Effect of the Direct Renin Inhibitor Aliskiren on Urinary Albumin Excretion in Spontaneous Type 2 Diabetic KK- Mouse

Objective. Although angiotensin II-mediated inflammation and extracellular matrix accumulation are considered to be associated with the progression of diabetic nephropathy, these processes have not yet been sufficiently clarified. The objective of this study was to determine whether the correction...

Full description

Saved in:
Bibliographic Details
Main Authors: Masako Furukawa, Tomohito Gohda, Shinji Hagiwara, Mitsuo Tanimoto, Satoshi Horikoshi, Kazuhiko Funabiki, Yasuhiko Tomino
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:International Journal of Nephrology
Online Access:http://dx.doi.org/10.1155/2013/519130
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850164216740184064
author Masako Furukawa
Tomohito Gohda
Shinji Hagiwara
Mitsuo Tanimoto
Satoshi Horikoshi
Kazuhiko Funabiki
Yasuhiko Tomino
author_facet Masako Furukawa
Tomohito Gohda
Shinji Hagiwara
Mitsuo Tanimoto
Satoshi Horikoshi
Kazuhiko Funabiki
Yasuhiko Tomino
author_sort Masako Furukawa
collection DOAJ
description Objective. Although angiotensin II-mediated inflammation and extracellular matrix accumulation are considered to be associated with the progression of diabetic nephropathy, these processes have not yet been sufficiently clarified. The objective of this study was to determine whether the correction of the abnormal renal expression of MMPs and its inhibitors (MMPs/TIMPs) and cytokines following the administration of aliskiren to KK- mice results in a renoprotective effect. Methods. KK- mice were divided into two groups, that is, untreated (saline) and treated (aliskiren) groups. Systolic BP, HbA1c levels, and the albumin-creatinine ratio (ACR) were measured. The renal expression of MMPs/TIMPs, fibronectin, type IV collagen, MCP-1, and (pro)renin receptor ((P)RR) was examined using real-time PCR and/or immunohistochemical staining. Renal MAPK and NF-κB activity were also examined by Western blot analyses and ELISA, respectively. Results. Significant decreases in systolic BP and ACR levels were observed in treated KK- mice compared with the findings in untreated KK- mice. Furthermore, increases in MMPs/TIMPs, fibronectin, type IV collagen, MCP-1, and (P)RR expression, in addition to MAPK and NF-κB activity, were significantly attenuated by aliskiren administration. Conclusions. It appears that aliskiren improves albuminuria and renal fibrosis by regulating inflammation and the alteration of collagen synthesis and degradation.
format Article
id doaj-art-eabc1d8390d949afb5fc98125a031d86
institution OA Journals
issn 2090-214X
2090-2158
language English
publishDate 2013-01-01
publisher Wiley
record_format Article
series International Journal of Nephrology
spelling doaj-art-eabc1d8390d949afb5fc98125a031d862025-08-20T02:22:02ZengWileyInternational Journal of Nephrology2090-214X2090-21582013-01-01201310.1155/2013/519130519130Effect of the Direct Renin Inhibitor Aliskiren on Urinary Albumin Excretion in Spontaneous Type 2 Diabetic KK- MouseMasako Furukawa0Tomohito Gohda1Shinji Hagiwara2Mitsuo Tanimoto3Satoshi Horikoshi4Kazuhiko Funabiki5Yasuhiko Tomino6Division of Nephrology, Department of Internal Medicine, Juntendo University Faculty of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, JapanDivision of Nephrology, Department of Internal Medicine, Juntendo University Faculty of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, JapanDivision of Nephrology, Department of Internal Medicine, Juntendo University Faculty of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, JapanDivision of Nephrology, Department of Internal Medicine, Juntendo University Faculty of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, JapanDivision of Nephrology, Department