The preventive and therapeutic effects of GCPII (NAALADase) inhibition on painful and sensory diabetic neuropathy

Excitotoxic glutamate release occurs in several neurological disorders. One source is derived from the hydrolysis of the neuropeptide N-acetyl aspartyl glutamate (NAAG) by glutamate carboxypeptidase II (GCPII, also known as NAALADase). Drugs that attenuate glutamate transmission have been shown to r...

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Veröffentlicht in:Journal of the neurological sciences 2006-09, Vol.247 (2), p.217-223
Hauptverfasser: Zhang, W., Murakawa, Y., Wozniak, K.M., Slusher, B., Sima, A.A.F.
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container_end_page 223
container_issue 2
container_start_page 217
container_title Journal of the neurological sciences
container_volume 247
creator Zhang, W.
Murakawa, Y.
Wozniak, K.M.
Slusher, B.
Sima, A.A.F.
description Excitotoxic glutamate release occurs in several neurological disorders. One source is derived from the hydrolysis of the neuropeptide N-acetyl aspartyl glutamate (NAAG) by glutamate carboxypeptidase II (GCPII, also known as NAALADase). Drugs that attenuate glutamate transmission have been shown to relieve neuropathic pain, however side effects have limited their clinical use. It appears that GCPII is exclusively recruited to provide a glutamate source in hyperglutamatergic, excitotoxic conditions and therefore would be devoid of such side effects. Here we report on the therapeutic effects of an orally bio-available GCP II inhibitor on established painful and sensory neuropathy in the spontaneously diabetic BB/Wor rat. It significantly improved hyperalgesia, nerve conduction velocity and underlying myelinated fiber atrophy. The data suggest that GCP II inhibition may provide a meaningful and effective approach to the treatment of painful diabetic neuropathy.
doi_str_mv 10.1016/j.jns.2006.05.052
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One source is derived from the hydrolysis of the neuropeptide N-acetyl aspartyl glutamate (NAAG) by glutamate carboxypeptidase II (GCPII, also known as NAALADase). Drugs that attenuate glutamate transmission have been shown to relieve neuropathic pain, however side effects have limited their clinical use. It appears that GCPII is exclusively recruited to provide a glutamate source in hyperglutamatergic, excitotoxic conditions and therefore would be devoid of such side effects. Here we report on the therapeutic effects of an orally bio-available GCP II inhibitor on established painful and sensory neuropathy in the spontaneously diabetic BB/Wor rat. It significantly improved hyperalgesia, nerve conduction velocity and underlying myelinated fiber atrophy. The data suggest that GCP II inhibition may provide a meaningful and effective approach to the treatment of painful diabetic neuropathy.</description><subject>Analysis of Variance</subject><subject>Animals</subject><subject>Associated diseases and complications</subject><subject>BB/Wor rat</subject><subject>Biological and medical sciences</subject><subject>Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Diabetic Neuropathies - drug therapy</subject><subject>Diabetic Neuropathies - metabolism</subject><subject>Diabetic Neuropathies - physiopathology</subject><subject>Diabetic Neuropathies - prevention &amp; control</subject><subject>Disease Models, Animal</subject><subject>Endocrine pancreas. 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Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction</topic><topic>Diabetes. Impaired glucose tolerance</topic><topic>Diabetic Neuropathies - drug therapy</topic><topic>Diabetic Neuropathies - metabolism</topic><topic>Diabetic Neuropathies - physiopathology</topic><topic>Diabetic Neuropathies - prevention &amp; control</topic><topic>Disease Models, Animal</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Female</topic><topic>GCPII inhibition</topic><topic>Glutamate Carboxypeptidase II - antagonists &amp; inhibitors</topic><topic>Glutarates - therapeutic use</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nerve Fibers, Myelinated - drug effects</topic><topic>Nerve Fibers, Myelinated - pathology</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neural Conduction - drug effects</topic><topic>Neural Conduction - radiation effects</topic><topic>Neurology</topic><topic>Nociception</topic><topic>Pain - drug therapy</topic><topic>Pain - etiology</topic><topic>Pain - metabolism</topic><topic>Pain - physiopathology</topic><topic>Pain Measurement - drug effects</topic><topic>Rats</topic><topic>Rats, Inbred BB</topic><topic>Reaction Time - drug effects</topic><topic>Reaction Time - physiology</topic><topic>Sensory diabetic neuropathy</topic><topic>Sodium-Potassium-Exchanging ATPase - metabolism</topic><topic>Sulfhydryl Compounds - therapeutic use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, W.</creatorcontrib><creatorcontrib>Murakawa, Y.</creatorcontrib><creatorcontrib>Wozniak, K.M.</creatorcontrib><creatorcontrib>Slusher, B.</creatorcontrib><creatorcontrib>Sima, A.A.F.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the neurological sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, W.</au><au>Murakawa, Y.</au><au>Wozniak, K.M.</au><au>Slusher, B.</au><au>Sima, A.A.F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The preventive and therapeutic effects of GCPII (NAALADase) inhibition on painful and sensory diabetic neuropathy</atitle><jtitle>Journal of the neurological sciences</jtitle><addtitle>J Neurol Sci</addtitle><date>2006-09-25</date><risdate>2006</risdate><volume>247</volume><issue>2</issue><spage>217</spage><epage>223</epage><pages>217-223</pages><issn>0022-510X</issn><eissn>1878-5883</eissn><coden>JNSCAG</coden><abstract>Excitotoxic glutamate release occurs in several neurological disorders. 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The data suggest that GCP II inhibition may provide a meaningful and effective approach to the treatment of painful diabetic neuropathy.</abstract><cop>Shannon</cop><pub>Elsevier B.V</pub><pmid>16780883</pmid><doi>10.1016/j.jns.2006.05.052</doi><tpages>7</tpages></addata></record>
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subjects Analysis of Variance
Animals
Associated diseases and complications
BB/Wor rat
Biological and medical sciences
Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction
Diabetes. Impaired glucose tolerance
Diabetic Neuropathies - drug therapy
Diabetic Neuropathies - metabolism
Diabetic Neuropathies - physiopathology
Diabetic Neuropathies - prevention & control
Disease Models, Animal
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Female
GCPII inhibition
Glutamate Carboxypeptidase II - antagonists & inhibitors
Glutarates - therapeutic use
Male
Medical sciences
Nerve Fibers, Myelinated - drug effects
Nerve Fibers, Myelinated - pathology
Nervous system (semeiology, syndromes)
Neural Conduction - drug effects
Neural Conduction - radiation effects
Neurology
Nociception
Pain - drug therapy
Pain - etiology
Pain - metabolism
Pain - physiopathology
Pain Measurement - drug effects
Rats
Rats, Inbred BB
Reaction Time - drug effects
Reaction Time - physiology
Sensory diabetic neuropathy
Sodium-Potassium-Exchanging ATPase - metabolism
Sulfhydryl Compounds - therapeutic use
title The preventive and therapeutic effects of GCPII (NAALADase) inhibition on painful and sensory diabetic neuropathy
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