Key result
In a rat model of type 2 diabetes, 12-lipoxygenase inhibition with CDC prevented high glucose-induced increases in AT1 expression, glomerular hypertrophy, and albuminuria.
Inhibition of 12-lipoxygenase may ameliorate diabetic nephropathy progression by downregulating Angiotensin II type 1 receptor expression.
Hypothesis-generating for 12-lipoxygenase inhibition in diabetic nephropathy; leaves open translation to patients.
BACKGROUND: Angiotensin II type 1 receptor (AT1) plays an important role in the development of diabetic nephropathy (DN). However, the roles played by 12-lipoxygenase (12-LO) in the AT1 expression in glomerular cells exposed to high glucose (HG) and diabetic glomeruli remain unclear. Our objective in the present study was to investigate the role of 12-LO in the AT1 expression in glomerular cells and glomeruli under diabetic conditions. METHODS: Mesangial cells (MCs), podocytes and glomeruli isolated from rats were used in this study. The rats fed a high fat diet received low-dose streptozotocin to make type 2 diabetes. The 12-LO product 12(S)-hydroxyeicosatetraenoic acid [12(S)-HETE] was infused to rats by osmotic mini-pump. Morphometric measurement for glomerular volume, competitive reverse transcription polymerase chain reaction for mRNA expression, western blot and immunohistochemistry for protein expression were performed, respectively. RESULTS: Both the 12(S)-HETE and HG increased AT1 protein expression in MCs and podocytes. Furthermore, the levels of the AT1 were significantly higher in glomeruli derived from 12(S)-HETE-treated rats compared with control rats. In addition, HG-induced AT1 expression was significantly reduced by the 12-LO inhibitor cinnamyl-3,4-dihydroxy-alpha-cynanocinnamate (CDC). Compared with the non-diabetic controls, DN rats showed significant glomerular hypertrophy and albuminuria. This was associated with significant increases in AT1 protein expression. These abnormalities were prevented by treatment of the CDC. CONCLUSIONS: These results indicate that AT1 expression is enhanced, at least in part, by 12-LO in the type 2 diabetic glomeruli, and 12-LO inhibition can ameliorate DN progression through downregulation of AT1 expression.
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Xu et al. (2008) studied Diabetic nephropathy. 12-LO inhibitor cinnamyl-3,4-dihydroxy-alpha-cynanocinnamate (CDC) vs. Non-diabetic controls / untreated diabetic rats was evaluated on AT1 protein expression, glomerular hypertrophy, and albuminuria. In a rat model of type 2 diabetes, 12-lipoxygenase inhibition with CDC prevented high glucose-induced increases in AT1 expression, glomerular hypertrophy, and albuminuria.
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