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Repeated monitoring of corneal nerves by confocal microscopy as an index of peripheral neuropathy in type‐1 diabetic rodents and the effects of topical insulin

Repeated monitoring of corneal nerves by confocal microscopy as an index of peripheral neuropathy... We developed a reliable imaging and quantitative analysis method for in vivo corneal confocal microscopy (CCM) in rodents and used it to determine whether models of type 1 diabetes replicate the depletion of corneal nerves reported in diabetic patients. Quantification was reproducible between observers and stable across repeated time points in two rat strains. Longitudinal studies were performed in normal and streptozotocin (STZ)‐diabetic rats, with innervation of plantar paw skin quantified using standard histological methods after 40 weeks of diabetes. Diabetic rats showed an initial increase, then a gradual reduction in occupancy of nerves in the sub‐basal plexus so that values were significantly lower at week 40 (68 ± 6%) than age‐matched controls (80 ± 2%). No significant loss of stromal or intra‐epidermal nerves was detected. In a separate study, insulin was applied daily to the eye of control and STZ‐diabetic mice and this treatment prevented depletion of nerves of the sub‐basal plexus. Longitudinal studies are viable in rodents using CCM and depletion of distal corneal nerves precedes detectable loss of epidermal nerves in the foot, suggesting that diabetic neuropathy is not length dependent. Loss of insulin‐derived neurotrophic support may contribute to the pathogenesis of corneal nerve depletion in type 1 diabetes. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of the Peripheral Nervous System Wiley

Repeated monitoring of corneal nerves by confocal microscopy as an index of peripheral neuropathy in type‐1 diabetic rodents and the effects of topical insulin

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References (69)

Publisher
Wiley
Copyright
© 2013 Peripheral Nerve Society
ISSN
1085-9489
eISSN
1529-8027
DOI
10.1111/jns5.12044
pmid
24147903
Publisher site
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Abstract

We developed a reliable imaging and quantitative analysis method for in vivo corneal confocal microscopy (CCM) in rodents and used it to determine whether models of type 1 diabetes replicate the depletion of corneal nerves reported in diabetic patients. Quantification was reproducible between observers and stable across repeated time points in two rat strains. Longitudinal studies were performed in normal and streptozotocin (STZ)‐diabetic rats, with innervation of plantar paw skin quantified using standard histological methods after 40 weeks of diabetes. Diabetic rats showed an initial increase, then a gradual reduction in occupancy of nerves in the sub‐basal plexus so that values were significantly lower at week 40 (68 ± 6%) than age‐matched controls (80 ± 2%). No significant loss of stromal or intra‐epidermal nerves was detected. In a separate study, insulin was applied daily to the eye of control and STZ‐diabetic mice and this treatment prevented depletion of nerves of the sub‐basal plexus. Longitudinal studies are viable in rodents using CCM and depletion of distal corneal nerves precedes detectable loss of epidermal nerves in the foot, suggesting that diabetic neuropathy is not length dependent. Loss of insulin‐derived neurotrophic support may contribute to the pathogenesis of corneal nerve depletion in type 1 diabetes.

Journal

Journal of the Peripheral Nervous System – Wiley

Published: Dec 1, 2013

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