Whereas the important role of
free radicals in diabetes-associated complications is well established, the contributions of the highly reactive
oxidant peroxynitrite have not been properly explored. The present study used a pharmacological approach to evaluate the role of
peroxynitrite in peripheral
diabetic neuropathy. Control and STZ-diabetic mice were maintained with or without treatment with the potent
peroxynitrite decomposition catalyst Fe(III) tetramesitylporphyrin octasulfonate (
FeTMPS), at doses of 5 or 10 mg/kg/day in the
drinking water for 3 weeks after an initial 3 weeks without treatment. Mice with a 6-week duration of diabetes developed clearly manifest motor (MNCV) and sensory nerve conduction velocity (SNCV) deficits, thermal hypoalgesia (paw withdrawal, tail-flick, and hot plate tests), mechanical hypoalgesia (tail pressure Randall-Sellito test),
tactile allodynia (flexible von Frey filament test), and approximately 44% loss of intraepidermal nerve fibers. They also had increased
nitrotyrosine and
poly(ADP-ribose) immunofluorescence in sciatic nerve, grey matter of the spinal cord, and dorsal root ganglion neurons.
FeTMPS treatment alleviated or essentially corrected (at a dose of 10 mg/kg/day) MNCV and SNCV deficits, and was associated with less severe small sensory nerve fiber dysfunction and degeneration.
Nitrotyrosine and
poly(ADP-ribose) immunofluorescence in sciatic nerve, spinal cord, and dorsal root ganglion neurons in
peroxynitrite decomposition catalyst-treated diabetic mice was markedly reduced. In conclusion,
peroxynitrite contributes to large motor, large sensory, and small sensory fiber neuropathy in
streptozotocin-diabetic mice. The findings provide rationale for development of potent
peroxynitrite decomposition catalysts for the treatment of
diabetic neuropathy.