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Am J Physiol Renal Physiol 292: F423-F429, 2007. First published August 29, 2006; doi:10.1152/ajprenal.00124.2006 Free Article
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Fructose-induced metabolic syndrome is associated with glomerular hypertension and renal microvascular damage in rats

Laura G. Sánchez-Lozada,1 Edilia Tapia,1 Adriana Jiménez,1 Pablo Bautista,1 Magdalena Cristóbal,1 Tomás Nepomuceno,1 Virgilia Soto,2 Carmen Ávila-Casado,2 Takahiko Nakagawa,3 Richard J. Johnson,3 Jaime Herrera-Acosta,1,{dagger} and Martha Franco1

Departments of 1Nephrology and 2Pathology, Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico; and 3Nephrology, Hypertension and Transplantation, University of Florida, Gainesville, Florida

Submitted 13 April 2006 ; accepted in final form 23 August 2006

Fructose intake has been recently linked to the epidemic of metabolic syndrome and, in turn, the metabolic syndrome has been epidemiologically linked with renal progression. The renal hemodynamic effects of fructose intake are unknown, as well as the effects of different routes of administration. Metabolic syndrome was induced in rats over 8 wk by either a high-fructose diet (60%, F60, n = 7) or by adding fructose to drinking water (10%, F10, n = 7). Body weight and food and fluid intake of each rat were measured weekly during the follow-up. At baseline and at the end of wk 8, systolic blood pressure, plasma uric acid, and triglycerides were measured. At the end of week 8 glomerular hemodynamics was evaluated by micropuncture techniques. Wall thickening in outer cortical and juxtamedullary afferent arterioles was assessed by immunohistochemistry and computer image analysis. Fructose administration either in diet or drinking water induced hypertension, hyperuricemia, and hypertriglyceridemia; however, there was a progressive increment in these parameters with higher fructose intake (C<F10<F60). In addition, the F60 rats developed kidney hypertrophy, glomerular hypertension, cortical vasoconstriction, and arteriolopathy of preglomerular vessels. In conclusion, fructose-induced metabolic syndrome is associated with renal disturbances characterized by renal hypertrophy, arteriolopathy, glomerular hypertension, and cortical vasoconstriction. These changes are best observed in rats administered high doses (60% diet) of fructose.

uric acid; obesity



Address for reprint requests and other correspondence: L. G. Sánchez-Lozada, Dept. of Nephrology, Instituto Nacional de Cardiología Ignacio Chavez, Juan Badiano 1. 14080, Mexico City, Mexico (e-mail: lgsanchezlozada{at}hotmail.com)




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