Effect of mitoquinone (Mito-Q) on neuropathic endpoints in an obese and type 2 diabetic rat model

Brian Fink1, Lawrence Coppey2, Eric Davidson2

  • 1Department of Veterans Affairs, Iowa City Health Care System, Iowa City, IA, USA.

Free Radical Research
|April 25, 2020
PubMed

Insights

Mito-Q supplementation improved peripheral neuropathy in obese and diabetic rats, enhancing nerve function and density. However, it did not improve glucose utilization or blood vessel response, suggesting mitochondrial dysfunction contributes to neuropathy independent of these factors.

Area of Science:

  • Biomedical Science
  • Neuroscience
  • Metabolic Research

Background:

  • Peripheral neuropathy is a common complication of obesity and type 2 diabetes.
  • Mitochondrial dysfunction is implicated in the pathogenesis of diabetic neuropathy.
  • Mito-Q, a mitochondria-targeted antioxidant, has not been previously studied for its effects on diet-induced peripheral neuropathy.

Purpose of the Study:

  • To investigate the efficacy of dietary Mito-Q supplementation in treating peripheral neuropathy in animal models of diet-induced obesity and type 2 diabetes.
  • To determine if Mito-Q improves nerve function, nerve density, and pain perception in these models.
  • To assess the impact of Mito-Q on glucose utilization and vascular reactivity.

Main Methods:

  • Diet-induced obese and type 2 diabetic rats were fed a diet supplemented with Mito-Q for 12 weeks.
  • Peripheral neuropathy endpoints, including nerve conduction velocity, nerve fiber density, corneal sensitivity, and thermal nociception, were evaluated.
  • Glucose utilization and vascular reactivity of epineurial arterioles were also assessed.

Main Results:

  • Mito-Q treatment significantly improved motor and sensory nerve conduction velocity.
  • Corneal and intraepidermal nerve fiber density, corneal sensitivity, and thermal nociception were enhanced in Mito-Q treated rats.
  • Surprisingly, Mito-Q did not improve glucose utilization or vascular reactivity to acetylcholine.

Conclusions:

  • Mitochondrial dysfunction plays a role in the development of peripheral neuropathy in pre-diabetic and type 2 diabetic states.
  • Dietary Mito-Q effectively ameliorates peripheral neuropathy in these models, independent of improvements in glucose metabolism or vascular function.
  • Targeting mitochondrial oxidative stress with Mito-Q represents a potential therapeutic strategy for diabetic peripheral neuropathy.

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