Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
January 1, 2012Journal of Diabetes MellitusOpen Access

Inhibition of renin activity by aliskiren ameliorates diabetic nephropathy in type 1 diabetes mouse model

View Full Paper
Ask AI
Bookmark
Share

Key result

Aliskiren treatment effectively prevented the development of albuminuria and glomerulosclerosis in streptozotocin-induced diabetic mice without altering blood glucose or blood pressure.

Why the study?

Does aliskiren ameliorate diabetic nephropathy in a type 1 diabetes mouse model?

Population

Male DBA/2J mice with streptozotocin-induced type 1 diabetes (n=14)

Comparison

Aliskiren 25 mg/kg intraperitoneal injection 3… vs Saline intraperitoneal injection for 16 weeks

Design

Preclinical, randomized into 2 groups

Follow-up

16 weeks

Authors

YZYan ZhangXiamen UniversityYWYouli WangYunnan Vocational College of Mechanical and Electrical TechnologyYCYunzi ChenSecond Affiliated Hospital of Nanjing Medical University

Discussion

Loading...

Member takes

Overview

Hypothesis-generating for aliskiren in diabetic nephropathy; should not yet change clinical practice.

Structured PICO

Does aliskiren ameliorate diabetic nephropathy in a type 1 diabetes mouse model?

P
Population
21 male DBA/2J mice, including 14 with streptozotocin-induced diabetes, treated for 16 weeks to evaluate the effects of renin inhibition.
I
Intervention
Aliskiren 25 mg/kg intraperitoneal injection 3 times per week for 16 weeks
C
Comparator
Saline (vehicle) intraperitoneal injection for 16 weeks
O
Outcome
Development of diabetic nephropathy (assessed by albuminuria, glomerulosclerosis, and glomerular basement membrane thickening) at 16 weekssurrogate

Main Result

p-value: p=<0.001

Aliskiren ameliorates diabetic renal injury in a type 1 diabetes mouse model through both angiotensin II-dependent and -independent pathways, supporting its potential use in diabetic kidney disease.

Limitations

  • Animal model may not fully replicate human diabetic nephropathy
  • Did not directly compare renoprotective efficacy between aliskiren and ACE inhibitors or ARBs

Cite This Study

Zhang et al. (2012) studied Diabetic nephropathy (n=21). Aliskiren vs. Saline (vehicle) was evaluated on Urinary albumin to creatinine ratio (ACR) and glomerulosclerosis (p=<0.001). Aliskiren treatment effectively prevented the development of albuminuria and glomerulosclerosis in streptozotocin-induced diabetic mice without altering blood glucose or blood pressure.

synapsesocial.com/papers/6a8f0e4dbd6f846da2fff187https://doi.org/10.4236/jdm.2012.23055
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Prorenin Receptor Blockade Inhibits Development of Glomerulosclerosis in Diabetic Angiotensin II Type 1a Receptor–Deficient Mice2006 · 286 citations
  2. 2Combination therapy with AT1 blocker and vitamin D analog markedly ameliorates diabetic nephropathy: Blockade of compensatory renin increase2008 · 289 citations
  3. 3Direct Renin Inhibition with Aliskiren in Hypertension and Target Organ Damage2005 · 129 citations
  4. 4Pharmacologic Demonstration of the Synergistic Effects of a Combination of the Renin Inhibitor Aliskiren and the AT1 Receptor Antagonist Valsartan on the Angiotensin II–Renin Feedback Interruption2004 · 235 citations
  5. 5The Effect of Irbesartan on the Development of Diabetic Nephropathy in Patients with Type 2 Diabetes2001 · 2,904 citations