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  4. Treatment with NADPH oxidase inhibitor apocynin alleviates diabetic neuropathic pain in rats

Treatment with NADPH oxidase inhibitor apocynin alleviates diabetic neuropathic pain in rats

Neural Regeneration Research, 2018 · DOI: 10.4103/1673-5374.232530 · Published: September 1, 2018

PharmacologyEndocrinologyNeurology

Simple Explanation

This research investigates the potential of apocynin, a NADPH oxidase (NOX) inhibitor, to protect against diabetic neuropathy in rats. Diabetic neuropathy is a common complication of diabetes that causes pain, hyperalgesia, and allodynia. The study found that apocynin treatment increased pain threshold and reversed histopathological changes in the sciatic nerve of diabetic rats. It also prevented the increase in catalase expression at 100 mg/kg/day and NOXp47 expression at either doses. These findings suggest that apocynin attenuates neuropathic pain by reducing oxidative stress-mediated pathogenesis in diabetic rats. The study concludes that NOX activation could be a potential therapeutic target for diabetic neuropathy.

Study Duration
4 weeks
Participants
Male Wistar rats (n = 8–12 per group)
Evidence Level
Level III, Animal study

Key Findings

  • 1
    Streptozotocin injection reduced pain threshold in analgesimeter, but not in aesthesiometer, in rat models. Apocynin treatment increased pain threshold dose-dependently.
  • 2
    Western blot analysis showed an increase in catalase and NOX-p47phox protein expression in the spinal cord of diabetic rats. Apocynin treatment decreased NOX-p47phox expression at both doses and catalase expression at 100 mg/kg per day.
  • 3
    Histochemistry of diabetic sciatic nerve revealed marked degeneration. nNOS and iNOS immunoreactivities were increased, while S-100 immunoreactivity (Schwann cell marker) was decreased in sciatic nerve. Apocynin treatment reversed these changes dose-dependently.

Research Summary

The study investigated the protective effect of apocynin, a NOX inhibitor, in rat diabetic neuropathy. Streptozotocin-induced diabetic rats were treated with apocynin for 4 weeks, and mechanical hyperalgesia and allodynia were assessed. The results showed that apocynin treatment increased pain threshold and reversed histopathological changes in the sciatic nerve. Apocynin also decreased NOX-p47phox and catalase expression in the spinal cord. The study concludes that apocynin attenuates neuropathic pain by decelerating oxidative stress-mediated pathogenesis in diabetic rats. NOX activation may provide a novel therapeutic target for diabetic neuropathy.

Practical Implications

Therapeutic Potential

Apocynin may be a potential therapeutic agent for managing diabetic neuropathic pain.

Target for Drug Development

NADPH oxidase (NOX) could be a novel target for the development of adjuvant therapy in diabetic neuropathy.

Early Intervention

Earlier treatment of diabetic neuropathy can better prevent neuronal damage and neuropathic pain.

Study Limitations

  • 1
    Study conducted on rats, and results may not directly translate to humans.
  • 2
    The exact mechanisms of apocynin action beyond NOX inhibition remain to be fully elucidated.
  • 3
    Long-term effects of apocynin treatment were not evaluated.

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