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Diabetes 53:726-734, 2004
© 2004 by the American Diabetes Association, Inc.

Uncoupling Proteins Prevent Glucose-Induced Neuronal Oxidative Stress and Programmed Cell Death

Andrea M. Vincent1, James A. Olzmann1, Michael Brownlee2, W.I. Sivitz3, and James W. Russell1,4

1 Department of Neurology, University of Michigan, Ann Arbor, Michigan
2 Department of Medicine, Diabetes Research Center, Albert Einstein College of Medicine, Bronx, New York
3 Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa
4 Geriatric Research, Education and Clinical Center (GRECC), Ann Arbor Veterans Administration Medical Center, Ann Arbor, Michigan

The central role of mitochondria in most pathways leading to programmed cell death (PCD) has focused our investigations into the mechanisms of glucose-induced neuronal degeneration. It has been postulated that hyperglycemic neuronal injury results from mitochondria membrane hyperpolarization and reactive oxygen species formation. The present study not only provides further evidence to support our model of glucose-induced PCD but also demonstrates a potent ability for uncoupling proteins (UCPs) to prevent this process. Dorsal root ganglion (DRG) neurons were screened for UCP expression by Western blotting and immunocytochemistry. The abilities of individual UCPs to prevent hyperglycemic PCD were assessed by adenovirus-mediated overexpression of UCP1 and UCP3. Interestingly, UCP3 is expressed not only in muscle, but also in DRG neurons under control conditions. UCP3 expression is rapidly downregulated by hyperglycemia in diabetic rats and by high glucose in cultured neurons. Overexpression of UCPs prevents glucose-induced transient mitochondrial membrane hyperpolarization, reactive oxygen species formation, and induction of PCD. The loss of UCP3 in DRG neurons may represent a significant contributing factor in glucose-induced injury. Furthermore, the ability to prevent UCP3 downregulation or to reproduce the uncoupling response in DRG neurons constitutes promising novel approaches to avert diabetic complications such as neuropathy.


Address correspondence and reprint requests to James W. Russell, MD, MS, University of Michigan, Department of Neurology, 200 Zina Pitcher Pl., 4410 Kresge III, Ann Arbor, MI 48109-0588. E-mail: jruss{at}umich.edu


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Copyright © 2004 by the American Diabetes Association.