[Pathogenic Mechanisms of Diabetic Neuropathy].

Autor: Sango K; Diabetic Neuropathy Project, Tokyo Metropolitan Institute of Medical Science., Yako H, Takaku S, Niimi N
Jazyk: japonština
Zdroj: Brain and nerve = Shinkei kenkyu no shinpo [Brain Nerve] 2024 May; Vol. 76 (5), pp. 671-680.
DOI: 10.11477/mf.1416202658
Abstrakt: Diabetes stands as the predominant cause of peripheral neuropathy, and diabetic neuropathy (DN) is an early-onset and most frequent complication of diabetes. Distal symmetric polyneuropathy is the major form of DN; however, various patterns of nerve injury can manifest. Growing evidence suggests that hyperglycemia-related metabolic disorders in neurons, Schwann cells, and vascular endothelial cells play a major role in the development and progression of DN; however, its pathogenesis and development of disease-modifying therapies warrant further investigation. Herein, recent studies regarding the possible pathogenic factors of DN (polyol and other collateral glycolysis pathways, glycation, oxidative stress, Rho/Rho kinase signaling pathways, etc.) and therapeutic strategies targeting these factors are introduced.
Databáze: MEDLINE