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Diabetes Publish Ahead of Print published online ahead of print May 29, 2007
DOI: 10.2337/db06-1134

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Original Research

PPAR {alpha}/{gamma} dual agonist tesaglitazar attenuates diabetic nephropathy in db/db mice

D.R. Cha1, X Zhang2, Y. Zhang1, J Wu2, D.M. Su1, J.Y. Han1, X. Fang1, B Yu2, M.D. Breyer1, and Y. Guan1,,2

1Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN 37232, USA
2 Peking University Diabetes Center, Department of Physiology and Pathophysiology, Peking University Health Science Center, Beijing 100083

Correspondence: youfei.guan{at}vanderbilt.edu

Peroxisome proliferator-activated receptors (PPARs) are nuclear transcription factors and play a central role in insulin sensitivity, lipid metabolism, and inflammation. Both PPAR{alpha} and PPAR{gamma} are expressed in the kidney and their agonists exhibit renoprotective effects in type 2 diabetes. In the present studies we investigated the effect of PPAR{alpha}/{gamma} dual agonist tesaglitazar on diabetic nephropathy in type 2 diabetic db/db mice. Treatment of db/db mice with tesaglitazar for 3 months significantly lowered fasting plasma glucose and HOMA-IR levels, but had little effect on body weight, adiposity or cardiac function. Treatment with tesaglitazar was associated with reduced plasma insulin and total triglyceride levels and increased plasma adiponectin levels. Notably, tesaglitazar markedly attenuated albuminuria and significantly lowered glomerulofibrosis, collagen deposition, and TGFß1 expression in renal tissues of db/db mice. In cultured mesangial cells and proximal tubule cells where both PPAR{alpha} and PPAR{gamma} were expressed, tesaglitazar treatment abolished high glucose-induced total collagen protein production and type I and IV collagen gene expression. Collectively, tesaglitazar treatment not only improved insulin resistance, glycemic control and lipid profile, but also markedly attenuated albuminuria and renal glomerular fibrosis in db/db mice. These findings support the utility of dual PPAR{alpha}/{gamma} agonists in treating type 2 diabetes and diabetic nephropathy.



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