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Granulocyte-colony stimulating factor as a treatment for diabetic neuropathy in rat
Ist Teil von
Molecular and cellular endocrinology, 2015-10, Vol.414, p.64-72
Ort / Verlag
Ireland: Elsevier Ireland Ltd
Erscheinungsjahr
2015
Quelle
MEDLINE
Beschreibungen/Notizen
Effective treatment of diabetic neuropathy (DN) remains unsolved. We serendipitously observed dramatic relief of pain in several patients with painful DN receiving granulocyte-colony stimulating factor (G-CSF). The aim of this study was to determine if G-CSF could treat DN in an animal model and to ascertain its mechanism of action. In a rodent model of DN, G-CSF dramatically recovered nerve function, retarded histological nerve changes and increased the expression of neurotrophic factors within nerve. A sex-mismatched bone marrow transplantation (BMT) study revealed that G-CSF treatment increased the abundance of bone marrow (BM)-derived cells in nerves damaged by DN. However, we did not observe evidence of transdifferentiation or cell fusion of BM-derived cells. The beneficial effects of G-CSF were dependent on the integrity of BM. In conclusion, G-CSF produced a therapeutic effect in a rodent model of DN, which was attributed, at least in part, to the actions of BM-derived cells.
•G-CSF recovered the function of DN-afflicted nerves.•G-CSF retard morphological changes associated with DN.•G-CSF treatment increased the abundance of BM-derived cells in nerves damaged by DN.•G-CSF increased expression of nerve trophic factors in nerves damaged by DN.•G-CSF receptors were expressed in Schwann cells.