Skip to main content
Erschienen in: Diabetologia 11/2006

01.11.2006 | Article

Degeneration of the Golgi and neuronal loss in dorsal root ganglia in diabetic BioBreeding/Worcester rats

verfasst von: H. Kamiya, W. Zhang, A. A. F. Sima

Erschienen in: Diabetologia | Ausgabe 11/2006

Einloggen, um Zugang zu erhalten

Abstract

Aims/hypothesis

The aim of this study was to evaluate the nature and extent of neuronal loss in dorsal root ganglia (DRG) in diabetic polyneuropathy.

Materials and methods

We examined 10-month diabetic BioBreeding/Worcester (BB/Wor) rats with respect to DRG ultrastructure and morphometry, sural nerve morphometry, pro- and anti-apoptotic proteins, the expression of neurotrophic factors and their receptors, and sensory nerve functions.

Results

In diabetic rats, DRG neurons decreased to 73% of normal, owing to loss of substance P and calcitonin gene-related peptide-positive neurons. Levels of pro-apoptotic active caspase-3, Bax and low-affinity nerve growth factor (NGF) were increased in DRG. The concentration of anti-apoptotic heat shock protein (HSP) 70 in DRG was decreased, whereas concentrations of Bcl-xl and HSP27 were unaltered. Levels of poly(ADP-ribose) polymerase (PARP) and cleaved PARP were unaltered. Levels of NGF in sciatic nerve and concentrations of the high-affinity NGF receptor, insulin receptor and IGF-I receptor in DRG were significantly decreased. Sensory nerve conduction velocity decreased to 78% of normal. Hyperalgesia increased up to 6 months. Myelinated and unmyelinated fibre numbers of the sural nerve were significantly decreased in diabetic rats. DRG examinations revealed no evidence of apoptosis, mitochondrial changes or abnormalities of the endoplasmic reticulum. Instead, neurons demonstrated progressive vacuolar degenerative changes of the Golgi apparatus, with fragmentation and formation of large cytoplasmic vacuoles. These data show that sustained apoptotic stress is present in DRG of chronically diabetic BB/Wor rats, but fails to proceed to apoptotic cell death.

