Shostak A, Wajsbrot V, Gotloib L
Department of Nephrology & Hypertension, Ha'Emek Medical Center, Afula, Israel.
Microvasc Res. 2001 Mar;61(2):166-78. doi: 10.1006/mvre.2000.2293.
This study evaluates albuminuria and peritoneal permeability to albumin in control and diabetic rats, as well as in diabetic animals treated with subcutaneously injected aminoguanidine hydrochloride (Ag) (5 mg/100 g/day), during a follow-up period of 6 months. Aminoguanidine effectively prevented albuminuria and albumin extravasation in the mesenteric interstitial tissue (control, 0.43 +/- 0.11 microg EB/100 g of dry tissue, Ag, 0.60 +/- 0.44; untreated diabetic animals, 1.22 +/- 0.73; control and Ag group vs untreated diabetic rats, P < 0.001). Albumin D/P ratio of the aminoguanidine-exposed rats (0.017 +/- 0.011) was higher than that of controls (0.008 +/- 0.002), but significantly lower (P < 0.001) than values observed in the untreated group of animals (0.046 +/- 0.003). Administration of aminoguanidine preserved both submesothelial and subendothelial electronegative charges. For capillary basement membrane (BM), control at zero time, 32 +/- 4 AS/microm BM; control at 6 months, 33.4; aminoguanidine-treated rats, 35 +/- 2. For submesothelial BM, control at zero time, 33 +/- 3; control at 6 months, 32 +/- 3; aminoguanidine-treated rats, 35 +/- 3. Splitting and thickening of both basement membranes were not prevented by the therapeutic intervention. We conclude that the shielding effect of aminoguanidine upon the permselectivity capabilities of the endothelial and mesothelial monolayers appears to be connected, basically to the preservation of anionic fixed charges.
本研究评估了正常大鼠和糖尿病大鼠以及皮下注射盐酸氨基胍(Ag)(5毫克/100克/天)治疗的糖尿病动物在6个月随访期内的蛋白尿和白蛋白的腹膜通透性。氨基胍有效预防了肠系膜间质组织中的蛋白尿和白蛋白外渗(正常组,0.43±0.11微克伊文思蓝/100克干组织,Ag组,0.60±0.44;未治疗的糖尿病动物,1.22±0.73;正常组和Ag组与未治疗的糖尿病大鼠相比,P<0.001)。氨基胍处理的大鼠白蛋白D/P比值(0.017±0.011)高于正常大鼠(0.008±0.002),但显著低于未处理组动物(0.046±0.003)(P<0.001)。氨基胍的给药保留了间皮下和内皮下的负电荷。对于毛细血管基底膜(BM),零时正常组,32±4AS/微米BM;6个月时正常组,33.4;氨基胍处理的大鼠,35±2。对于间皮下BM,零时正常组,33±3;6个月时正常组,32±3;氨基胍处理的大鼠,35±3。治疗干预未能预防两种基底膜的分裂和增厚。我们得出结论,氨基胍对内皮和间皮单层的选择通透性能力的屏蔽作用似乎基本上与阴离子固定电荷的保留有关。