O'Brien Phillipe D, Sakowski Stacey A, Feldman Eva L
ILAR J. 2014;54(3):259-72. doi: 10.1093/ilar/ilt052.
Diabetic peripheral neuropathy (DPN) is the most common complication of diabetes and is associated with significant morbidity and mortality. DPN is characterized by progressive, distal-to-proximal degeneration of peripheral nerves that leads to pain, weakness, and eventual loss of sensation. The mechanisms underlying DPN pathogenesis are uncertain, and other than tight glycemic control in type 1 patients, there is no effective treatment. Mouse models of type 1 (T1DM) and type 2 diabetes (T2DM) are critical to improving our understanding of DPN pathophysiology and developing novel treatment strategies. In this review, we discuss the most widely used T1DM and T2DM mouse models for DPN research, with emphasis on the main neurologic phenotype of each model. We also discuss important considerations for selecting appropriate models for T1DM and T2DM DPN studies and describe the promise of novel emerging diabetic mouse models for DPN research. The development, characterization, and comprehensive neurologic phenotyping of clinically relevant mouse models for T1DM and T2DM will provide valuable resources for future studies examining DPN pathogenesis and novel therapeutic strategies.
糖尿病周围神经病变(DPN)是糖尿病最常见的并发症,与显著的发病率和死亡率相关。DPN的特征是外周神经进行性、由远及近的变性,导致疼痛、无力,最终感觉丧失。DPN发病机制尚不确定,除了对1型患者进行严格的血糖控制外,没有有效的治疗方法。1型糖尿病(T1DM)和2型糖尿病(T2DM)的小鼠模型对于增进我们对DPN病理生理学的理解以及开发新的治疗策略至关重要。在这篇综述中,我们讨论了用于DPN研究的最广泛使用的T1DM和T2DM小鼠模型,重点是每种模型的主要神经表型。我们还讨论了为T1DM和T2DM DPN研究选择合适模型的重要考虑因素,并描述了新兴的糖尿病小鼠模型在DPN研究中的前景。针对T1DM和T2DM的临床相关小鼠模型的开发、特征描述和全面的神经表型分析将为未来研究DPN发病机制和新治疗策略提供有价值的资源。