Background Nonenzymatic glycation of neural proteins and their end-products
(advanced glycation end-products, AGE) have been implicated in the pathoge
nesis of diabetic neuropathy. We need a development of effective ant-glycat
ion agents for future clinical use.
Materials and methods We examined the effects of OPB-9195 (OPB), a new inhi
bitor of glycation, on the peripheral nerve structure and function in diabe
tic rats. Eight-week-old Wister rats were made diabetic by streptozotocin (
40 mg kg(-1), i.v.) and OPE (60 mg kg(-1) day(-1)) was given by gavage for
24 weeks. Age- and sex-matched normal Wistar rats were used for comparison.
Results During the experimental period, OPE treatment did not affect the re
duced body weight, elevated levels of blood glucose and glycated haemoglobi
n in diabetic rats. At the end of the experiment, delayed tibial motor nerv
e conduction velocity was significantly improved (by 60%) in treated diabet
ic rats, with reduction of serum AGE levels. Expression of immunoreactive A
GE in the sciatic nerve was reduced in treated diabetic rats compared with
those in untreated rats. Sciatic nerve (Na+,K+)-ATPase activity was also re
stored in treated diabetic rats. On the cross-sectioned sciatic nerves, pos
itive cells with oxidative stress-related DNA damage, as expressed by 8-hyd
roxy-2'-deoxyguanosine, were less in the peripheral nerve of treated diabet
ic rats compared with those of untreated rats.
Conclusion The current study suggested that OPE is beneficial for the reduc
tion of serum AGE and the prevention of diabetic neuropathy.