Renal Effects of S18886 (Terutroban), a TP Receptor Antagonist, in an Experimental Model of Type 2 Diabetes
- 1Slovak Medical University, Department of Clinical and Experimental Pharmacotherapy, Bratislava, Slovakia
- 2Department of Pathology, University of Erlangen-Nürnberg, Erlangen, Germany
- 3Department of Internal Medicine, University of Würzburg, Würzburg, Germany
- Address correspondence and reprint requests to Katarína Šebeková MD, DSc, Slovak Medical University, Department of Clinical and Experimental Pharmacotherapy, Limbová 12, 833 03 Bratislava, Slovakia. E-mail: katarina.sebekova{at}szu.sk
Abstract
Thromboxane A2 (TxA2) is assumed to contribute to the development of diabetes complications, including nephropathy. We investigated whether the selective thromboxane-prostanoid endoperoxide receptor antagonist, S18886, ameliorates renal damage in uninephrectomized (UNX) obese Zucker rats (OZR). S18886, at doses of 10 (S18886-10) and 30 (S18886-30) mg · kg−1 · day−1, was administered to UNX-OZR by gavage over 8 weeks (n = 8 each group). UNX lean rats (n = 12) and OZR rats that received placebo (OZR-PLAC, n = 8) served as controls. As compared with the OZR-PLAC, S18886 had no significant effect on the elevated blood pressure and the enhanced creatinine clearance, while augmented proteinuria was partially prevented (−12 and −37%, low and high dose, respectively; NS). The increased excretion of transforming growth factor β1 (TGF-β1) and of the thromboxane metabolite 2,3-dinor thromboxane B2 (TxB2) was lowered (P < 0.05). S18886 prevented both the enhanced mesangiolysis (P < 0.01) in the OZR-PLAC as well as enlargement and degeneration of podocytes. In the blood, S18886-30 augmented the antioxidant enzymes (P < 0.01) and lessened the increase of plasma advanced oxidation protein products (−25%, NS). Body weight, hyperglycemia, and dyslipidemia remained uninfluenced under both doses of treatment. S18886 has renoprotective properties in the model of UNX-OZR. It prevents mesangiolysis, reduces urinary TGF-β1 and 2,3-dinor-TxB2 excretion, and enhances the antioxidative defense.
- AOPP, advanced oxidation protein product
- apoE, apolipoprotein E
- AST, aspartate-aminotransferase
- AT II, angiotensin II
- GN, glomerulonephritis
- GPX, glutathione peroxidase
- GSI, glomerulosclerosis index
- HE, hematoxylin/eosin
- HETE, 12-hydroxyeicosatatraenoic acid
- HMG-CoA, 3-hydroxymethyl-glutaryl-coenzyme A
- LZR, lean Zucker rat
- MGI, mesangiolysis index
- OZR, obese Zucker rat
- PAS, periodic Schiff's acid
- PLAC, placebo
- PG, prostaglandin
- SOD, superoxide dismutase
- STZ, streptozotocin
- TGF-β1, transforming growth factor β1
- TP, thromboxane-prostanoid endoperoxides
- TxA2, thromboxane A2
- TxB2, thromboxane B2
- UNX, uninephrectomy
- WBC, white blood cell
Footnotes
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Published ahead of print at http://diabetes.diabetesjournals.org on 31 January 2007. DOI: 10.2337/db06-1136.
A.H. received financial support from Servier, France, to conduct this experimental investigation.
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked “advertisement” in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
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- Accepted January 14, 2007.
- Received August 15, 2006.
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