Kv7 channel modulation by 4-hydroxycinnamic acid in experimental diabetic neuropathy

Feyza Alyu Altinok1, Muhammet Burak Acıkgul2, Yusuf Burak3

  • 1Department of Pharmacology, Faculty of Pharmacy, Anadolu University, 26210 Eskisehir, Turkey.

Neuroscience Letters
|August 18, 2026
PubMed
Abstract

Insights

p-Coumaric acid effectively reduced diabetic neuropathy symptoms and blood glucose levels in rats. The compound enhanced Kv7 channel function, suggesting a new therapeutic avenue for nerve pain.

Area of Science:

  • Neuroscience
  • Pharmacology
  • Endocrinology

Background:

  • Diabetic neuropathy is a significant complication of diabetes, characterized by pain and nerve dysfunction.
  • Kv7 (potassium voltage-gated channel subfamily 7) channels play a crucial role in regulating neuronal excitability.

Purpose of the Study:

  • To investigate the therapeutic potential of p-coumaric acid (PCA) in diabetic neuropathy.
  • To elucidate the role of Kv7 channel mechanisms in PCA's effects.

Main Methods:

  • Diabetic neuropathy was induced in rats using streptozotocin (STZ).
  • Rats were treated with varying doses of p-coumaric acid (PCA) for 28 days.
  • Behavioral tests (von Frey, Hargreaves) assessed pain, blood glucose was monitored, and dorsal root ganglion (DRG) neurons were analyzed using patch-clamp electrophysiology and RT-PCR for Kv7 channel expression (KCNQ2, KCNQ5).

Main Results:

  • PCA administration dose-dependently reduced blood glucose levels and improved mechanical and thermal hypersensitivity.
  • The optimal dose (50 mg/kg) significantly increased M-type Kv7 K+ current density and amplitude in DRG neurons.
  • RT-PCR indicated elevated KCNQ2 and KCNQ5 mRNA expression following PCA treatment.

Conclusions:

  • P-coumaric acid demonstrates efficacy in managing hyperglycemia and neuropathic pain associated with diabetes.
  • PCA enhances M-type Kv7 channel function in sensory neurons by increasing current density, activation, and gene expression.
  • These findings highlight Kv7 channel modulation as a key mechanism underlying PCA's therapeutic effects in diabetic neuropathy, suggesting potential as a novel treatment target.