Blockade of Sigma 1 Receptors Alleviates Sensory Signs of Diabetic Neuropathy in Rats
Overview
Neurology
Psychiatry
Affiliations
Background: E-52862 (S1RA, 4-[2-[[5-methyl-1-(2-naphthalenyl)-1H-pyrazol-3-yl]oxy]ethyl]-morpholine), a novel selective sigma 1 receptor (σ1R) antagonist, has demonstrated efficacy in nociceptive and neuropathic pain models. Our aim was to test if σ1R blockade with E-52862 may modify the signs of neuropathy in Zucker diabetic fatty (ZDF) rats, a type 2 diabetes model.
Methods: Mechanical and thermal response thresholds were tested on 7-, 13-, 14- and 15-week-old ZDF rats treated with saline or with E-52862 acutely administered on week 13, followed by sub-chronic administration (14 days). Axonal peripheral activity (skin-saphenous nerve preparation) and isolated aorta or mesenteric bed reactivity were analysed in 15-week-old ZDF rats treated with saline or E-52862 and in LEAN rats.
Results: Zucker diabetic fatty rats showed significantly decreased thermal withdrawal latency and threshold to mechanical stimulation on week 13 compared to week 7 (prediabetes) and with LEAN animals; single-dose and sub-chronic E-52862 administration restored both parameters to those recorded on week 7. Regarding axonal peripheral activity, E-52862 treatment increased the mean mechanical threshold (77.3 ± 21 mN vs. 19.6 ± 1.5 mN, saline group) and reduced the response evoked by mechanical increasing stimulation (86.4 ± 36.5 vs. 352.8 ± 41.4 spikes) or by repeated mechanical supra-threshold steps (39.4 ± 1.4 vs. 83.5 ± 0.9). E-52862 treatment also restored contractile response to phenylephrine in aorta and mesenteric bed.
Conclusions: E-52862 administration reverses neuropathic (behavioural and electrophysiological) and vascular signs in the ZDF rat.
Significance: Blockade of σ1R avoids the development of diabetic neuropathy in rats, and may represent a potentially useful therapeutic approach to peripheral neuropathies in diabetic patients. WHAT DOES THIS STUDY ADD?: This study presents evidences for the potential usefulness of sigma receptor blockade on diabetic neuropathy in rats. The methodology includes behavioural evidences, electrophysiological data and vascular-isolated models.
Peng Y, Zhang A, Wei L, Welsh W ACS Pharmacol Transl Sci. 2024; 7(8):2358-2368.
PMID: 39144554 PMC: 11320727. DOI: 10.1021/acsptsci.4c00186.
The Emerging Role of Sigma Receptors in Pain Medicine.
Pergolizzi Jr J, Varrassi G Cureus. 2023; 15(7):e42626.
PMID: 37641763 PMC: 10460634. DOI: 10.7759/cureus.42626.
The Sigma Enigma: A Narrative Review of Sigma Receptors.
Pergolizzi J, Varrassi G, Coleman M, Breve F, Christo D, Christo P Cureus. 2023; 15(3):e35756.
PMID: 37020478 PMC: 10069457. DOI: 10.7759/cureus.35756.
Vidal-Torres A, Fernandez-Pastor B, Garcia M, Ayet E, Cabot A, Burgueno J Acta Pharm Sin B. 2023; 13(1):82-99.
PMID: 36815042 PMC: 9939367. DOI: 10.1016/j.apsb.2022.09.018.
Effects of Sigma-1 Receptor Ligands on Peripheral Nerve Regeneration.
Cottilli P, Gaja-Capdevila N, Navarro X Cells. 2022; 11(7).
PMID: 35406646 PMC: 8998141. DOI: 10.3390/cells11071083.