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  4. Spinal cord stimulation induces Neurotrophin‑3 to improve diabetic foot disease

Spinal cord stimulation induces Neurotrophin‑3 to improve diabetic foot disease

Medical Molecular Morphology, 2025 · DOI: https://doi.org/10.1007/s00795-024-00410-2 · Published: November 17, 2024

Cardiovascular ScienceEndocrinologyNeurology

Simple Explanation

This study investigates the therapeutic effects of spinal cord stimulation (SCS) on diabetic foot disease. It examines both human patients and a rat model of diabetic foot injury to understand how SCS might help. The researchers looked at levels of specific proteins (NGF, BDNF, and NT-3) in the blood before and after SCS therapy. They also tested if NT-3, one of these proteins, plays a direct role in wound healing using the rat model. The results suggest that SCS improves the condition of patients with diabetic foot disease, potentially by increasing the production of NT-3. Both SCS and direct NT-3 treatment show promise for improving wound healing in diabetic foot conditions.

Study Duration
2 months (clinical), 30 days (rat model)
Participants
10 patients with diabetic foot disease, Adult female SPF grade SD rats
Evidence Level
Not specified

Key Findings

  • 1
    SCS therapy improved the condition of patients with diabetic ischemic foot disease, as indicated by clinical assessments.
  • 2
    NT-3 levels significantly increased after SCS therapy in both patients and the rat model, suggesting a link between SCS and NT-3 production.
  • 3
    Recombinant NT-3 administration improved wound healing and re-vascularization in the rat model, while NT-3 neutralization abrogated SCS’s therapeutic effect, confirming NT-3's role.

Research Summary

The study investigates the therapeutic effect of spinal cord stimulation (SCS) on diabetic foot disease using clinical assessments of patients and a rat model of diabetic foot injury. SCS therapy improved the condition of patients with diabetic ischemic foot disease and promoted wound healing in the rat model. NT-3 levels significantly increased after SCS therapy in both patients and rats. The findings suggest that both SCS and NT-3 supplementation may be employed as a therapeutic approach for ameliorating diabetic foot disease.

Practical Implications

Therapeutic Potential

SCS and NT-3 supplementation may offer a novel therapeutic avenue for managing diabetic foot disease.

Underlying Mechanisms

Further research is needed to fully elucidate the mechanisms by which SCS stimulates NT-3 production and its effect on wound healing.

Clinical Application

The study supports the use of SCS as a non-invasive treatment approach for diabetic lower extremity arterial disease (LEAD).

Study Limitations

  • 1
    Small sample size of 10 patients in the clinical analysis.
  • 2
    Lack of a time-course analysis of histological changes.
  • 3
    Absence of assessment of TrkC receptor expression in ulcer tissue.

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