Clinical observations suggest a sex-dimorphism in the incidence and symptomatology of
diabetic neuropathy, but this possible gender effect has never been investigated in detail in a well-characterized experimental model such as
streptozotocin (STZ)-induced diabetes. Therefore, in this study we have compared with a multimodal set of tests the impact of diabetes on the sciatic nerve in male and female rats. To assess whether sex-dimorphism in peripheral
diabetic neuropathy is dependent on
gonadal hormones we have also analyzed the effect of
ovariectomy and
orchidectomy on the sciatic nerve of STZ-diabetic rats. Nerve conduction velocity (NCV), Na(+),K(+)-
ATPase activity, expression of
myelin proteins, thermal sensitivity and
reactive oxygen species production were similarly affected in male and female animals by STZ. However,
ovariectomy, but not
orchidectomy, significantly counteracted STZ-induced alterations on NCV, Na(+),K(+)-
ATPase activity, and expression of
myelin proteins. This effect of ovariactomy was associated to an increase in the levels of
neuroactive steroids, such as
dehydroepiandrosterone,
testosterone and
dihydrotestosterone, in the sciatic nerve of diabetic rats. These
neuroactive steroids have been demonstrated to be
protective agents in this experimental model of
diabetic neuropathy. However, their efficacy has been so far tested only in male animals. Therefore, the present data might represent an important background to evaluate their efficacy also in female diabetic animals.