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Table 3 Effects of alkaloids on diabetic painful neuropathy (DPN)

From: Effects of alkaloids on peripheral neuropathic pain: a review

Alkaloids

Animal/cell

Dose mg/kg (route of administration)

Effects/mechanisms of action

References

Behavioral evaluation

Histopathological observation

Electrophysiology parameters

Biochemical/Molecular parameters/mRNA

Koumine

Male Sprague–Dawley rats

0.056/0.28/1.4/7 mg/kg

s.c

7 days

 → Blood glucose and body weight

↓Streptozotocin-induced mechanical allodynia

↑Myelin thickness, axon diameter and number of myelinated nerve fibers

↑SNCV

–

[27]

Berberine

Adult male and female Sprague–Dawley rats

10/20/40 mg/kg

i.g

8 days

↓Streptozotocin-induced mechanical allodynia and thermal hyperalgesia

↓Necrosis, edema, inflammatory infiltration, and congestion after intraperitoneal administration of STZ in sciatic nerve

↓Split and disintegrated neurofilaments and swoln axonal mitochondria

↑MNCV and SNCV

Reverse Streptozotocin-induced oxido-nitrosative stress (SOD, GSH, MDA, and NO) and Na+K+-ATPase alteration

↑BDNF, IGF-1, PPAR-γ, IL-6, IL-1β and TNF-α

[42]

Berberine

Male C57BL/6 mice

The dose was not mentioned

s.c

14 days

↓Streptozotocin-induced mechanical allodynia and thermal hyperalgesia

↓The relative Iba-1-positive area and GFAP-positive area reflected by the Iba-1 and GFAP fluorescence density after the treatment of berberine in spinal cord slices

–

↓The expression of TNF-α, IL-6, IL-1β, iNOS and COX-2 in spinal cord and DRG

[41]

Sinomenine

Male Sprague–Dawley rats HEK293 cells

40 mg/kg

i.p

10 Îœm(in vitro)

↓Streptozotocin -induced thermal hyperalgesia and mechanical hyperalgesia

–

↓ATP-activated current in HEK293 cells transfected with the pEGFP-hP2X3 plasmid

↓p-P38MAPK and P2X3 protein in DRG

↓P2X3 mRNA in DRG

[44, 64]

Palmatine

Male Sprague- Dawley rats

30 mg/kg

i.p

14 days

↓Streptozotocin-induced mechanical hyperalgesia and thermal hyperalgesia

↓Depressive like behavior

↓Fluorescence intensity of co-localization of P2X7 and GFAP in the hippocampus

↓Positive signal of P2X7 protein in the hippocampus

–

↓P2X7, TNF-α and IL-1β mRNA

↓p-ERK1/2 in the hippocampus

[43]

Bullatine A

Male adult Wistar rats

0.3/1/3/10/30 mg/kg

s.c

0.3/1/3/10/30 μg

i.t

↓Mechanical allodynia and thermal hyperalgesia

–

–

–

[45]

  1. ↑: Enhanced/Increased/Upregulate↓: Attenuate/Downregulate/Decrease/Suppress/Inhibit/Prevent