Key result
PAR1 modulator PARIN5 reduces neurofilament light chain levels and brain inflammation in diabetic mice.
Why the study?
Inflammation and coagulation are linked in diabetic encephalopathy, prompting investigation into whether modulating the coagulation pathway via PAR1 inhibition affects this condition.
Does PARIN5 improve neuronal damage and neuroinflammation in a mouse model of diabetic encephalopathy?
Does PARIN5 improve neuronal damage and neuroinflammation in a mouse model of diabetic encephalopathy?
Modulation of PAR1 by PARIN5 attenuates neuroinflammation and behavioral deficits in diabetic encephalopathy, suggesting the thrombin pathway as a therapeutic target.
Does not support clinical use in diabetic encephalopathy; hypothesis-generating for PAR1 modulation as a neuroprotective target.
Diabetic encephalopathy (DE) is an inflammation-associated diabetes mellitus (DM) complication. Inflammation and coagulation are linked and are both potentially modulated by inhibiting the thrombin cellular protease-activated receptor 1 (PAR1). Our aim was to study whether coagulation pathway modulation affects DE. Diabetic C57BL/6 mice were treated with PARIN5, a novel PAR1 modulator. Behavioral changes in the open field and novel object recognition tests, serum neurofilament (NfL) levels and thrombin activity in central and peripheral nervous system tissue (CNS and PNS, respectively), brain mRNA expression of tumor necrosis factor α (TNF-α), Factor X (FX), prothrombin, and PAR1 were assessed. Subtle behavioral changes were detected in diabetic mice. These were accompanied by an increase in serum NfL, an increase in central and peripheral neural tissue thrombin activity, and TNF-α, FX, and prothrombin brain intrinsic mRNA expression. Systemic treatment with PARIN5 prevented the appearance of behavioral changes, normalized serum NfL and prevented the increase in peripheral but not central thrombin activity. PARIN5 treatment prevented the elevation of both TNF-α and FX but significantly elevated prothrombin expression. PARIN5 treatment prevents behavioral and neural damage in the DE model, suggesting it for future clinical research.
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Golderman et al. (2023) studied Diabetic encephalopathy. PARIN5 vs. Vehicle (saline) or healthy control was evaluated on Serum neurofilament light chain (NfL) levels (pg/mL) (p=>0.05). Treatment with the PAR1 modulator PARIN5 in a diabetic mouse model reduced serum neurofilament light chain levels and prevented behavioral changes and elevation of brain inflammatory markers.
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