Diabetes 57:451-459, 2008 DOI: 10.2337/db07-0013 © 2008 by the American Diabetes Association
Attenuation of Interstitial Fibrosis and Tubular Apoptosis in db/db Transgenic Mice Overexpressing Catalase in Renal Proximal Tubular Cells
1 Université de Montréal, Centre hospitalier de lUniversité de Montréal (CHUM) Hôtel-Dieu, Research Centre, Pavillon Masson, Montreal, Quebec, Canada Address correspondence and reprint requests to John Chan, Université de Montréal, Centre hospitalier de lUniversité de Montréal (CHUM) Hôtel-Dieu, Research Centre, Pavillon Masson, 3850 Saint Urbain St., Montreal, Quebec, Canada H2W 1T8. E-mail: john.chan{at}umontreal.ca
Key Words: Ang, angiotensin ANG, angiotensinogen CAT, catalase ECM, extracellular matrix KAP, kidney androgen-regulated promoter mRPT, mouse renal proximal tubule RAS, renin-angiotensin system rCAT, rat catalase ROS, reactive oxygen species RPTC, renal proximal tubular cell TGF-β1, transforming growth factor-β 1 TUNEL, transferase-mediated dUTP nick-end labeling
OBJECTIVE—The present study investigated the relationships between reactive oxygen species (ROS), interstitial fibrosis, and renal proximal tubular cell (RPTC) apoptosis in type 2 diabetic db/db mice and in db/db transgenic (Tg) mice overexpressing rat catalase (rCAT) in their RPTCs (db/db rCAT-Tg). RESEARCH DESIGN AND METHODS—Blood pressure, blood glucose, and albuminuria were monitored for up to 5 months. Kidneys were processed for histology and apoptosis studies (terminal transferase-mediated dUTP nick-end labeling or immunostaining for active caspase-3 and Bax). Real-time quantitative PCR assays were used to quantify angiotensinogen (ANG), p53, and Bax mRNA levels. RESULTS—db/db mice developed obesity, hyperglycemia, hypertension, and albuminuria. In contrast, db/db rCAT-Tg mice became obese and hyperglycemic but had normal blood pressure and attenuated albuminuria compared with db/db mice. Kidneys from db/db mice displayed progressive glomerular hypertrophy, glomerulosclerosis, interstitial fibrosis, and tubular apoptosis and increased expression of collagen type IV, Bax, and active caspase-3, as well as increased ROS production. These changes, except glomerular hypertrophy, were markedly attenuated in kidneys of db/db rCAT-Tg mice. Furthermore, ANG, p53, and Bax mRNA expression was increased in renal proximal tubules of db/db mice but not of db/db rCAT-Tg mice. CONCLUSIONS—Our results indicate a crucial role for intra-renal ROS in the progression of hypertension, albuminuria, interstitial fibrosis, and tubular apoptosis in type 2 diabetes and demonstrate the beneficial effects of suppressing ROS formation.
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