Vasopeptidase inhibition attenuates proteinuria and podocyte injury in Zucker diabetic fatty rats
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Vasopeptidase inhibition attenuates proteinuria and podocyte injury in Zucker diabetic fatty rats. / Fredersdorf, Sabine; Weil, Joachim; Ulucan, Coskun; Birner, Christoph; Büttner, Roland; Schubert, Thomas; Böger, Carsten A; Debl, Kurt; Muders, Frank; Riegger, Günter A; Luchner, Andreas.
in: N-S ARCH PHARMACOL, Jahrgang 375, Nr. 2, 04.2007, S. 95-103.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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T1 - Vasopeptidase inhibition attenuates proteinuria and podocyte injury in Zucker diabetic fatty rats
AU - Fredersdorf, Sabine
AU - Weil, Joachim
AU - Ulucan, Coskun
AU - Birner, Christoph
AU - Büttner, Roland
AU - Schubert, Thomas
AU - Böger, Carsten A
AU - Debl, Kurt
AU - Muders, Frank
AU - Riegger, Günter A
AU - Luchner, Andreas
PY - 2007/4
Y1 - 2007/4
N2 - Inhibition of the renin angiotensin aldosterone system (RAAS) produces protective effects on cardio-renal injury in type 2 diabetes. Vasopeptidase inhibitors (VPI) represent a new pharmacological tool, acting by simultaneous inhibition of the RAAS and neutral endopeptidase. We examined the effects of chronic VPI on renal function and morphology in experimental type 2 diabetes as compared to angiotensin converting enzyme inhibition (ACE-I). Zucker diabetic fatty rats aged 13 weeks were treated with either VPI (AVE7688, ZDF-VPI, n = 8) or ACE-I (Ramipril, ZDF-ACE-I, n = 7) or placebo (ZDF, n = 8). Heterozygous rats served as non-diabetic controls (Ctr, n = 8). Both treatments led to a similar decrease in blood pressure. After 10 weeks of treatment, ZDF developed marked albuminuria. The latter was significantly attenuated in ZDF-VPI as compared to ZDF and ZDF-ACE-I. Renal histology revealed a significant expansion in the glomerular tuft area in all ZDF groups. However, expression of glomerular desmin, which has been recognized as a sensitive marker of early podocyte damage, was significantly increased in ZDF as compared to Ctr. Desmin was reduced in ZDF-VPI but not in animals treated with ACE-I. There was a correlation between albumin excretion and desmin-positive glomerular area. In experimental type 2 diabetes, albuminuria correlates to podocyte damage. These hallmarks of diabetic nephropathy are attenuated by VPI to a greater extent than by ACE-I alone. These findings suggest that podocyte damage is an early critical step in the progression of diabetic nephropathy, and that VPI is a promising pharmacological tool in the treatment of diabetic renal disease.
AB - Inhibition of the renin angiotensin aldosterone system (RAAS) produces protective effects on cardio-renal injury in type 2 diabetes. Vasopeptidase inhibitors (VPI) represent a new pharmacological tool, acting by simultaneous inhibition of the RAAS and neutral endopeptidase. We examined the effects of chronic VPI on renal function and morphology in experimental type 2 diabetes as compared to angiotensin converting enzyme inhibition (ACE-I). Zucker diabetic fatty rats aged 13 weeks were treated with either VPI (AVE7688, ZDF-VPI, n = 8) or ACE-I (Ramipril, ZDF-ACE-I, n = 7) or placebo (ZDF, n = 8). Heterozygous rats served as non-diabetic controls (Ctr, n = 8). Both treatments led to a similar decrease in blood pressure. After 10 weeks of treatment, ZDF developed marked albuminuria. The latter was significantly attenuated in ZDF-VPI as compared to ZDF and ZDF-ACE-I. Renal histology revealed a significant expansion in the glomerular tuft area in all ZDF groups. However, expression of glomerular desmin, which has been recognized as a sensitive marker of early podocyte damage, was significantly increased in ZDF as compared to Ctr. Desmin was reduced in ZDF-VPI but not in animals treated with ACE-I. There was a correlation between albumin excretion and desmin-positive glomerular area. In experimental type 2 diabetes, albuminuria correlates to podocyte damage. These hallmarks of diabetic nephropathy are attenuated by VPI to a greater extent than by ACE-I alone. These findings suggest that podocyte damage is an early critical step in the progression of diabetic nephropathy, and that VPI is a promising pharmacological tool in the treatment of diabetic renal disease.
KW - Angiotensin-Converting Enzyme Inhibitors/pharmacology
KW - Animals
KW - Antihypertensive Agents/pharmacology
KW - Atrial Natriuretic Factor/blood
KW - Blood Glucose/metabolism
KW - Blood Pressure/drug effects
KW - Diabetes Mellitus, Experimental/blood
KW - Heterocyclic Compounds, 3-Ring/pharmacology
KW - Male
KW - Microscopy, Polarization/methods
KW - Neprilysin/antagonists & inhibitors
KW - Podocytes/drug effects
KW - Protease Inhibitors/pharmacology
KW - Proteinuria/drug therapy
KW - Ramipril/therapeutic use
KW - Rats
KW - Rats, Zucker
KW - Renin-Angiotensin System/drug effects
KW - Triglycerides/blood
KW - Weight Gain/drug effects
U2 - 10.1007/s00210-007-0147-9
DO - 10.1007/s00210-007-0147-9
M3 - SCORING: Journal article
C2 - 17333128
VL - 375
SP - 95
EP - 103
JO - N-S ARCH PHARMACOL
JF - N-S ARCH PHARMACOL
SN - 0028-1298
IS - 2
ER -