Key result
Brown adipose tissue activation with CL316,243 significantly decreased 24-hour urinary albumin (34.21 vs 70.46 μg/24 h; P<0.05) and improved renal injury in diabetic mice.
Why the study?
Brown adipose tissue is a potential target to combat obesity and metabolic disorders, but the effect of its activation on diabetic kidney disease remains unclear.
Does brown adipose tissue activation with CL316,243 improve kidney injury in STZ-diabetic mice?
Does brown adipose tissue activation with CL316,243 improve kidney injury in STZ-diabetic mice?
Absolute Event Rate: 34.21% vs 70.46%
p-value: p=< 0.05
Activating brown adipose tissue with CL316,243 improves kidney injury and metabolic parameters in a mouse model of diabetic kidney disease.
Hypothesis-generating for BAT activation in DKD; human trials needed before any clinical consideration.
BACKGROUND: Brown adipose tissue (BAT) has been regarded as a potential target organ to combat obesity and related metabolic disorders. However, the effect of BAT activation on the development of diabetic kidney disease (DKD) remains unclear. METHODS: -adrenergic receptor agonist, for 4 weeks. Blood glucose, serum lipids, adipokines, 24-hour urinary albumin, 8-hydroxydeoxyguanosine (8-OHdG), and circulating microRNA (miRNA) levels were analyzed, in addition to renal pathology. Histological changes (fibrosis, inflammation) were evaluated in the kidneys, as was the expression of oxidative stress-related genes. Renal signaling pathways (fibroblast growth factor [Fgf]21/β-klotho/FGF receptor 1c and AMP-activated protein kinase[AMPK]/sirtuin 1 [Sirt1]/peroxisome proliferator-activated receptor-γ coactivator-1α [Pgc1α]) were also evaluated. RESULTS: Compared with untreated STZ-diabetic mice, CL316,243 treatment reduced blood glucose, albeit not significantly (20.58 ± 3.55 vs 23.60 ± 3.90 mM), and significantly decreased triglycerides and low-density lipoprotein cholesterol and increased high-density lipoprotein cholesterol. Simultaneously, BAT activation significantly decreased 24-hour urinary albumin (34.21 ± 6.28 vs 70.46 ± 15.81 μg/24 h; P < 0.05) and 8-OHdG, improved renal fibrosis, inflammation, and oxidative stress, and ameliorated renal morphological abnormalities. In addition to enhancing BAT activity, CL316,243 significantly increased serum adiponectin concentrations and renal Fgf21 sensitivity, and reactivated the renal AMPK/Sirt1/Pgc1α signaling pathway. Furthermore, CL316,243 treatment increased levels of some circulating miRNAs and downregulated expression of their target genes in the kidney. CONCLUSIONS: Activating BAT could improve kidney injury in diabetic mice via metabolic improvements and renal AMPK activation by beneficial adipokines and miRNAs.
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Cai et al. (2019) studied Diabetic kidney disease. CL316,243 vs. untreated STZ-diabetic mice was evaluated on 24-hour urinary albumin (p=< 0.05). Brown adipose tissue activation with CL316,243 significantly decreased 24-hour urinary albumin (34.21 vs 70.46 μg/24 h; P<0.05) and improved renal injury in diabetic mice.
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