Article ID Journal Published Year Pages File Type
4338114 Neuroscience 2013 10 Pages PDF
Abstract

Neuropathy is often seen in uncontrolled diabetes and the mechanisms involved for neuropathic pain are poorly understood. Hyperglycemia is a consequence of chronic uncontrolled diabetes and it is postulated to produce neuropathic pain. Therefore, in this study, we have investigated the effects of hyperglycemia on Na+ channel kinetics in cultured dorsal root ganglion (DRG) neurons from neonatal rats using whole-cell patch-clamp technique. Hyperglycemia-induced increase in density of tetrodotoxin resistant (TTXr) Na+ currents was increased in time- and concentration-dependent manner. The increase was maximal with 60 mM and 24 h. There was no change Na+ current density in time-matched control neurons. The conductance curve of TTXr Na+ current shifted leftward after 24 h exposure to 45 mM glucose. Carbamazepine (CBZ, 100 μM) depressed TTXr Na+ current in neurons incubated with control (17.26), 45 and 60 mM of glucose. The depression observed with CBZ in the presence of high glucose, i.e., 45 mM (86.5 ± 4.9%) was significantly greater than control (61.6 ± 1.8%). Hyperglycemia also increased reactive oxygen species (ROS) activity and was attenuated by CBZ. These results suggest that short-term exposure of DRG neurons to high glucose concentrations enhance the Na+ channel activity, and were attenuated by CBZ via ROS-dependent mechanisms.

► In uncontrolled diabetes hyperglycemia is postulated to produce neuropathy. ► Hence, the effect of hyperglycemia on DRG neurons in vitro was examined. ► Hyperglycemia enhanced the density of total and TTX-resistant INa in DRG neurons. ► Carbamazepine blocked the hyperglycemia-induced increase in Na+ channel activities. ► Hyperglycemia-induced Na+ channel activity is associated with ROS to produce neuronal damage.

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