Conclusions/interpretation

Progressive DRG neuronal loss, particularly of small neurons, occurs in the type 1 diabetic BB/Wor rat. This is associated with neurotrophic withdrawal and progressive degeneration of the Golgi apparatus.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Sima AAF (2003) New insights into the metabolic and molecular basis for diabetic neuropathy. Cell Mol Life Sci 60:2445–2464PubMedCrossRef Sima AAF (2003) New insights into the metabolic and molecular basis for diabetic neuropathy. Cell Mol Life Sci 60:2445–2464PubMedCrossRef
2.
Zurück zum Zitat Scott JN, Clark AW, Zochodne DW (1999) Neurofilament and tubulin gene expression in progressive experimental diabetes: failure of synthesis and export by neurons. Brain 122:2109–2117PubMedCrossRef Scott JN, Clark AW, Zochodne DW (1999) Neurofilament and tubulin gene expression in progressive experimental diabetes: failure of synthesis and export by neurons. Brain 122:2109–2117PubMedCrossRef
3.
Zurück zum Zitat Tomlinson DR, Fernyhough P (2000) Neurotrophism in diabetic neuropathy. In: Sima AAF (ed.) Frontiers in animal diabetes research. Chronic complications in diabetes. Harwood Academic, Amsterdam, pp 167–182 Tomlinson DR, Fernyhough P (2000) Neurotrophism in diabetic neuropathy. In: Sima AAF (ed.) Frontiers in animal diabetes research. Chronic complications in diabetes. Harwood Academic, Amsterdam, pp 167–182
4.
Zurück zum Zitat Huang TJ, Price SA, Chilton L et al (2003) Insulin prevents depolarization of the mitochondrial inner membrane in sensory neurons of type 1 diabetic rats in the presence of sustained hyperglycemia. Diabetes 52:2129–2136PubMed Huang TJ, Price SA, Chilton L et al (2003) Insulin prevents depolarization of the mitochondrial inner membrane in sensory neurons of type 1 diabetic rats in the presence of sustained hyperglycemia. Diabetes 52:2129–2136PubMed
5.
Zurück zum Zitat Sayers NM, Beswick LJ, Middlemas A et al (2003) Neurotrophin-3 prevents the proximal accumulation of neurofilament proteins in sensory neurons of streptozocin-induced diabetic rats. Diabetes 52:2372–2780PubMed Sayers NM, Beswick LJ, Middlemas A et al (2003) Neurotrophin-3 prevents the proximal accumulation of neurofilament proteins in sensory neurons of streptozocin-induced diabetic rats. Diabetes 52:2372–2780PubMed
6.
Zurück zum Zitat Brussee V, Cunningham FA, Zochodne DW (2004) Direct insulin signaling of neurons reverses diabetic neuropathy. Diabetes 53:1824–1830PubMed Brussee V, Cunningham FA, Zochodne DW (2004) Direct insulin signaling of neurons reverses diabetic neuropathy. Diabetes 53:1824–1830PubMed
7.
Zurück zum Zitat Kamiya H, Zhang W, Sima AAF (2004) C-peptide prevents nociceptive sensory neuropathy in type 1 diabetes. Ann Neurol 56:827–835PubMedCrossRef Kamiya H, Zhang W, Sima AAF (2004) C-peptide prevents nociceptive sensory neuropathy in type 1 diabetes. Ann Neurol 56:827–835PubMedCrossRef
8.
Zurück zum Zitat Sima AAF, Kamiya H (2004) Insulin, C-peptide and diabetic neuropathy. Sci Med 10:308–319 Sima AAF, Kamiya H (2004) Insulin, C-peptide and diabetic neuropathy. Sci Med 10:308–319
9.
Zurück zum Zitat Russell JW, Sullivan KA, Windebank AJ, Herrmann DN, Feldman EL (1999) Neurons undergo apoptosis in animal and cell culture models of diabetes. Neurobiol Dis 6:347–363PubMedCrossRef Russell JW, Sullivan KA, Windebank AJ, Herrmann DN, Feldman EL (1999) Neurons undergo apoptosis in animal and cell culture models of diabetes. Neurobiol Dis 6:347–363PubMedCrossRef
10.
Zurück zum Zitat Srinivasan S, Stevens M, Wiley JW (2000) Diabetic peripheral neuropathy: evidence for apoptosis and associated mitochondrial dysfunction. Diabetes 49:1932–1938PubMed Srinivasan S, Stevens M, Wiley JW (2000) Diabetic peripheral neuropathy: evidence for apoptosis and associated mitochondrial dysfunction. Diabetes 49:1932–1938PubMed
11.
Zurück zum Zitat Schmeichel AM, Schmetzer JD, Low PA (2003) Oxidative injury and apoptosis of dorsal root ganglion neurons in chronic experimental diabetic neuropathy. Diabetes 52:165–171PubMed Schmeichel AM, Schmetzer JD, Low PA (2003) Oxidative injury and apoptosis of dorsal root ganglion neurons in chronic experimental diabetic neuropathy. Diabetes 52:165–171PubMed
12.
Zurück zum Zitat Yagihashi S, Kamijo M, Ido Y, Mirrlees DJ (1990) Effects of long-term aldose reductase inhibition on development of experimental diabetic neuropathy. Ultrastructural and morphometric studies of sural nerve in streptozocin-induced diabetic rats. Diabetes 39:690–696PubMed Yagihashi S, Kamijo M, Ido Y, Mirrlees DJ (1990) Effects of long-term aldose reductase inhibition on development of experimental diabetic neuropathy. Ultrastructural and morphometric studies of sural nerve in streptozocin-induced diabetic rats. Diabetes 39:690–696PubMed
