神经纤维排列紊乱,轴索肿胀或皱缩,髓鞘密度不均匀,空泡变性,部分神经纤维髓鞘脱失;T2DM组的神经损害程度较T1DM严重。 结论 STZ诱导的2型糖尿病大鼠的周围神经病变程度严重于1型糖尿病大鼠。

关键词: 糖尿病周围神经病变, 链脲佐菌素, 机械痛阈, 热水甩尾试验, 病理形态

Abstract: Objective To observe the difference between type 1 and type 2 diabetic peripheral neuropathy in rats induced by streptozotocin (STZ). Methods Male SD rats(10 rats in each group), common diet for 6 weeks to establish type 1 diabetes mellitus (T1DM) model by single intraperitoneal injection of STZ, and high fat and high sugar diet for 6 weeks to establish type 2 diabetes mellitus (T2DM) model by single intraperitoneal injection of 35 mg/kg 2%STZ. The normal control group (Con) is also established. The body weight, blood sugar were measured at different time. The mechanical withdrawal threshold was tested by electronic Von Frey instrument and hydrothermal tail-flick test was also conducted before death. The sciatic nerve pathology was examined. Results After 1st, 8th weeks of diabetes, compared with Con group and T2DM group, the body weight in T1DM group decreased significantly (P < 0.01).The blood glucoses in T1DM group and T2DM group were significantly higher than Con group (P < 0.01). DM Group the tail flick latencies in DM groups were longer than that of Con group (P < 0.01), and the numerical value in T2DM group was longer than that in T1DM group (P < 0.05). The threshold of mechanical pain in DM groups were significantly lower than that in group Con (P < 0.01), and the decrease in T2DM group was more obvious than that in T1DM group (P < 0.01). In DM groups, the myelinated nerve fibers in the sciatic nerve were arranged in disorder, with axonal swelling or shrinkage, uneven density of myelin sheath, vacuolar degeneration and partial myelination of nerve fibers. The degree of nerve damage in T2DM group was more severe than that of T1DM. Conclusion: The degree of peripheral neuropathy in type 2 diabetic rats induced by STZ is more severe than that of type 1 diabetic rats.

Key words: Diabetic peripheral neuropathy, Streptozotocin, Mechanical pain threshold, Hydrothermal tail-flick test, Pathomorphology