Abstract. The aim of the present study was to explore the role of exercise in diabetic peripheral neuropathy (DPN) and the mechanisms involved. For this purpose, 31 male SpragueDawley rats were used. The rats were assigned to 5 groups: diabetic rats subjected to exercise training (swimming) for 8 weeks (D-Ex1 group), diabetic rats subjected to exercise training for 4 weeks after 4 weeks of being sedentary (D-Ex2 group), diabetic rats which remained sedentary for 8 weeks (D-Sed group), control rats subjected to exercise training for 8 weeks (C-Ex1 group) and control rats which remained sedentary for 8 weeks (C-Sed group). Blood glucose levels and caudal nerve conduction velocity (NCV) were evaluated at 0 (baseline), 28 (4 weeks) and 56 days (8 weeks) after the induction of diabetes. The levels of neurotrophin-3 (NT-3) in skeletal muscle were measured by ELISA at the end of the experiment. Blood glucose levels in the D-Ex1 group rats decreased significantly after 8 weeks of exercise. The caudal NCV markedly decreased in all diabetic rats and significantly increased after 4 or 8 weeks of exercise training. Muscle NT-3 levels were significantly lower in the D-Sed compared to the 4 other groups. Muscle NT-3 levels positively correlated with caudal NCV. In conclusion, swimming training has a beneficial effect on DPN and muscle NT-3 levels, which could help improve caudal NCV in streptozotocin-induced diabetic rats.
IntroductionDiabetic peripheral neuropathy (DPN) is one of the most common complications of diabetes and is responsible for 50-75% of non-traumatic amputations in developed countries (1,2). The streptozotocin (STZ) model is widely used to investigate experimental DPN (3). Abnormal nerve conduction is an early feature of diabetic nerve damage (4). Tesfaye et al showed that conduction velocity significantly increased after exercise in normal subjects (5). Selagzi et al found that exercise training significantly increased the compound muscle action potential amplitude and decreased motor latency in diabetic rats (4). However, little is known about the mechanisms involved in exersise improving nerve dysfunction in STZ-induced diabetic rats.Neurotrophin-3 (NT-3) is a type of neurotrophic factor that comprises a heterogeneous group of molecules produced by neurons, Schwann cells and end organs in the central and peripheral nervous system (PNS). In adults, neurotrophins of the PNS are synthesized in and released from target tissues. Skeletal muscles are such target tissues and produce neurotrophins. NT-3 plays a crucial role in mediating central nervous system plasticity and regeneration in the spinal cord and muscle. Short-term STZ-induced diabetes causes a reduction in muscle NT-3 mRNA and protein expression, which leads to a decreased retrograde axonal transport of NT-3 to the neuronal cell body and consequent sub-optimal neurotrophic support (6). Previous studies have shown that the continuous production of NT-3 by the latency-associated promoter 2 (LAP2)-driven expression of the transgene from a herpes simple...