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American Journal of Pathology, Vol 103, 210-225, Copyright © 1981 by American Society for Investigative Pathology


REGULAR ARTICLES

Experimental diabetic autonomic neuropathy

RE Schmidt, JS Nelson and EM Johnson Jr

The regular occurrence of autonomic neuropathy, colonic dilatation, and loss of fecal consistency was investigated in streptozotocin-diabetic, age-matched control, and pancreatic-islet--transplanted rats using ultrastructural, histochemical, and biochemical methods. Degenerating unmyelinated axons were observed by electron microscopy in the colonic submucosa and muscularis, ileal mesentery, and splenic pedicle in 5--7 months diabetic animals; similar changes were not found in control rats or animals subjected to islet transplantation three weeks after induction of diabetes and sacrificed 4--6 months later (colon only). Regenerative changes, including axons with identifiable growth cones, were demonstrated in the mesenteric nerves of chronically diabetic animals. Formaldehyde-induced catecholamine fluorescence and cholinesterase histochemistry suggested deficiencies in colonic adrenergic and cholinergic innervation; histochemical findings in islet- transplanted animals were comparable to those of untreated control animals. Biochemical measurements of the adrenergic and cholinergic nervous system marker enzymes dopamine-beta-hydroxylase and choline acetyltransferase, respectively, in colon and spleen confirm a deficit in adrenergic (colon and spleen) and cholinergic (colon) innervation in chronically diabetic animals.


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R. E. Schmidt, D. A. Dorsey, L. N. Beaudet, K. E. Frederick, C. A. Parvin, S. B. Plurad, and M. G. Levisetti
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R. E. Schmidt, D. A. Dorsey, L. N. Beaudet, S. B. Plurad, C. A. Parvin, and M. S. Miller
Insulin-like Growth Factor I Reverses Experimental Diabetic Autonomic Neuropathy
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[Abstract] [Full Text] [PDF]




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Copyright © 1981 by the American Society for Investigative Pathology.