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A Mouse Model of Hemorrhagic Transformation Induced by Acute Hyperglycemia Combined with Transient Focal Ischemia
Published on: November 15, 2024
Vitamin B1 blocks damage caused by hyperglycemia
Mark E Obrenovich1, Vincent M Monnier
1Department of Pathology at Case Western Reserve University, Cleveland, OH 44106, USA. vmm3@po.cwru.edu
Abstract:
Diabetes accelerates the aging process and leads to complications that include blindness, renal failure, nerve damage, stroke, and cardiovascular disease. It has been hypothesized that high plasma glucose concentrations are responsible for increased mitochondrial free radical production and subsequent inactivation of glyceraldehyde phosphate dehydrogenase (GAPDH) in vascular endothelial cells and other cells implicated in these complications. As a result of the decreased ability of GAPDH to process upstream metabolites, three pathways of metabolic damage are activated, which include the advanced glycation end-product formation pathway, the protein kinase C pathway, and the hexosamine pathway. All three pathways have been implicated in abnormal cell signaling in diabetes. A group of German and U.S. scientists has now found that treating diabetic rats with high doses of benfotiamine, a lipid-soluble form of vitamin B1, can prevent diabetic retinopathy and all three forms of metabolic damage by stimulating transketolase activity and thus diverting excess metabolites toward the pentose pathway. Although vitamin B1 is available over the counter, the researchers at this time do not advocate self-treatment without further clinical data.
Insights
Benfotiamine, a vitamin B1 derivative, may prevent diabetes complications by activating transketolase. This vitamin derivative helps divert harmful metabolites, protecting against diabetic retinopathy and metabolic damage.
Area of Science:
- Biochemistry
- Endocrinology
- Cell Biology
Background:
- Diabetes accelerates aging and causes severe complications like blindness and cardiovascular disease.
- High glucose levels in diabetes lead to mitochondrial dysfunction and damage to key enzymes like GAPDH.
- This damage activates detrimental metabolic pathways: advanced glycation end-products, protein kinase C, and hexosamine pathways.
Purpose of the Study:
- To investigate the potential of benfotiamine, a vitamin B1 derivative, in preventing diabetes-related metabolic damage.
- To explore the mechanism by which benfotiamine might counteract hyperglycemia-induced cellular damage.
Main Methods:
- Diabetic rats were treated with high doses of benfotiamine.
- The study assessed the impact of benfotiamine on key metabolic pathways and diabetic complications, specifically retinopathy.
Main Results:
- Benfotiamine treatment prevented diabetic retinopathy in rats.
- It also prevented the activation of the three major metabolic damage pathways implicated in diabetes.
- The protective effect was attributed to stimulated transketolase activity, which diverts metabolites to the pentose pathway.
Conclusions:
- Benfotiamine shows promise in preventing diabetic complications and associated metabolic damage.
- The findings suggest a therapeutic role for benfotiamine in managing diabetes, though further clinical data is needed.
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