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Diabetes Care 27:1160-1163, 2004
© 2004 by the American Diabetes Association, Inc.


Pathophysiology/Complications
Original Article

Sural Nerve Sorbitol in Patients With Diabetic Sensorimotor Polyneuropathy

Vera Bril, MD1, Yoshiyuki Ono, MSC2 and Robert A. Buchanan, MD3

1 Department of Medicine, Toronto General Hospital, Toronto, Ontario, Canada
2 Clinical Development, Dainippon Pharmaceutical, Osaka, Japan
3 Dainippon Pharmaceutical U.S.A., Teaneck, New Jersey

Address correspondence and reprint requests to Dr. Vera Bril, EN11-209, Toronto General Hospital, University Health Network, 200 Elizabeth St., Toronto, Ontario, Canada, M5G 2C4. E-mail: vera.bril{at}utoronto.ca

OBJECTIVE—Nerve sorbitol levels have been measured in sural nerve biopsy samples from patients with diabetic sensorimotor polyneuropathy in several studies using different methods and measurement units. In this study, we compared the results of sorbitol assays to determine the required sensitivity of analytical methods for nerve sorbitol measurements.

RESEARCH DESIGN AND METHODS—We performed a literature search using PaperChase for reports of nerve sorbitol in diabetic patients and selected those with nerve conduction studies to delineate the severity of nerve damage.

RESULTS—In patients who had undergone a nerve conduction study, the standardized nerve sorbitol levels were 0.034–0.300 nmol/mg wet nerve.

CONCLUSIONS—Our results showed the level of sensitivity required in laboratory methodology to perform this assay in the target population and aid in the planning of clinical research trials of aldose reductase inhibitor agents.

Abbreviations: DSP, diabetic peripheral sensorimotor polyneuropathy • NCS, nerve conduction study


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V. Bril, R. A. Buchanan, and the Ranirestat Study Group*
Long-Term Effects of Ranirestat (AS-3201) on Peripheral Nerve Function in Patients With Diabetic Sensorimotor Polyneuropathy
Diabetes Care, January 1, 2006; 29(1): 68 - 72.
[Abstract] [Full Text] [PDF]


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V. Bril, R. A. Buchanan, and the AS-3201 Study Group
Aldose Reductase Inhibition by AS-3201 in Sural Nerve From Patients With Diabetic Sensorimotor Polyneuropathy
Diabetes Care, October 1, 2004; 27(10): 2369 - 2375.
[Abstract] [Full Text] [PDF]




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