Reckelhoff J F, Tygart V L, Mitias M M, Walcott J L
Department of Physiology and Biophysics, University of Mississippi Medical Center, Jackson 39216-4505.
Diabetes. 1993 Oct;42(10):1425-32. doi: 10.2337/diab.42.10.1425.
IDDM in humans and STZ-induced diabetes in rats are both characterized in the early phase of the disease by glomerular hypertrophy; and, in the chronic phase of the disease, by mesangial expansion and glomerular basement membrane thickening. Decreases in glomerular intracellular protein degradation rates in diabetic individuals could contribute to the glomerular hypertrophy by allowing a build-up of cellular protein. Decreases in extracellular protease activity could contribute to the build-up of matrix protein in the mesangium and glomerular basement membrane. In this study, the levels of lysosomal cathepsin activities and glomerular metalloprotease activities were measured in isolated glomerular homogenates from STZ-induced diabetic rats at 4 days and 5 wk after administration of the drug. Some of the rats in the 5-wk study were treated with daily insulin; others were untreated. After 4 days of diabetes, cathepsin B and L activities were decreased by 15-45% when correlated with the levels of glomerular protein or DNA. Glomerular metalloprotease activity was decreased by 75% in the diabetic rats when compared with controls. After 5 wk of diabetes, cathepsin activities either were unchanged (for cathepsin B and L together or cathepsin S) or increased (cathepsin B alone) in insulin-treated diabetic rats, and continued to be decreased in untreated diabetic rats. A 40-50% decrease in glomerular metalloprotease activity continued in both diabetic groups. These data strongly suggest that decreases in the lysosomal cathepsin activities may contribute to IDDM-induced glomerular cellular hypertrophy. The data further indicate that a decrease in glomerular metalloprotease activity may contribute to diabetes-induced mesangial expansion and glomerular basement membrane thickening.(ABSTRACT TRUNCATED AT 250 WORDS)
人类的胰岛素依赖型糖尿病(IDDM)和大鼠中链脲佐菌素(STZ)诱导的糖尿病在疾病早期均以肾小球肥大为特征;而在疾病的慢性期,则以系膜扩张和肾小球基底膜增厚为特征。糖尿病个体肾小球细胞内蛋白质降解率的降低,可能通过细胞内蛋白质的积累导致肾小球肥大。细胞外蛋白酶活性的降低,可能导致系膜和肾小球基底膜中基质蛋白的积累。在本研究中,测定了STZ诱导的糖尿病大鼠在给药后4天和5周时,分离的肾小球匀浆中溶酶体组织蛋白酶活性和肾小球金属蛋白酶活性水平。5周研究中的一些大鼠每日接受胰岛素治疗;其他大鼠未接受治疗。糖尿病4天后,与肾小球蛋白或DNA水平相关时,组织蛋白酶B和L活性降低了15 - 45%。与对照组相比,糖尿病大鼠的肾小球金属蛋白酶活性降低了75%。糖尿病5周后,胰岛素治疗的糖尿病大鼠中,组织蛋白酶活性要么未改变(组织蛋白酶B和L一起或组织蛋白酶S),要么升高(仅组织蛋白酶B),而未治疗的糖尿病大鼠中组织蛋白酶活性继续降低。两个糖尿病组的肾小球金属蛋白酶活性均持续降低40 - 50%。这些数据有力地表明,溶酶体组织蛋白酶活性的降低可能导致IDDM诱导的肾小球细胞肥大。数据进一步表明,肾小球金属蛋白酶活性的降低可能导致糖尿病诱导的系膜扩张和肾小球基底膜增厚。(摘要截断于250字)