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Am J Physiol Renal Physiol 296: F306-F316, 2009. First published December 3, 2008; doi:10.1152/ajprenal.90326.2008
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Omega-3 fatty acid rich diet prevents diabetic renal disease

Joseph H. Garman,1 Susan Mulroney,1 Michaele Manigrasso,3 Elizabeth Flynn,3 and Christine Maric2,3

Departments of 1Physiology and Biophysics and 2Medicine, Georgetown University Medical Center, Washington, District of Columbia; and 3Department of Physiology and Biophysics, University of Mississippi Medical Center, Jackson, Mississippi

Submitted 21 May 2008 ; accepted in final form 1 December 2008

Omega-3 polyunsaturated fatty acids (n-3 PUFA) show beneficial effects in cardiovascular disease, IgA, and diabetic nephropathy; however, the mechanisms underlying these benefits are unknown. The study was performed in male Sprague-Dawley rats randomly divided into four treatment groups: nondiabetic (ND), streptozotocin-induced diabetic (D), diabetic and fed a high n-3 PUFA diet (D+canola), and diabetic and fed a high n-6 (omega-6) PUFA diet (D+corn). Study treatments were carried out for 30 wk. D+canola significantly decreased diabetes-associated increases in urine albumin excretion (ND 17.8 ± 6.4; D 97.3 ± 9.4; D+canola 8.3 ± 2.2 mg/day); systolic blood pressure (ND 153 ± 9; D 198 ± 7; D+canola 162 ± 9 mmHg); glomerulosclerosis (ND 0.6 ± 0.2; D 1.8 ± 0.2; D+canola 0.8 ± 0.1 AU); and tubulointerstitial fibrosis in the renal cortex (ND 1.2 ± 0.2; D 2.0 ± 0.2; D+canola 1.1 ± 0.1) and the inner stripe of the outer medulla (ND 1.0 ± 0.2; D 2.1 ± 0.2; D+canola 1.1 ± 0.2 AU). D+corn also exerted renoprotection, but not to the same degree as D+canola (urine albumin excretion, 33.8 ± 6.1 mg/day; systolic blood pressure, D+corn 177 ± 6 mmHg; glomerulosclerosis, D+corn 1.2 ± 0.3 AU; cortical tubulointerstitial fibrosis, D+corn 1.6 ± 0.1 AU; medullary tubulointerstitial fibrosis, D+corn 1.5 ± 0.1 AU). In addition, D+canola attenuated D-associated increase in collagen type I and type IV, IL-6, MCP-1, transforming growth factor-β, and CD68 expression. These observations indicate a beneficial effect of high dietary intake of n-3 PUFA in reducing diabetic renal disease.

diabetes; kidney; omega-3; PUFA; glomerulosclerosis; tubulointerstitial fibrosis; hypertension; canola



Address for reprint requests and other correspondence: C. Maric, Dept. of Physiology and Biophysics, Univ. of Mississippi Medical Center, 2500 North State St., Jackson, MS 39216 (e-mail: cmaric{at}physiology.umsmed.edu)







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