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  4. Dietary capsaicin normalizes CGRP peptidergic DRG neurons in experimental diabetic peripheral neuropathy

Dietary capsaicin normalizes CGRP peptidergic DRG neurons in experimental diabetic peripheral neuropathy

Scientific Reports, 2021 · DOI: 10.1038/s41598-021-81427-w · Published: January 27, 2021

PharmacologyEndocrinologyNeurology

Simple Explanation

This study investigates the role of CGRP in diabetic peripheral neuropathy (DPN). It examines whether CGRP has a neuroprotective effect on peripheral sensory nerves in rats with induced diabetes. The researchers supplemented the diet of diabetic rats with capsaicin, a compound known to upregulate CGRP. They then assessed the impact on nerve function and CGRP levels in the dorsal root ganglion (DRG) neurons. The study also used gene transfection and exogenous CGRP to directly test the effects of CGRP on DRG neurons, focusing on disease-preventing and disease-limiting capabilities.

Study Duration
8 Weeks
Participants
Sprague–Dawley rats, 8–9 weeks of age
Evidence Level
Not specified

Key Findings

  • 1
    Dietary capsaicin in diabetic rats preserved nociceptive sensation and CGRP levels in the spinal cord and DRG neurons.
  • 2
    Transfection of DRG neurons with LV-CGRP reversed the downregulation of CGRP and TRPV1, promoting neuron survival and neurite outgrowth.
  • 3
    CGRP induced homeostasis of reactive oxygen species (ROS) and mitochondrial transmembrane potential (MMP) in DRG neurons, suggesting a mechanism for its neuroprotective effects.

Research Summary

This study investigates the potential neuroprotective role of calcitonin gene-related peptide (CGRP) in diabetic peripheral neuropathy (DPN) using a rat model. The researchers found that dietary capsaicin, which upregulates CGRP, preserved sensory nerve function and CGRP levels in diabetic rats. Further experiments demonstrated that CGRP can independently improve neuron survival, regeneration, and function by normalizing intracellular reactive oxygen species and mitochondrial transmembrane potentials.

Practical Implications

Therapeutic Potential of Capsaicin

Dietary capsaicin may offer a safe and convenient way to chronically intervene in diabetic neuropathy by enhancing CGRP content in sensory neurons.

CGRP as a Therapeutic Target

Modulation of endogenous CGRP levels may be an effective strategy to rebuild the cross-enforcing mechanism between TRPV1 and CGRP in diabetic neuropathy.

Neuroprotective Role of CGRP

CGRP plays a critical role in attenuating mitochondrial dysfunction and preserving the viability and outgrowth of neurites in diabetic DRG neurons.

Study Limitations

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