PMID- 11273003 OWN - NLM STAT- MEDLINE DCOM- 20010329 LR - 20190513 IS - 0022-3069 (Print) IS - 0022-3069 (Linking) VI - 60 IP - 2 DP - 2001 Feb TI - Insulin-like growth factor-I and over-expression of Bcl-xL prevent glucose-mediated apoptosis in Schwann cells. PG - 147-60 AB - Schwann cells (SCs), the myelinating cells of the peripheral nervous system, are lost or damaged in patients suffering from diabetic neuropathy. In the current study, 2 model systems are used to study the mechanism of SC damage in diabetic neuropathy: the streptozotocin (STZ)-treated diabetic rat and cultures of purified SCs in vitro. Electron microscopy of dorsal root ganglia from STZ-treated rats reveals classic ultrastructural features of apoptosis in SCs, including chromatin clumping and prominent vacuolation. Bisbenzamide staining of SCs cultured in hyperglycemic defined media shows nuclear blebbing of apoptotic cells. Insulin-like growth factor-I (IGF-I) is protective. LY294002, a phosphatidylinositol 3-kinase (PI 3-kinase) inhibitor, blocks the effect of IGF-I. High glucose induces caspase cleavage in apoptotic SCs--an effect that is blocked by bok-asp-fmk (BAF), a caspase inhibitor. Although Bcl-xL expression remains unchanged in experimental conditions, over-expression of Bcl-xL protects SCs from apoptosis. In summary, hyperglycemia induces caspase activation and morphologic changes in SCs consistent with apoptotic death, both in vivo and in vitro. Over-expression of Bcl-xL, or IGF-I, signaling via PI 3-kinase, protects SCs from glucose-mediated apoptosis in vitro. IGF-I may be useful in preventing hyperglycemia-induced damage to SCs in patients suffering from diabetic neuropathy. FAU - Delaney, C L AU - Delaney CL AD - Department of Neurology, University of Michigan, Ann Arbor, USA. FAU - Russell, J W AU - Russell JW FAU - Cheng, H L AU - Cheng HL FAU - Feldman, E L AU - Feldman EL LA - eng GR - NS01938/NS/NINDS NIH HHS/United States GR - R01 NS 36778/NS/NINDS NIH HHS/United States GR - T32NS07222-17/NS/NINDS NIH HHS/United States GR - etc. PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Research Support, U.S. Gov't, P.H.S. PL - England TA - J Neuropathol Exp Neurol JT - Journal of neuropathology and experimental neurology JID - 2985192R RN - 0 (Bcl2l1 protein, rat) RN - 0 (Proto-Oncogene Proteins c-bcl-2) RN - 0 (bcl-X Protein) RN - 67763-96-6 (Insulin-Like Growth Factor I) RN - IY9XDZ35W2 (Glucose) RN - LHQ7J5KV9B (Bisbenzimidazole) SB - IM MH - Animals MH - Apoptosis/*drug effects MH - Bisbenzimidazole MH - Diabetic Neuropathies/*metabolism/*pathology MH - Ganglia, Spinal/metabolism/pathology MH - Glucose/metabolism/pharmacology MH - Insulin-Like Growth Factor I/*metabolism MH - Male MH - Microscopy, Electron MH - Proto-Oncogene Proteins c-bcl-2/metabolism MH - Rats MH - Rats, Sprague-Dawley MH - Schwann Cells/*metabolism/*pathology/ultrastructure MH - bcl-X Protein EDAT- 2001/03/29 10:00 MHDA- 2001/04/03 10:01 CRDT- 2001/03/29 10:00 PHST- 2001/03/29 10:00 [pubmed] PHST- 2001/04/03 10:01 [medline] PHST- 2001/03/29 10:00 [entrez] AID - 10.1093/jnen/60.2.147 [doi] PST - ppublish SO - J Neuropathol Exp Neurol. 2001 Feb;60(2):147-60. doi: 10.1093/jnen/60.2.147.