Effects of Mitochondrial Dysfunction via AMPK/PGC-1α Signal Pathway on Pathogenic Mechanism of Diabetic Peripheral Neuropathy and the Protective Effects of Chinese Medicine

  • Qian Zhang
  • Xiao-chun LiangEmail author


Diabetic peripheral neuropathy (DPN) is a progressive neurodegenerative disease of peripheral nervous system with high energy requirement. The adenosine monophosphate-activated protein kinase (AMPK)/peroxisome proliferator-activated receptor-γ coactivator 1α (PGC-1α) axis plays a key role in regulating mitochondrial energy metabolism. Increasing preclinical evidences have shown that inhibition of AMPK/PGC-1α pathway leading to mitochondrial dysfunction in neurons or Schwann cells contributes to neuron apoptosis, distal axonopathy and nerve demyelination in DPN. Some Chinese medicine formulae or extracts from herbs may have potential neuroprotective effects on DPN via activating AMPK/PGC-1α pathway and improving mitochondrial function.


monophosphate-activated protein kinase peroxisome proliferator-activated receptor-γ coactivator 1α sirtuins diabetic peripheral neuropathy Chinese medicine 


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© Chinese Association of the Integration of Traditional and Western Medicine 2018

Authors and Affiliations

  1. 1.Department of Traditional Chinese Medicine, Translational Medicine CenterPeking Union Medical College Hospital, Chinese Academy of Medical SciencesBeijingChina

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