13.
Zurück zum Zitat Zochodne DW, Verge VM, Cheng C, Sun H, Johnston J (2001) Does diabetes target ganglion neurones? Progressive sensory neurone involvement in long-term experimental diabetes. Brain 124:2319–2334PubMedCrossRef Zochodne DW, Verge VM, Cheng C, Sun H, Johnston J (2001) Does diabetes target ganglion neurones? Progressive sensory neurone involvement in long-term experimental diabetes. Brain 124:2319–2334PubMedCrossRef
14.
Zurück zum Zitat Kishi M, Tanabe J, Schmelzer JD, Low PA (2002) Morphometry of dorsal root ganglion in chronic experimental diabetic neuropathy. Diabetes 51:819–824PubMed Kishi M, Tanabe J, Schmelzer JD, Low PA (2002) Morphometry of dorsal root ganglion in chronic experimental diabetic neuropathy. Diabetes 51:819–824PubMed
15.
Zurück zum Zitat Kamiya H, Zhang W, Sima AAF (2005) Apoptotic stress is counterbalanced by survival elements preventing programmed cell death of DRGs in subacute type 1 diabetic BB/Wor-rats. Diabetes 54:3288–3295PubMed Kamiya H, Zhang W, Sima AAF (2005) Apoptotic stress is counterbalanced by survival elements preventing programmed cell death of DRGs in subacute type 1 diabetic BB/Wor-rats. Diabetes 54:3288–3295PubMed
16.
Zurück zum Zitat Mordes JP, Bortell R, Groen H, Guberski D, Rossini AA, Greiner DL (2001) Autoimmune diabetes mellitus in the BB rat. In: Sima AAF, Shafrir E (eds) Animal models of diabetes. Harwood Academic, Amsterdam, pp 1–42 Mordes JP, Bortell R, Groen H, Guberski D, Rossini AA, Greiner DL (2001) Autoimmune diabetes mellitus in the BB rat. In: Sima AAF, Shafrir E (eds) Animal models of diabetes. Harwood Academic, Amsterdam, pp 1–42
17.
Zurück zum Zitat Sima AAF, Bouchier M, Christensen H (1983) Axonal atrophy in sensory nerves of the diabetic BB–Wistar rat, a possible early correlate of human diabetic neuropathy. Ann Neurol 13:264–272PubMedCrossRef Sima AAF, Bouchier M, Christensen H (1983) Axonal atrophy in sensory nerves of the diabetic BB–Wistar rat, a possible early correlate of human diabetic neuropathy. Ann Neurol 13:264–272PubMedCrossRef
18.
Zurück zum Zitat Kamiya H, Zhang W, Sima AAF (2005) Unmyelinated fiber sensory neuropathy differs in type 1 and type 2 diabetes. Diabetes Metab Res Rev 21:448–458PubMedCrossRef Kamiya H, Zhang W, Sima AAF (2005) Unmyelinated fiber sensory neuropathy differs in type 1 and type 2 diabetes. Diabetes Metab Res Rev 21:448–458PubMedCrossRef
19.
Zurück zum Zitat Sima AAF, Ristic H, Merry A et al (1996) Primary preventive and secondary interventionary effects of acetyl-l-carnitine on diabetic neuropathy in the Bio-breeding Worcester rat. J Clin Invest 97:1900–1907PubMedCrossRef Sima AAF, Ristic H, Merry A et al (1996) Primary preventive and secondary interventionary effects of acetyl-l-carnitine on diabetic neuropathy in the Bio-breeding Worcester rat. J Clin Invest 97:1900–1907PubMedCrossRef
20.
Zurück zum Zitat Sima AAF, Sugimoto K (1999) Experimental diabetic neuropathy: an update. Diabetologia 42:773–788PubMedCrossRef Sima AAF, Sugimoto K (1999) Experimental diabetic neuropathy: an update. Diabetologia 42:773–788PubMedCrossRef
21.
Zurück zum Zitat Farquhar MG, Palade GE (1998) The Golgi apparatus: 100 years of progress and controversy. Trends Cell Biol 8:2–10PubMedCrossRef Farquhar MG, Palade GE (1998) The Golgi apparatus: 100 years of progress and controversy. Trends Cell Biol 8:2–10PubMedCrossRef
22.
Zurück zum Zitat Rios RM, Bornens M (2003) The Golgi apparatus at the cell centre. Curr Opin Cell Biol 15:60–66PubMedCrossRef Rios RM, Bornens M (2003) The Golgi apparatus at the cell centre. Curr Opin Cell Biol 15:60–66PubMedCrossRef
24.
Zurück zum Zitat Ferri KF, Kroemer G (2001) Organelle-specific initiation of cell death pathways. Nat Cell Biol 3:E255–E263PubMedCrossRef Ferri KF, Kroemer G (2001) Organelle-specific initiation of cell death pathways. Nat Cell Biol 3:E255–E263PubMedCrossRef
25.
Zurück zum Zitat Arvan P, Zhao X, Ramos-Castaneda J, Chang A (2002) Secretory pathway quality control operating in Golgi, plasmalemmal, and endosomal systems. Traffic 3:771–780PubMedCrossRef Arvan P, Zhao X, Ramos-Castaneda J, Chang A (2002) Secretory pathway quality control operating in Golgi, plasmalemmal, and endosomal systems. Traffic 3:771–780PubMedCrossRef
26.
Zurück zum Zitat Hicks SW, Machamer CE (2005) Golgi structure in stress sensing and apoptosis. Biochim Biophys Acta 1744:406–414PubMedCrossRef Hicks SW, Machamer CE (2005) Golgi structure in stress sensing and apoptosis. Biochim Biophys Acta 1744:406–414PubMedCrossRef
27.
