Taşkıran Emin, Erbaş Oytun, Yiğittürk Gürkan, Meral Ayfer, Akar Harun, Taşkıran Dilek
a Department of Internal Medicine , Tepecik Training and Research Hospital , Izmir , Turkey ;
b School of Medicine Department of Physiology , İstanbul Bilim University , Istanbul , Turkey ;
Ren Fail. 2016 Sep;38(8):1276-82. doi: 10.1080/0886022X.2016.1207054. Epub 2016 Jul 14.
Diabetic nephropathy (DNP) is one of the most serious complications of diabetes mellitus (DM). In the present study, we investigated the potential of adenosine as a therapeutic candidate for preventing DNP.
Twenty-one adult male rats were included in the study. Fourteen rats were administered a single dose of 60 mg/kg streptozotocin (STZ) to induce diabetes. Seven rats served as normal control group. Diabetic rats were randomly divided into two groups: one group was treated with 1 mL/kg saline/day (DM + saline) and the other group was treated with 5 mg/kg/day adenosine (DM + adenosine) for 6 weeks. After 6 weeks, biochemical parameters including urea, creatinine, blood urea nitrogen (BUN), kidney injury molecule-1 (KIM-1) and tumor necrosis factor-α (TNF-α) were measured in plasma samples. Also, kidneys were removed for histopathological assessment.
Both of plasma KIM-1 and TNF-α levels were significantly higher in DM + saline group compared to controls. However, treatment of diabetic rats with adenosine significantly decreased the plasma KIM-1 and TNF-α levels compared to DM + saline group. Significant histopathological changes were observed in diabetic rats whereas adenosine treatment effectively prevented these changes.
The findings of the present study suggest that adenosine may be a useful therapeutic agent for preventing DNP.
糖尿病肾病(DNP)是糖尿病(DM)最严重的并发症之一。在本研究中,我们研究了腺苷作为预防糖尿病肾病治疗候选药物的潜力。
21只成年雄性大鼠纳入本研究。14只大鼠单次给予60mg/kg链脲佐菌素(STZ)诱导糖尿病。7只大鼠作为正常对照组。糖尿病大鼠随机分为两组:一组每天给予1mL/kg生理盐水(DM + 生理盐水),另一组每天给予5mg/kg腺苷(DM + 腺苷),持续6周。6周后,检测血浆样本中的生化参数,包括尿素、肌酐、血尿素氮(BUN)、肾损伤分子-1(KIM-1)和肿瘤坏死因子-α(TNF-α)。同时,取出肾脏进行组织病理学评估。
与对照组相比,DM + 生理盐水组的血浆KIM-1和TNF-α水平均显著升高。然而,与DM + 生理盐水组相比,用腺苷治疗糖尿病大鼠可显著降低血浆KIM-1和TNF-α水平。糖尿病大鼠观察到明显的组织病理学变化,而腺苷治疗有效预防了这些变化。
本研究结果表明,腺苷可能是预防糖尿病肾病的一种有用治疗药物。