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C-Peptide Prevents Hippocampal Apoptosis in Type 1 Diabetes
Authors:Zhen-guo Li  Weixian Zhang  Anders A F Sima
Institution:1. Department of Pathology, Wayne State University School of Medicine, Detroit, Michigan, USA.;2. Department of Neurology, Wayne State University School of Medicine, Detroit, Michigan, MI 48201, USA.;3. Morris J. Hood Jr. Comprehensive Diabetes Center, Wayne State University School of Medicine, Detroit, Michigan, USA.;4. Department of Pathology, Wayne State University School of Medicine, Room 9275, H.G. Scott Hall, 540 East Canfield Avenue 48201, Detroit, Michigan, USA,
Abstract:To explore mechanisms underlying central nervous system (CNS) complications in diabetes, we examined hippocampal neuronal apoptosis and loss, and the effect of C-peptide replacement in type 1 diabetic BB/W rats. Apoptosis was demonstrated after 8 months of diabetes, by DNA fragmentation, increased number of apoptotic cells, and an elevated ratio of Bax/Bcl-xL, accompanied by reduced neuronal density in the hippocampus. No apoptotic activity was detected and neuronal density was unchanged in 2-month diabetic hippocampus, whereas insulin-like growth factor (IGF) activities were impaired. In type 1 diabetic BB/W rats replaced with C-peptide, no TdT-mediated dUTP nick-end labeling (TUNEL)- positive cells were shown and DNA laddering was not evident in hippocampus at either 2 or 8 months. C-peptide administration prevented the preceding perturbation of IGF expression and reduced the elevated ratio of Bax/Bcl-xL. Our data suggest that type 1 diabetes causes a duration-dependent programmed cell death of the hippocampus, which is partially prevented by C-peptide.
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