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Related Experiment Videos

Decrease of nerve Na+,K(+)-ATPase activity in the pathogenesis of human diabetic neuropathy

E Scarpini1, R Bianchi, M Moggio

  • 1Department of Neurology, Dino Ferrari Center, University of Milan, Italy.

Journal of the Neurological Sciences
|December 15, 1993
PubMed
Summary
This summary is machine-generated.

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Reduced sodium-potassium adenosine triphosphatase (Na+,K(+)-ATPase) activity is a key factor in diabetic neuropathy. This enzyme decrease in peripheral nerves contributes to nerve damage and may drive the condition

Area of Science:

  • Neurology
  • Biochemistry
  • Diabetology

Background:

  • Diabetic neuropathy is characterized by nerve damage in diabetes mellitus.
  • Decreased Na+,K(+)-ATPase activity is implicated in animal models of diabetic neuropathy.
  • The role of Na+,K(+)-ATPase in human diabetic neuropathy requires further investigation.

Purpose of the Study:

  • To investigate the activity of Na+,K(+)-ATPase in peripheral nerves of human patients with diabetic neuropathy.
  • To compare Na+,K(+)-ATPase activity and nerve fiber density in diabetic neuropathy versus non-diabetic neuropathy and normal controls.
  • To determine if reduced Na+,K(+)-ATPase activity is a cause or consequence of fiber loss in diabetic neuropathy.

Main Methods:

  • Peripheral nerve samples from 17 diabetic patients, 16 normal individuals, and 12 non-diabetic neuropathic patients were analyzed.

Related Experiment Videos

  • Ouabain-sensitive ATPase activity was measured using a spectrophotometric coupled-enzyme assay.
  • Histology, fiber teasing, electron microscopy, and morphometric analysis were performed to assess nerve structure and fiber density.
  • Main Results:

    • Na+,K(+)-ATPase activity was significantly lower (59%) in diabetic nerves compared to normal controls.
    • Nerves from non-diabetic neuropathic patients also showed reduced Na+,K(+)-ATPase activity (38%) and fiber density (22%).
    • In diabetic patients, decreased Na+,K(+)-ATPase activity did not correlate with reduced nerve fiber density, suggesting it's not solely secondary to fiber loss.

    Conclusions:

    • Reduced Na+,K(+)-ATPase activity is a significant finding in human diabetic neuropathy.
    • This enzymatic decrease appears to be a primary factor in the pathogenesis of diabetic neuropathy, not just a consequence of nerve damage.
    • The findings support the hypothesis that diminished Na+,K(+)-ATPase activity contributes to the development and persistence of diabetic neuropathy.