Zurück zum Zitat Mancini M, Machamer CE, Roy S et al (2000) Caspase-2 is localized at the Golgi complex and cleaves golgin-160 during apoptosis. J Cell Biol 149:603–612PubMedCrossRef Mancini M, Machamer CE, Roy S et al (2000) Caspase-2 is localized at the Golgi complex and cleaves golgin-160 during apoptosis. J Cell Biol 149:603–612PubMedCrossRef
28.
Zurück zum Zitat Jones SJ, Ledgerwood EC, Prins JB et al (1999) TNF recruits TRADD to the plasma membrane but not the trans-Golgi network, the principal subcellular location of TNF-R1. J Immunol 162:1042–1048PubMed Jones SJ, Ledgerwood EC, Prins JB et al (1999) TNF recruits TRADD to the plasma membrane but not the trans-Golgi network, the principal subcellular location of TNF-R1. J Immunol 162:1042–1048PubMed
29.
Zurück zum Zitat Bennett M, Macdonald K, Chan SW, Luzio JP, Simari R, Weissberg P (1998) Cell surface trafficking of Fas: a rapid mechanism of p53-mediated apoptosis. Science 282:290–293PubMedCrossRef Bennett M, Macdonald K, Chan SW, Luzio JP, Simari R, Weissberg P (1998) Cell surface trafficking of Fas: a rapid mechanism of p53-mediated apoptosis. Science 282:290–293PubMedCrossRef
30.
Zurück zum Zitat Recio-Pinto E, Rechler MM, Ishii DN (1986) Effects of insulin, insulin-like growth factor-II, and nerve growth factor on neurite formation and survival in cultured sympathetic and sensory neurons. J Neurosci 6:1211–1219PubMed Recio-Pinto E, Rechler MM, Ishii DN (1986) Effects of insulin, insulin-like growth factor-II, and nerve growth factor on neurite formation and survival in cultured sympathetic and sensory neurons. J Neurosci 6:1211–1219PubMed
31.
Zurück zum Zitat Pierson CR, Zhang W, Sima AAF (2003) Proinsulin C-peptide replacement in type 1 diabetic BB/Wor-rats prevents deficits in nerve fiber regeneration. J Neuropathol Exp Neurol 62:765–779PubMed Pierson CR, Zhang W, Sima AAF (2003) Proinsulin C-peptide replacement in type 1 diabetic BB/Wor-rats prevents deficits in nerve fiber regeneration. J Neuropathol Exp Neurol 62:765–779PubMed
32.
Zurück zum Zitat Cheng C, Zochodne DW (2003) Sensory neurons with activated caspase-3 survive long-term experimental diabetes. Diabetes 52:2363–2371PubMed Cheng C, Zochodne DW (2003) Sensory neurons with activated caspase-3 survive long-term experimental diabetes. Diabetes 52:2363–2371PubMed
33.
Zurück zum Zitat Burnand RC, Price SA, McElhaney M, Barker D, Tomlinson DR (2004) Expression of axotomy-inducible and apoptosis-related genes in sensory nerves of rats with experimental diabetes. Brain Res Mol Brain Res 132:235–240PubMedCrossRef Burnand RC, Price SA, McElhaney M, Barker D, Tomlinson DR (2004) Expression of axotomy-inducible and apoptosis-related genes in sensory nerves of rats with experimental diabetes. Brain Res Mol Brain Res 132:235–240PubMedCrossRef
34.
Zurück zum Zitat Lewis SE, Mannion RJ, White FA et al (1999) A role for HSP27 in sensory neuron survival. J Neurosci 19:8945–8953PubMed Lewis SE, Mannion RJ, White FA et al (1999) A role for HSP27 in sensory neuron survival. J Neurosci 19:8945–8953PubMed
35.
Zurück zum Zitat Benn SC, Perrelet D, Kato AC et al (2002) Hsp27 upregulation and phosphorylation is required for injured sensory and motor neuron survival. Neuron 36:45–56PubMedCrossRef Benn SC, Perrelet D, Kato AC et al (2002) Hsp27 upregulation and phosphorylation is required for injured sensory and motor neuron survival. Neuron 36:45–56PubMedCrossRef
36.
Zurück zum Zitat Mehlen P, Schulze-Osthoff K, Arrigo AP (1996) Small stress proteins as novel regulators of apoptosis. Heat shock protein 27 blocks Fas/APO-1- and staurosporine-induced cell death. J Biol Chem 271:16510–16514PubMedCrossRef Mehlen P, Schulze-Osthoff K, Arrigo AP (1996) Small stress proteins as novel regulators of apoptosis. Heat shock protein 27 blocks Fas/APO-1- and staurosporine-induced cell death. J Biol Chem 271:16510–16514PubMedCrossRef
37.
Zurück zum Zitat Greenbaum D, Richardson PC, Salmon MW, Urich H (1964) Pathologic aberrations on six cases of diabetic neuropathy. Brain 87:201–214PubMed Greenbaum D, Richardson PC, Salmon MW, Urich H (1964) Pathologic aberrations on six cases of diabetic neuropathy. Brain 87:201–214PubMed
38.
Zurück zum Zitat Sima AAF, Zhang W, Li ZG, Murakawa Y, Pierson CR (2004) Molecular alterations underlie nodal and paranodal degeneration in type 1 diabetic neuropathy and are prevented by C-peptide. Diabetes 53:1556–1563PubMed Sima AAF, Zhang W, Li ZG, Murakawa Y, Pierson CR (2004) Molecular alterations underlie nodal and paranodal degeneration in type 1 diabetic neuropathy and are prevented by C-peptide. Diabetes 53:1556–1563PubMed
39.
Zurück zum Zitat Ishii DN (1995) Implication of insulin-like growth factors in the pathogenesis of diabetic neuropathy. Brain Res Brain Res Rev 20:47–67PubMedCrossRef Ishii DN (1995) Implication of insulin-like growth factors in the pathogenesis of diabetic neuropathy. Brain Res Brain Res Rev 20:47–67PubMedCrossRef
