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Division of Nephrology, Institute of Internal Medicine, University Hospital, 35 128 Padua, Italy
The following is an abstract of the article discussed in the subsequent letter:
Marshall, Sally M., Klavs W. Hansen, Ruth Østerby,
Jan Frystyk, Hans Ørskov, and Allan Flyvbjerg. Effects of heparin on renal morphology and albuminuria in experimental diabetes. Am.
J. Physiol. 271 (Endocrinol. Metab. 34):
E326-E332, 1996.
Female nondiabetic and streptozotocin diabetic
Wistar rats received 200 units heparin two times daily by subcutaneous
injection for 6 mo. Mesangial volume fraction was reduced in
heparin-treated control (CH) compared with untreated control (C)
animals (CH 0.18 ± 0.02 vs. C 0.24 ± 0.02,
P < 0.05), but other histological parameters were similar.
In the heparin-treated diabetic (DH) group, wet kidney weight was
increased compared with the untreated diabetic (D) group (DH
1,156 ± 39 vs. D 1,050 ± 30 mg, P < 0.05), as were absolute, but not fractional, glomerular volume (P < 0.05)
and capillary volume (P < 0.05). Basement membrane
thickness (DH 193 ± 3 vs. D 231 ± 9 nm, P < 0.01)
and mesangial/glomerular volume fraction (P < 0.001) were
decreased. Urinary albumin excretion was increased in the
heparin-treated control animals compared with control animals [CH 980 (range 150-4,446) vs. C 221 (range 86-654) µg/24 h,
P < 0.001] and in the heparin-treated diabetic animals
compared with the diabetic animals [DH 12,785 (range
4,495-29,520) vs. D 899 (range 450-1,335) µg/24 h,
P < 0.001]. Thus the possibly deleterious increases in
glomerular capillary volume and albumin excretion may negate the
beneficial effects of heparin on mesangial and basement membrane
structures.
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