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      Lysophosphatidic Acid Receptor 1- and 3-Mediated Hyperalgesia and Hypoalgesia in Diabetic Neuropathic Pain Models in Mice

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          Abstract

          Lysophosphatidic acid (LPA) signaling is known to play key roles in the initiation and maintenance of various chronic pain models. Here we examined whether LPA signaling is also involved in diabetes-induced abnormal pain behaviors. The high-fat diet (HFD) showing elevation of blood glucose levels and body weight caused thermal, mechanical hyperalgesia, hypersensitivity to 2000 or 250 Hz electrical-stimulation and hyposensitivity to 5 Hz stimulation to the paw in wild-type (WT) mice. These HFD-induced abnormal pain behaviors and body weight increase, but not elevated glucose levels were abolished in LPA 1 −/− and LPA 3 −/− mice. Repeated daily intrathecal (i.t.) treatments with LPA 1/3 antagonist AM966 reversed these abnormal pain behaviors. Similar abnormal pain behaviors and their blockade by daily AM966 (i.t.) or twice daily Ki16425, another LPA 1/3 antagonist was also observed in db/db mice which show high glucose levels and body weight. Furthermore, streptozotocin-induced similar abnormal pain behaviors, but not elevated glucose levels or body weight loss were abolished in LPA 1 −/− and LPA 3 −/− mice. These results suggest that LPA 1 and LPA 3 play key roles in the development of both type I and type II diabetic neuropathic pain.

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          Most cited references58

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          Ethical guidelines for investigations of experimental pain in conscious animals.

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            Intrathecal morphine in mice: a new technique.

            A simple, rapid technique for intrathecal injections by lumbar puncture in unanesthetized mice is described. Intrathecal [3H]morphine base was not found in significant quantities in either the midbrain or forebrain. Submicrogram quantities of morphine sulfate induced Straub tail response and tail-flick analgesia. These effects were dose related and antagonized by subcutaneous naloxone.
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              Epidemiology of Peripheral Neuropathy and Lower Extremity Disease in Diabetes

              Purpose of Review: Diabetic peripheral neuropathy eventually affects nearly 50% of adults with diabetes during their lifetime, and is associated with substantial morbidity including pain, foot ulcers, and lower limb amputation. This review summarizes the epidemiology, risk factors, and management of diabetic peripheral neuropathy and related lower extremity complications. Recent Findings: The prevalence of peripheral neuropathy is estimated to be between 6% and 51% among adults with diabetes depending on age, duration of diabetes, glucose control, and type 1 versus type 2 diabetes. The clinical manifestations are variable, ranging from asymptomatic to painful neuropathic symptoms. Because of the risk of foot ulcer (25%) and amputation associated with diabetic peripheral neuropathy, aggressive screening and treatment in the form of glycemic control, regular foot exams, and pain management are important. There is an emerging focus on lifestyle interventions including weight loss and physical activity as well. Summary: The American Diabetes Association has issued multiple recommendation statements pertaining to diabetic neuropathies and the care of the diabetic foot. Given that approximately 50% of adults with diabetes will be affected by peripheral neuropathy in their lifetime, more diligent screening and management are important to reduce the complications and health care burden associated with the disease.
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                Author and article information

                Journal
                Cells
                Cells
                cells
                Cells
                MDPI
                2073-4409
                16 August 2020
                August 2020
                : 9
                : 8
                : 1906
                Affiliations
                [1 ]Department of Molecular Pharmacology, Kyoto University Graduate School of Pharmaceutical Sciences, Yoshida Shimoadachi-cho, Sakyo-ku, Kyoto 606-8501, Japan
                [2 ]RIKEN Center for Biosystems Dynamics Research, Kobe 650-0047, Japan; hiroyuki.neyama@ 123456riken.jp
                [3 ]Division of Genome Medicine, Institute of Advanced Medical Sciences, Tokushima University, Tokushim 770-8501, Japan; y-matsushita@ 123456genome.tokushima-u.ac.jp
                Author notes
                [* ]Correspondence: ueda.hiroshi.8e@ 123456kyoto-u.ac.jp ; Tel.: +81-75-753-4536
                Author information
                https://orcid.org/0000-0002-8002-0137
                https://orcid.org/0000-0003-3351-9813
                Article
                cells-09-01906
                10.3390/cells9081906
                7465054
                32824296
                046ff543-6827-447e-982a-c312326d7dbc
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 21 July 2020
                : 13 August 2020
                Categories
                Article

                hypoalgesia,lysophosphatidic acid receptor,streptozotocin,high-fat diet,leptin receptor,pathogenic

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