Nakamura T, Takahashi T, Fukui M, Ebihara I, Osada S, Tomino Y, Koide H
Department of Medicine, Juntendo University School of Medicine, Tokyo, Japan.
J Am Soc Nephrol. 1995 Jan;5(7):1492-7. doi: 10.1681/ASN.V571492.
This study was designed to assess whether the glomerular expression of mRNA for extracellular matrix (ECM) components including alpha 1 (I), alpha 1 (III), and alpha 1 (IV) collagen chains, laminin B1 and B2 chains, metalloproteinases (MMP), and tissue inhibitor of metalloproteinases (TIMP) is affected by enalapril in 12- and 24-wk-old rat after streptozotocin injection. Animals were divided into three groups; untreated diabetic rats, enalapril-treated diabetic rats, and control rats. Enalapril treatment was continued for 24 wk. Enalapril reduced both creatinine clearance (P < 0.01) and urinary protein excretion (P < 0.01) in diabetic rats. In diabetic rats, mRNA levels for alpha 1 (IV) collagen chain, laminin B1 and B2 chains, and alpha 1(I) and alpha 1(III) collagen chains increased significantly at 24 wk compared with those in controls [alpha 1(IV): 3.8-fold (P < 0.01); laminin B1: 6.2-fold (P < 0.01); laminin B2:5.4-fold (P < 0.01), alpha 1(i): 4.8-fold (P < 0.01) and alpha 1(III): 3.8-fold (P < 0.01)]. At 24 wk, mRNA levels for MMP-1 and MMP-3 fell to 40% (P < 0.01) and 20% (P < 0.01), respectively, in the glomeruli of diabetic rats compared with levels in controls. In contrast, mRNA levels for TIMP-1 and TIMP-2 increased significantly at 24 wk after streptozotocin injection (TIMP-1: 8.0-fold (P < 0.01) and TIMP-2: 6.4-fold (P < 0.01)).(ABSTRACT TRUNCATED AT 250 WORDS)
本研究旨在评估在链脲佐菌素注射后12周龄和24周龄大鼠中,依那普利是否会影响细胞外基质(ECM)成分(包括α1(I)、α1(III)和α1(IV)胶原链、层粘连蛋白B1和B2链、金属蛋白酶(MMP)以及金属蛋白酶组织抑制剂(TIMP))的肾小球mRNA表达。动物被分为三组:未治疗的糖尿病大鼠、依那普利治疗的糖尿病大鼠和对照大鼠。依那普利治疗持续24周。依那普利降低了糖尿病大鼠的肌酐清除率(P < 0.01)和尿蛋白排泄量(P < 0.01)。与对照组相比,糖尿病大鼠在24周时α1(IV)胶原链、层粘连蛋白B1和B2链以及α1(I)和α1(III)胶原链的mRNA水平显著升高[α1(IV):3.8倍(P < 0.01);层粘连蛋白B1:6.2倍(P < 0.01);层粘连蛋白B2:5.4倍(P < 0.01),α1(I):4.8倍(P < 0.01)和α1(III):3.8倍(P < 0.01)]。在24周时,与对照组相比,糖尿病大鼠肾小球中MMP - 1和MMP - 3的mRNA水平分别降至40%(P < 0.01)和20%(P < 0.01)。相反,链脲佐菌素注射后24周时,TIMP - 1和TIMP - 2的mRNA水平显著升高(TIMP - 1:8.0倍(P < 0.01)和TIMP - 2:6.4倍(P < 0.01))。(摘要截断于250字)