Impact of gut-peripheral nervous system axis on the development of diabetic neuropathy



Título del documento: Impact of gut-peripheral nervous system axis on the development of diabetic neuropathy
Revue: Memorias do Instituto Oswaldo Cruz
Base de datos: PERIÓDICA
Número de sistema: 000459479
ISSN: 0074-0276
Autores: 1
2
1
Instituciones: 1Fundacao Oswaldo Cruz, Instituto Oswaldo Cruz, Rio de Janeiro. Brasil
2Cedars-Sinai Medical Center, Medicine Department, Los Angeles, California. Estados Unidos de América
Año:
Volumen: 118
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Analítico, descriptivo
Resumen en inglés Diabetes is a chronic metabolic disease caused by a reduction in the production and/or action of insulin, with consequent development of hyperglycemia. Diabetic patients, especially those who develop neuropathy, presented dysbiosis, with an increase in the proportion of pathogenic bacteria and a decrease in the butyrate-producing bacteria. Due to this dysbiosis, diabetic patients presented a weakness of the intestinal permeability barrier and high bacterial product translocation to the bloodstream, in parallel to a high circulating levels of pro-inflammatory cytokines such as TNF-α. In this context, we propose here that dysbiosis-induced increased systemic levels of bacterial products, like lipopolysaccharide (LPS), leads to an increase in the production of pro-inflammatory cytokines, including TNF-α, by Schwann cells and spinal cord of diabetics, being crucial for the development of neuropathy
Disciplinas: Medicina
Palabras clave: Endocrinología,
Neurología,
Diabetes,
Disbiosis,
Microbiota intestinal,
Inflamación,
Neuropatías
Keyword: Endocrinology,
Neurology,
Diabetes,
Dysbiosis,
Intestinal microbiota,
Inflammation,
Neuropathies
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