Fukui M, Nakamura T, Ebihara I, Osada S, Tomino Y, Masaki T, Goto K, Furuichi Y, Koide H
Department of Medicine, Juntendo University School of Medicine, Tokyo, Japan.
J Lab Clin Med. 1993 Aug;122(2):149-56.
The present study was designed to assess levels of messenger RNA encoding for endothelin-1, endothelin-3, and endothelin receptors A and B in glomeruli of rats with streptozotocin-induced diabetes at 4, 12, and 24 weeks of age. In addition, streptozotocin-induced rats with diabetes were either treated with 8 to 14 units neutral protamine Hagedorn insulin daily to maintain moderate hyperglycemia (approximately 200 mg/dl) or left untreated to produce severe hyperglycemia (more than 400 mg/dl) during the 4-week study period. The messenger RNA levels for endothelin-1 in glomeruli of diabetic rats increased with the progression of diabetic nephropathy (4 weeks, 2.5 times control level, p < 0.01; 12 weeks, 3.8 times, p < 0.01; and 24 weeks, 5.3 times, p < 0.001. In contrast, messenger RNA levels for endothelin receptors A and B were not altered in glomeruli from diabetic and control rats throughout the experimental period. Messenger RNA for endothelin-3 in glomeruli from diabetic and control rats was not detected until 24 weeks of age. Insulin treatment partially ameliorated the increase in messenger RNA for endothelin-1 in the glomeruli of diabetic rats (0.3 times compared with diabetic rats without insulin treatment, p < 0.01), whereas insulin treatment did not affect messenger RNA for endothelin receptors A and B in diabetic glomeruli. These findings indicate that increased endothelin-1 messenger RNA in glomeruli may be a manifestation of diabetic nephropathy, and hyperglycemia or insulin-deficiency may play a role in abnormal endothelin-1 gene regulation.
本研究旨在评估链脲佐菌素诱导的糖尿病大鼠在4周、12周和24周龄时肾小球中内皮素-1、内皮素-3以及内皮素受体A和B的信使核糖核酸水平。此外,在为期4周的研究期间,链脲佐菌素诱导的糖尿病大鼠要么每天接受8至14单位的中性鱼精蛋白锌胰岛素治疗以维持中度高血糖(约200mg/dl),要么不接受治疗以产生严重高血糖(超过400mg/dl)。糖尿病大鼠肾小球中内皮素-1的信使核糖核酸水平随着糖尿病肾病的进展而升高(4周时为对照水平的2.5倍,p<0.01;12周时为3.8倍,p<0.01;24周时为5.3倍,p<0.001)。相比之下,在整个实验期间,糖尿病大鼠和对照大鼠肾小球中内皮素受体A和B的信使核糖核酸水平没有改变。直到24周龄才在糖尿病大鼠和对照大鼠的肾小球中检测到内皮素-3的信使核糖核酸。胰岛素治疗部分改善了糖尿病大鼠肾小球中内皮素-1信使核糖核酸的增加(与未接受胰岛素治疗的糖尿病大鼠相比为0.3倍,p<0.01),而胰岛素治疗对糖尿病肾小球中内皮素受体A和B的信使核糖核酸没有影响。这些发现表明,肾小球中内皮素-1信使核糖核酸的增加可能是糖尿病肾病的一种表现,高血糖或胰岛素缺乏可能在异常的内皮素-1基因调控中起作用。