Abstract

Diabetic Neuropathy (DN) is one of the prevailing micro vascular complications of diabetes which can be characterized by neuropathic pain. Streptozotocin (STZ) induced diabetes in the rat has been increasingly used as a model of painful diabetic neuropathy. STZ injection leads to neurotoxicity of peripheral nerves that leads to development of Peripheral Diabetic Neuropathy in rat model. The present study was aimed at exploring the protective role of Tinospora cordifolia extract in STZ induced neurotoxicity and evaluating mechanisms responsible for attenuating neuropathic pain. Neuropathic pain markers like hyperalgesia, allodynia and motor deficits were assessed before STZ injection and after the treatment with 250 mg/kg and 500 mg/kg dose of Tinospora cordifolia. Oxidative stress markers, NGF expression in sciatic nerve were observed after seven weeks treatment. Our results demonstrated that seven weeks treatment with Tinospora cordifolia leaf extract significantly relieved thermal hyperalgesia and allodynia by increasing the antioxidant enzyme levels, decreasing the lipid peroxidation and by increasing the Nerve growth factor (NGF) expression in diabetic rat sciatic nerves. Our findings highlighted the beneficial effects of oral administration of Tinospora cordifolia extract in attenuating diabetic neuropathic pain, possibly through a strong antioxidant activity and by inducing NGF m RNA in sciatic nerves.

Highlights

  • Diabetic Neuropathy (DN) is a nerve damaging disorder that is associated with Diabetes mellitus

  • The blood glucose was still above 300 mg/dl indicating the maintenance of Type 1 Diabetes (Table I). Both the doses Tinospra cordifolia Extract (TCE) significantly lowered the serum cholesterol as well as the serum triglyceride level in diabetic rats compared to Diabetic control (DC) rats in a dose dependent manner

  • Diabetic Neuropathy can be triggered by hyperglycemic conditions, the final toxicity to the nerves is contributed by multiple complex pathways

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Summary

Introduction

Diabetic Neuropathy (DN) is a nerve damaging disorder that is associated with Diabetes mellitus. As reported by the latest International Diabetes Federation (IDF) publication, the incidence and prevalence of diabetes is proliferating at an alarming rate in both developed and developing countries, in India and China. The reported prevalence of diabetic peripheral neuropathy ranges from 16% to as high as 66%. Amputation in people with diabetes is 10 to 20 times more common compared to those of non-diabetic people. Excess free radical production and ultimate oxidative stress results from provoked glucose metabolic pathways in Diabetes. DN develops on a background of hyperglycemia and an entangled metabolic imbalance, mainly oxidative stress (Hosseini, Abdollahi, 2013). Plantderived antioxidant nutraceuticals can modulate oxidative stress related degenerative diseases by scavenging the free

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