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. 2015 Oct 15:414:64-72.
doi: 10.1016/j.mce.2015.07.014. Epub 2015 Jul 17.

Granulocyte-colony stimulating factor as a treatment for diabetic neuropathy in rat

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Granulocyte-colony stimulating factor as a treatment for diabetic neuropathy in rat

Kyung-Soo Kim et al. Mol Cell Endocrinol. .

Abstract

Effective treatment of diabetic neuropathy (DN) remains unsolved. We serendipitously observed dramatic relief of pain in several patients with painful DN receiving granulocyte-colony stimulating factor (G-CSF). The aim of this study was to determine if G-CSF could treat DN in an animal model and to ascertain its mechanism of action. In a rodent model of DN, G-CSF dramatically recovered nerve function, retarded histological nerve changes and increased the expression of neurotrophic factors within nerve. A sex-mismatched bone marrow transplantation (BMT) study revealed that G-CSF treatment increased the abundance of bone marrow (BM)-derived cells in nerves damaged by DN. However, we did not observe evidence of transdifferentiation or cell fusion of BM-derived cells. The beneficial effects of G-CSF were dependent on the integrity of BM. In conclusion, G-CSF produced a therapeutic effect in a rodent model of DN, which was attributed, at least in part, to the actions of BM-derived cells.

Keywords: Bone marrow-derived cells; Diabetic neuropathy; Granulocyte-colony stimulating factor.

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