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Am J Physiol Endocrinol Metab (September 9, 2008). doi:10.1152/ajpendo.90534.2008
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Submitted on June 23, 2008
Revised on August 14, 2008
Accepted on September 2, 2008

Ciglitazone, a PPAR{gamma} agonist ameliorates diabetic nephropathy, in part, through homocysteine clearance

Utpal Sen1*, Walter E Rodriguez1, Neetu Tyagi1, Munish Kumar1, Soumi Kundu1, and Suresh C. Tyagi2

1 University of Louisville
2 University of Louisville Health Sciences Center

* To whom correspondence should be addressed. E-mail: u0sen001{at}gwise.louisville.edu.

Diabetes and hyperhomocysteinemia (HHcy) are two independent risk factors for glomeruloslerosis and renal insufficiency. Although PPAR{gamma} agonists, such as ciglitazone (CZ), are known to modulate diabetic nephropathy, the role of CZ in diabetes-associated HHcy and renopathy is incompletely defined. We tested the hypothesis that induction of PPAR{gamma} by CZ decreases tissue Hcy level; this provides a protective role against diabetic nephropathy. C57BL/6J mice were administered alloxan to create diabetes. Mice were grouped to 0, 1, 10, 12 and 16 weeks of treatment; only 12 and 16 weeks animals received CZ in drinking water after a 10-week alloxan treatment. In diabetes, PPAR{gamma} cDNA, mRNA and protein expression were repressed, whereas, an increase in plasma and glomerular Hcy levels were observed. CZ normalized PPAR{gamma} mRNA and protein expression, glomerular level of Hcy, whereas, plasma level of Hcy remained unchanged. GFR was dramatically increased at 1-week diabetic induction followed by hypofiltration at 10 weeks and was normalized by CZ treatment. This result corroborated with glomerular and preglomerular arteriole histology. A steady state increase of RVR in diabetec mice became normal with CZ treatment. CZ ameliorated decrease bioavailability of NO in the diabetic animal. Glomerular MMP-2 and MMP-9 activities as well as TIMP-1 expression were increased robustly in diabetic mice and normalized with CZ treatment. Interestingly, TIMP-4 expression was opposite to that of TIMP-1 in diabetic and CZ-treated groups. These results suggested that diabetic nephropathy exacerbated glomerular tissue level of Hcy, and this caused further deterioration of glomerulus. CZ, however, protected diabetic nephropathy; in part, by activating PPAR{gamma} and clearing glomerular tissue Hcy.




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Am. J. Physiol. Renal Physiol.Home page
U. Sen, P. Basu, O. A. Abe, S. Givvimani, N. Tyagi, N. Metreveli, K. S. Shah, J. C. Passmore, and S. C. Tyagi
Hydrogen sulfide ameliorates hyperhomocysteinemia-associated chronic renal failure
Am J Physiol Renal Physiol, August 1, 2009; 297(2): F410 - F419.
[Abstract] [Full Text] [PDF]




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