Abstract

BackgroundDisruption of axonal transport plays a pivotal role in diabetic neuropathy. A sex-dimorphism exists in the incidence and symptomatology of diabetic neuropathy; however, no studies so far have addressed sex differences in axonal motor proteins expression in early diabetes as well as the possible involvement of neuroactive steroids. Interestingly, recent data point to a role for mitochondria in the sexual dimorphism of neurodegenerative diseases. Mitochondria have a fundamental role in axonal transport by producing the motors’ energy source, ATP. Moreover, neuroactive steroids can also regulate mitochondrial function.MethodsHere, we investigated the impact of short-term diabetes in the peripheral nervous system of male and female rats on key motor proteins important for axonal transport, mitochondrial function, and neuroactive steroids levels.ResultsWe show that short-term diabetes alters mRNA levels and axoplasm protein contents of kinesin family member KIF1A, KIF5B, KIF5A and Myosin Va in male but not in female rats. Similarly, the expression of peroxisome proliferator-activated receptor γ co-activator-1α, a subunit of the respiratory chain complex IV, ATP levels and the key regulators of mitochondrial dynamics were affected in males but not in females. Concomitant analysis of neuroactive steroid levels in sciatic nerve showed an alteration of testosterone, dihydrotestosterone, and allopregnanolone in diabetic males, whereas no changes were observed in female rats.ConclusionsThese findings suggest that sex-specific decrease in neuroactive steroid levels in male diabetic animals may cause an alteration in their mitochondrial function that in turn might impact in axonal transport, contributing to the sex difference observed in diabetic neuropathy.

Highlights

  • Disruption of axonal transport plays a pivotal role in diabetic neuropathy

  • Post hoc analysis indicated that KIF5A protein levels were significantly decreased in male diabetic rats compared to control males (p < 0.05) but not in female animals (Fig. 1c)

  • Mitochondrial biogenesis is altered by diabetes in a sexdimorphic way Following previous studies suggesting that mitochondrial function and dynamic is impaired in diabetic neuropathy [2], we examined mitochondrial biogenesis in dorsal root ganglia (DRG) of control and diabetic male and female rats

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Summary

Introduction

A sex-dimorphism exists in the incidence and symptomatology of diabetic neuropathy; no studies so far have addressed sex differences in axonal motor proteins expression in early diabetes as well as the possible involvement of neuroactive steroids. Mitochondria have a fundamental role in axonal transport by producing the motors’ energy source, ATP. Peripheral diabetic neuropathy (PDN) is one of the most prevalent complications of diabetes [1]. It can take different forms, the most common of which is the length-dependent axonal sensorimotor and autonomic neuropathy. This is associated with structural changes in the peripheral nerves, degeneration and impaired regeneration ability due to a dying-back of distal axons.

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