Diabetes, Vol 36, Issue 7 853-858, Copyright © 1987 by American Diabetes Association
Anterograde fast component of axonal transport during insulin-induced hypoglycemia in nondiabetic and diabetic rats
P Sidenius and J Jakobsen
To elucidate the pathogenesis of the peripheral neuropathy associated with
hypoglycemia the anterograde fast component (aFC) of axonal transport was
studied in nondiabetic rats during acute and prolonged insulin-induced
hypoglycemia and in streptozocin-diabetic (STZ-D) rats with acute
hypoglycemia. [35S]methionine and [3H]fucose were injected into the dorsal
root ganglion (L5) to label protein and glycoprotein, respectively. During
the 4 h of transport, thigh temperature was maintained constant. Acute
severe hypoglycemia (1.5 +/- 0.2 mM) was associated with a 36% decrease in
the amount of aFC (2.3 +/- 0.7% in the test group vs. 3.6 +/- 0.8% in the
controls), whereas transport velocity was unaffected. Prolonged
hypoglycemia, obtained by pretreatment with insulin for 3 days, prevented
the decrease in amount of aFC. In STZ-D rats, acute severe hypoglycemia
(1.5 +/- 0.6 mM) produced a similar but less-pronounced decrease of aFC. We
conclude that hypoglycemia is associated with alterations in axonal
transport that could play a role in development of neuropathy. Prolonged
hypoglycemia protects axonal transport against the effects of glucopenia,
and an untreated diabetic state maintained for several days has a partially
protective effect against episodes of hypoglycemia.