Axonal atrophy in sensory nerves of the diabetic BB‐Wistar rat: a possible early correlate of human diabetic neuropathy

AAF Sima, M Bouchier… - Annals of Neurology …, 1983 - Wiley Online Library
AAF Sima, M Bouchier, H Christensen
Annals of Neurology: Official Journal of the American Neurological …, 1983Wiley Online Library
Clinical, morphological, and biochemical findings reported in the spontaneously diabetic BB‐
Wistar rat strongly indicate that this animal may be a true model of human insulin‐dependent
diabetes mellitus. As such, it may provide a valuable model in which to study the
neuropathic conditions of diabetes. We examined somatic peripheral nerves at five levels in
a longitudinal fashion using quantitative morphological techniques. Myelinated fiber atrophy
occurred earlier in sensory nerves than in motor nerves and showed a distal to proximal …
Abstract
Clinical, morphological, and biochemical findings reported in the spontaneously diabetic BB‐Wistar rat strongly indicate that this animal may be a true model of human insulin‐dependent diabetes mellitus. As such, it may provide a valuable model in which to study the neuropathic conditions of diabetes. We examined somatic peripheral nerves at five levels in a longitudinal fashion using quantitative morphological techniques. Myelinated fiber atrophy occurred earlier in sensory nerves than in motor nerves and showed a distal to proximal progression with duration of diabetes. Axon/myelin ratios revealed disproportionate shrinkage of axons evident already after 4 months of diabetes in the sural nerve and only after 8 months in the peroneal nerve. Endoneurial edema could not be demonstrated by morphometric means in diabetic nerves. We conclude that the distal symmetrical polyneuropathy in diabetes can be characterized as a mainly sensory axonopathy of dying‐back type.
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