40.
Zurück zum Zitat Zhuang HX, Wuarin L, Fei ZJ, Ishii DN (1997) Insulin-like growth factor (IGF) gene expression is reduced in neural tissues and liver from rats with non-insulin-dependent diabetes mellitus, and IGF treatment ameliorates diabetic neuropathy. J Pharmacol Exp Ther 283:366–374PubMed Zhuang HX, Wuarin L, Fei ZJ, Ishii DN (1997) Insulin-like growth factor (IGF) gene expression is reduced in neural tissues and liver from rats with non-insulin-dependent diabetes mellitus, and IGF treatment ameliorates diabetic neuropathy. J Pharmacol Exp Ther 283:366–374PubMed
41.
Zurück zum Zitat Xu G, Pierson CR, Murakawa Y, Sima AAF (2002) Altered tubulin and neurofilament expression and impaired axonal growth in diabetic nerve regeneration. J Neuropathol Exp Neurol 61:164–175PubMed Xu G, Pierson CR, Murakawa Y, Sima AAF (2002) Altered tubulin and neurofilament expression and impaired axonal growth in diabetic nerve regeneration. J Neuropathol Exp Neurol 61:164–175PubMed
42.
Zurück zum Zitat Pierson CR, Zhang W, Murakawa Y, Sima AAF (2002) Early gene responses of trophic factors in nerve regeneration differ in experimental type 1 and type 2 diabetic polyneuropathies. J Neuropathol Exp Neurol 61:857–871PubMed Pierson CR, Zhang W, Murakawa Y, Sima AAF (2002) Early gene responses of trophic factors in nerve regeneration differ in experimental type 1 and type 2 diabetic polyneuropathies. J Neuropathol Exp Neurol 61:857–871PubMed
43.
Zurück zum Zitat Li ZG, Zhang W, Sima AAF (2003) C-peptide enhances insulin-mediated cell growth and protection against high glucose-induced apoptosis in SH-SY5Y cells. Diabetes Metab Res Rev 19:375–385PubMedCrossRef Li ZG, Zhang W, Sima AAF (2003) C-peptide enhances insulin-mediated cell growth and protection against high glucose-induced apoptosis in SH-SY5Y cells. Diabetes Metab Res Rev 19:375–385PubMedCrossRef
44.
Zurück zum Zitat Averill S, McMahon SB, Clary DO, Reichardt LF, Priestley JV (1995) Immunocytochemical localization of trkA receptors in chemically identified subgroups of adult rat sensory neurons. Eur J Neurosci 7:1484–1494PubMedCrossRef Averill S, McMahon SB, Clary DO, Reichardt LF, Priestley JV (1995) Immunocytochemical localization of trkA receptors in chemically identified subgroups of adult rat sensory neurons. Eur J Neurosci 7:1484–1494PubMedCrossRef
45.
Zurück zum Zitat Sugimoto K, Murakawa Y, Sima AAF (2002) Expression and localization of insulin receptor in rat dorsal root ganglion and spinal cord. J Peripher Nerv Syst 7:44–53PubMedCrossRef Sugimoto K, Murakawa Y, Sima AAF (2002) Expression and localization of insulin receptor in rat dorsal root ganglion and spinal cord. J Peripher Nerv Syst 7:44–53PubMedCrossRef
46.
Zurück zum Zitat Wright DE, Snider WD (1995) Neurotrophin receptor mRNA expression defines distinct populations of neurons in rat dorsal root ganglia. J Comp Neurol 351:329–338PubMedCrossRef Wright DE, Snider WD (1995) Neurotrophin receptor mRNA expression defines distinct populations of neurons in rat dorsal root ganglia. J Comp Neurol 351:329–338PubMedCrossRef
47.
Zurück zum Zitat Singleton JR, Smith AG, Bromberg MB (2001) Increased prevalence of impaired glucose tolerance in patients with painful sensory neuropathy. Diabetes Care 24:1448–1453PubMed Singleton JR, Smith AG, Bromberg MB (2001) Increased prevalence of impaired glucose tolerance in patients with painful sensory neuropathy. Diabetes Care 24:1448–1453PubMed
48.
Zurück zum Zitat Novella SP, Inzucchi SE, Goldstein JM (2001) The frequency of undiagnosed diabetes and impaired glucose tolerance in patients with idiopathic sensory neuropathy. Muscle Nerve 24:1229–1231PubMedCrossRef Novella SP, Inzucchi SE, Goldstein JM (2001) The frequency of undiagnosed diabetes and impaired glucose tolerance in patients with idiopathic sensory neuropathy. Muscle Nerve 24:1229–1231PubMedCrossRef
49.
Zurück zum Zitat Murakawa Y, Zhang W, Pierson CR et al (2002) Impaired glucose tolerance and insulinopenia in the GK-rat causes peripheral neuropathy. Diabetes Metab Res Rev 18:473–483PubMedCrossRef Murakawa Y, Zhang W, Pierson CR et al (2002) Impaired glucose tolerance and insulinopenia in the GK-rat causes peripheral neuropathy. Diabetes Metab Res Rev 18:473–483PubMedCrossRef
Metadaten
Titel
Degeneration of the Golgi and neuronal loss in dorsal root ganglia in diabetic BioBreeding/Worcester rats
verfasst von
H. Kamiya
W. Zhang
A. A. F. Sima
Publikationsdatum
01.11.2006
Verlag
Springer-Verlag
Erschienen in
Diabetologia / Ausgabe 11/2006
Print ISSN: 0012-186X
Elektronische ISSN: 1432-0428
DOI
https://doi.org/10.1007/s00125-006-0379-0

