Sciatic nerve microvascular permeability in type 2 diabetes decreased in patients with neuropathy.


Journal

Annals of clinical and translational neurology
ISSN: 2328-9503
Titre abrégé: Ann Clin Transl Neurol
Pays: United States
ID NLM: 101623278

Informations de publication

Date de publication:
06 2022
Historique:
revised: 04 04 2022
received: 14 03 2022
accepted: 08 04 2022
pubmed: 1 5 2022
medline: 15 6 2022
entrez: 30 4 2022
Statut: ppublish

Résumé

Clinical and histological studies have found evidence that nerve ischemia is a major contributor to diabetic neuropathy (DN) in type 2 diabetes (T2D). The aim of this study was to investigate peripheral nerve microvascular permeability using dynamic contrast enhanced (DCE) magnetic resonance neurography (MRN) to analyze potential correlations with clinical, electrophysiological, and demographic data. Sixty-five patients (35/30 with/without DN) and 10 controls matched for age and body mass index (BMI) underwent DCE MRN of the distal sciatic nerve with an axial T1-weighted sequence. Microvascular permeability (K K This study is the first to find associations of MR nerve perfusion parameters with clinical and electrophysiological parameters related to DN in T2D. The results indicate that a decrease in microvascular permeability but not plasma volume may result in nerve ischemia that subsequently causes demyelination.

Identifiants

pubmed: 35488789
doi: 10.1002/acn3.51563
pmc: PMC9186151
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

830-840

Informations de copyright

© 2022 The Authors. Annals of Clinical and Translational Neurology published by Wiley Periodicals LLC on behalf of American Neurological Association.

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Auteurs

Johann M E Jende (JME)

Department of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.

Christoph Mooshage (C)

Department of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.

Zoltan Kender (Z)

Department of Endocrinology, Diabetology and Clinical Chemistry (Internal Medicine 1), Heidelberg University Hospital, Heidelberg, Germany.

Lukas Schimpfle (L)

Department of Endocrinology, Diabetology and Clinical Chemistry (Internal Medicine 1), Heidelberg University Hospital, Heidelberg, Germany.

Alexander Juerchott (A)

Department of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.

Sabine Heiland (S)

Division of Experimental Radiology, Department of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.

Peter Nawroth (P)

Department of Endocrinology, Diabetology and Clinical Chemistry (Internal Medicine 1), Heidelberg University Hospital, Heidelberg, Germany.

Martin Bendszus (M)

Department of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.

Stefan Kopf (S)

Department of Endocrinology, Diabetology and Clinical Chemistry (Internal Medicine 1), Heidelberg University Hospital, Heidelberg, Germany.
German Center of Diabetes Research, associated partner in the DZD, München-Neuherberg, Germany.

Felix T Kurz (FT)

Department of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Division of Radiology, German Cancer Research Center, Heidelberg, Germany.

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Classifications MeSH