Department of Physiology, Medical College of Wisconsin , Milwaukee, Wisconsin.
Medical University of South Carolina, Department of Medicine, Charleston, South Carolina.
Am J Physiol Renal Physiol. 2018 Oct 1;315(4):F1091-F1097. doi: 10.1152/ajprenal.00155.2018. Epub 2018 Jun 20.
Diabetic kidney disease (DKD) is a chronic kidney pathology that leads to end-stage renal disease. Previous studies from our laboratory indicate that there is an association between the development of DKD and the transient receptor potential canonical 6 (TRPC6) channel. Trpc6 expression and activity were increased in the streptozotocin (STZ)-treated Dahl Salt-sensitive (Dahl SS) rat, an established model of type 1 diabetes. Here, using a Trpc6 knockout created on the Dahl SS rat background (SS), we test the hypothesis that the absence of Trpc6 will protect podocytes and kidney function during the development of DKD. Four groups of animals (control SS, SS, STZ-treated SS, and STZ-SS) were utilized in this study. Diabetes development was monitored for 11 wk after STZ injection with periodic weight, glucose, and urinary output measurements. There was an increase in albuminuria and glomerular injury following STZ treatment, which was not different between Dahl SS and SS groups. Western blot analysis revealed elevated levels of nephrin in urine samples of STZ-SS rats, which was higher compared with STZ-SS rats. Furthermore, pathological increases in basal [Ca] levels and foot process damage of podocytes during the development of DKD was attenuated in the STZ-SS compared with STZ-SS rats. Overall, our data indicate that TRPC6 channel inhibition may have at least partial renoprotective effects, which could lead to the development of new pharmacological tools to treat or prevent the progression of DKD.
糖尿病肾病(DKD)是一种导致终末期肾病的慢性肾脏病理。我们实验室的先前研究表明,DKD 的发展与瞬时受体电位经典型 6(TRPC6)通道之间存在关联。在链脲佐菌素(STZ)处理的 Dahl 盐敏感(Dahl SS)大鼠中,TRPC6 的表达和活性增加,这是 1 型糖尿病的一种既定模型。在这里,我们使用在 Dahl SS 大鼠背景(SS)上创建的 Trpc6 敲除(SS)来测试假设,即在 DKD 发展过程中缺乏 Trpc6 将保护足细胞和肾功能。本研究使用了四组动物(对照 SS、SS、STZ 处理的 SS 和 STZ-SS)。在 STZ 注射后 11 周监测糖尿病的发展,定期测量体重、血糖和尿排量。STZ 处理后白蛋白尿和肾小球损伤增加,但在 Dahl SS 和 SS 组之间没有差异。Western blot 分析显示,STZ-SS 大鼠尿液中肾素的水平升高,与 STZ-SS 大鼠相比更高。此外,在 DKD 发展过程中,基础[Ca]水平和足细胞足突损伤的病理性增加在 STZ-SS 中减弱与 STZ-SS 大鼠相比。总的来说,我们的数据表明,TRPC6 通道抑制可能具有至少部分的肾脏保护作用,这可能导致开发新的药理学工具来治疗或预防 DKD 的进展。