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非诺贝特与罗格列酮的低剂量联合可阻止糖尿病诱导的实验性肾病的进展。

The low dose combination of fenofibrate and rosiglitazone halts the progression of diabetes-induced experimental nephropathy.

机构信息

Cardiovascular Pharmacology Division, ISF College of Pharmacy, Moga 142 001, Punjab, India.

出版信息

Eur J Pharmacol. 2010 Jun 25;636(1-3):137-44. doi: 10.1016/j.ejphar.2010.03.002. Epub 2010 Mar 27.

Abstract

The present study investigated the combined effect of low doses of fenofibrate (PPAR-alpha agonist) and rosiglitazone (PPAR-gamma agonist) in diabetes-induced experimental nephropathy. Rats were administered streptozotocin (55 mg/kg i.p., once) to induce experimental diabetes mellitus. The development of diabetic nephropathy was assessed biochemically and histologically. In addition, the lipid profile and renal oxidative stress were assessed. The single administration of streptozotocin produced diabetes, which induced the renal oxidative stress, altered the lipid profile, and subsequently produced nephropathy in 8 weeks by elevating serum creatinine, blood urea nitrogen, proteinuria, and inducing glomerular damage. Treatment with low dose fenofibrate (30 mg/kg/day p.o.) normalizes the altered lipid profile in diabetic rats, whereas the low dose rosiglitazone (1mg/kg/day p.o.) treatment has no effect on lipid alteration in diabetic rats. Treatment with low dose rosiglitazone partially reduced the elevated glucose level in diabetic rats, whereas fenofibrate treatment has no effect on it. The low dose combination of fenofibrate and rosiglitazone was more effective in attenuating the diabetes-induced nephropathy and renal oxidative stress as compared to treatment with either drug alone or lisinopril (1mg/kg/day p.o., employed as a standard agent). It may be concluded that diabetes-induced oxidative stress and lipid alterations may be responsible for the induction of nephropathy in diabetic rats. The concurrent administration of fenofibrate and rosiglitazone at low doses may have prevented the development of diabetes-induced nephropathy by reducing the lipid alteration, decreasing the renal oxidative stress and certainly providing the direct nephroprotective action.

摘要

本研究探讨了低剂量非诺贝特(PPAR-α激动剂)和罗格列酮(PPAR-γ激动剂)联合应用于糖尿病诱导的实验性肾病的效果。大鼠给予链脲佐菌素(55mg/kg,ip,单次)诱导实验性糖尿病。通过生化和组织学评估糖尿病肾病的发展。此外,还评估了血脂谱和肾氧化应激。单次给予链脲佐菌素可诱导产生糖尿病,从而导致肾氧化应激,改变血脂谱,并在 8 周内通过升高血清肌酐、血尿素氮、蛋白尿和诱导肾小球损伤引发肾病。低剂量非诺贝特(30mg/kg/天,po)治疗可使糖尿病大鼠的血脂谱恢复正常,而低剂量罗格列酮(1mg/kg/天,po)治疗对糖尿病大鼠的血脂改变没有影响。低剂量罗格列酮治疗可部分降低糖尿病大鼠的高血糖水平,而非诺贝特治疗则无此作用。与单独使用任何一种药物或赖诺普利(1mg/kg/天,po,作为标准药物)相比,低剂量非诺贝特和罗格列酮联合治疗更能有效减轻糖尿病诱导的肾病和肾氧化应激。可以得出结论,糖尿病诱导的氧化应激和脂质改变可能是导致糖尿病大鼠肾病发生的原因。低剂量联合应用非诺贝特和罗格列酮可能通过减少脂质改变、降低肾氧化应激,从而预防糖尿病诱导的肾病的发生,具有直接的肾保护作用。

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