Weitere Artikel der Ausgabe 11/2006

Diabetologia 11/2006 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Costims – das nächste heiße Ding in der Krebstherapie?

28.05.2024 Onkologische Immuntherapie Nachrichten

„Kalte“ Tumoren werden heiß – CD28-kostimulatorische Antikörper sollen dies ermöglichen. Am besten könnten diese in Kombination mit BiTEs und Checkpointhemmern wirken. Erste klinische Studien laufen bereits.

Perioperative Checkpointhemmer-Therapie verbessert NSCLC-Prognose

28.05.2024 NSCLC Nachrichten

Eine perioperative Therapie mit Nivolumab reduziert das Risiko für Rezidive und Todesfälle bei operablem NSCLC im Vergleich zu einer alleinigen neoadjuvanten Chemotherapie um über 40%. Darauf deuten die Resultate der Phase-3-Studie CheckMate 77T.

Positiver FIT: Die Ursache liegt nicht immer im Dickdarm

27.05.2024 Blut im Stuhl Nachrichten

Immunchemischer Stuhltest positiv, Koloskopie negativ – in solchen Fällen kann die Blutungsquelle auch weiter proximal sitzen. Ein Forschungsteam hat nachgesehen, wie häufig und in welchen Lokalisationen das der Fall ist.

GLP-1-Agonisten können Fortschreiten diabetischer Retinopathie begünstigen

24.05.2024 Diabetische Retinopathie Nachrichten

Möglicherweise hängt es von der Art der Diabetesmedikamente ab, wie hoch das Risiko der Betroffenen ist, dass sich sehkraftgefährdende Komplikationen verschlimmern.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.