Abstract

To rigorously explore the role of omega-3 polyunsaturated fatty acids (PUFA) in the treatment of diabetic peripheral neuropathy (DPN), we have created a transgenic mouse utilizing a Cre-lox promoter to control overexpression of human 15-lipoxygenase-1 (15-LOX-1). In this study, we sought to determine the effect of treating type 2 diabetic wild-type mice and transgenic mice ubiquitously overexpressing 15-LOX-1 with menhaden oil on endpoints related to DPN. Wild-type and transgenic mice on a C57Bl/6J background were divided into three groups. Two of each of these groups were used to create a high-fat diet/streptozotocin model for type 2 diabetes. The remaining mice were control groups. Four weeks later, one set of diabetic mice from each group was treated with menhaden oil for twelve weeks and then evaluated using DPN-related endpoints. Studies were also performed using dorsal root ganglion neurons isolated from wild-type and transgenic mice. Wild-type and transgenic diabetic mice developed DPN as determined by slowing of nerve conduction velocity, decreased sensory nerve fibers in the skin and cornea, and impairment of thermal and mechanical sensitivity of the hindpaw compared to their respective control mice. Although not significant, there was a trend for the severity of these DPN-related deficits to be less in the diabetic transgenic mice compared to the diabetic wild-type mice. Treating diabetic wild-type and transgenic mice with menhaden oil improved the DPN-related endpoints with a trend for greater improvement or protection by menhaden oil observed in the diabetic transgenic mice. Treating dorsal root ganglion neurons with docosahexanoic acid but not eicosapentaenoic acid significantly increased neurite outgrowth with greater efficacy observed with neurons isolated from transgenic mice. Targeting pathways that will increase the production of the anti-inflammatory metabolites of omega-3 PUFA may be an efficacious approach to developing an effective treatment for DPN.

Highlights

  • To rigorously explore the role of omega-3 polyunsaturated fatty acids (PUFA) and their metabolism as a treatment for diabetic peripheral neuropathy (DPN), we have created a transgenic mouse utilizing a Cre-lox promoter to control overexpression of human 15-lipoxygenase-1 (15-LOX-1) (Tg(CAG-eGFP,Alox15,tdTomato)#Iowa)

  • Fasting blood glucose levels were significantly increased in diabetic wild-type and Tg 15-LOX-1 mice independent of treatment with menhaden oil compared to their respective control mice

  • Diabetes caused a significant increase in serum triglyceride levels in diabetic wild-type and Tg 15-LOX-1 mice, and this was significantly improved by treatment with menhaden oil

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Summary

Introduction

To rigorously explore the role of omega-3 polyunsaturated fatty acids (PUFA) and their metabolism as a treatment for diabetic peripheral neuropathy (DPN), we have created a transgenic mouse utilizing a Cre-lox promoter to control overexpression of human 15-lipoxygenase-1 (15-LOX-1) (Tg(CAG-eGFP,Alox15,tdTomato)#Iowa). We sought to determine the effect of feeding type 2 diabetic wild-type mice and transgenic mice ubiquitously overexpressing 15-LOX-1 a normal chow diet vs a diet enriched in menhaden (fish) oil on endpoints related to DPN. It is important to specify that separate 12-lipoxygenase and 15-lipoxygenase enzymes do not exist in rodents and 12/15-lipoxygenase, the mouse homolog of 15-LOX-1, has opposing functions with 15-LOX-1 [1]. The regulation of the arachidonate 15-lipoxygenase gene is complex and nicely reviewed by Colakoglu et al [1]

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