of Internal Medicine, Juntendo University Faculty of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, JapanDivision of Nephrology, Department of Internal Medicine, Juntendo University Faculty of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, JapanDivision of Nephrology, Department of Internal Medicine, Juntendo University Faculty of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, JapanObjective. Although angiotensin II-mediated inflammation and extracellular matrix accumulation are considered to be associated with the progression of diabetic nephropathy, these processes have not yet been sufficiently clarified. The objective of this study was to determine whether the correction of the abnormal renal expression of MMPs and its inhibitors (MMPs/TIMPs) and cytokines following the administration of aliskiren to KK- mice results in a renoprotective effect. Methods. KK- mice were divided into two groups, that is, untreated (saline) and treated (aliskiren) groups. Systolic BP, HbA1c levels, and the albumin-creatinine ratio (ACR) were measured. The renal expression of MMPs/TIMPs, fibronectin, type IV collagen, MCP-1, and (pro)renin receptor ((P)RR) was examined using real-time PCR and/or immunohistochemical staining. Renal MAPK and NF-κB activity were also examined by Western blot analyses and ELISA, respectively. Results. Significant decreases in systolic BP and ACR levels were observed in treated KK- mice compared with the findings in untreated KK- mice. Furthermore, increases in MMPs/TIMPs, fibronectin, type IV collagen, MCP-1, and (P)RR expression, in addition to MAPK and NF-κB activity, were significantly attenuated by aliskiren administration. Conclusions. It appears that aliskiren improves albuminuria and renal fibrosis by regulating inflammation and the alteration of collagen synthesis and degradation.http://dx.doi.org/10.1155/2013/519130
spellingShingle Masako Furukawa
Tomohito Gohda
Shinji Hagiwara
Mitsuo Tanimoto
Satoshi Horikoshi
Kazuhiko Funabiki
Yasuhiko Tomino
Effect of the Direct Renin Inhibitor Aliskiren on Urinary Albumin Excretion in Spontaneous Type 2 Diabetic KK- Mouse
International Journal of Nephrology
title Effect of the Direct Renin Inhibitor Aliskiren on Urinary Albumin Excretion in Spontaneous Type 2 Diabetic KK- Mouse
title_full Effect of the Direct Renin Inhibitor Aliskiren on Urinary Albumin Excretion in Spontaneous Type 2 Diabetic KK- Mouse
title_fullStr Effect of the Direct Renin Inhibitor Aliskiren on Urinary Albumin Excretion in Spontaneous Type 2 Diabetic KK- Mouse
title_full_unstemmed Effect of the Direct Renin Inhibitor Aliskiren on Urinary Albumin Excretion in Spontaneous Type 2 Diabetic KK- Mouse
title_short Effect of the Direct Renin Inhibitor Aliskiren on Urinary Albumin Excretion in Spontaneous Type 2 Diabetic KK- Mouse
title_sort effect of the direct renin inhibitor aliskiren on urinary albumin excretion in spontaneous type 2 diabetic kk mouse
url http://dx.doi.org/10.1155/2013/519130
work_keys_str_mv AT masakofurukawa effectofthedirectrenininhibitoraliskirenonurinaryalbuminexcretioninspontaneoustype2diabetickkmouse
AT tomohitogohda effectofthedirectrenininhibitoraliskirenonurinaryalbuminexcretioninspontaneoustype2diabetickkmouse
AT shinjihagiwara effectofthedirectrenininhibitoraliskirenonurinaryalbuminexcretioninspontaneoustype2diabetickkmouse
AT mitsuotanimoto effectofthedirectrenininhibitoraliskirenonurinaryalbuminexcretioninspontaneoustype2diabetickkmouse
AT satoshihorikoshi effectofthedirectrenininhibitoraliskirenonurinaryalbuminexcretioninspontaneoustype2diabetickkmouse
AT kazuhikofunabiki effectofthedirectrenininhibitoraliskirenonurinaryalbuminexcretioninspontaneoustype2diabetickkmouse
AT yasuhikotomino effectofthedirectrenininhibitoraliskirenonurinaryalbuminexcretioninspontaneoustype2diabetickkmouse