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1 Medicine, Medical University of South Carolina, Charleston, South Carolina, United States
2 Division of Endocrinology-Diabetes-Medical Genetics and Bioinformatics, Biostatistics and Epidemiology, Medical University of South Carolina, Charleston, South Carolina, United States
* To whom correspondence should be addressed. E-mail: jaffaa{at}musc.edu.
Diabetic nephropathy (DN), is clinically manifested by albuminuria and a progressive decline in glomerular filtration rate. The factors and mechanisms that contribute to progression of DN are still undefined. To address the contribution of B2-kinin receptors (B2KR) to the development of DN, we studied B2KR knockout mice (B2KR-/-) and their wild type littermates (B2KR+/+). Diabetes was induced by daily intraperitoneal injection of STZ (50mg/kg body weight) for 3-5 days. We used a total of 48 mice divided into 4 groups, 12 mice in each group. Group 1, wild type non-diabetic-controls (B2KR+/+ C); group 2, wild type-diabetic (B2KR+/+ D); group 3, B2KR knockout-control (B2KR-/- C) and group 4, B2KR knockout-diabetic (B2KR-/- D). Glucose levels and albumin excretion rate (AER) were measured at predetermined intervals. Half of the mice were sacrificed at 3 months and the remaining half at 6 months. Plasma glucose levels were markedly elevated in both B2KR+/+ D and B2KR-/- D groups of mice compared to their non-diabetic controls. Diabetic B2KR-/- mice display reduced AER, as well as reduced glomerular and tubular injury compared to diabetic B2KR+/+ mice. The renoprotection conferred by deletion of B2KR was associated with increased renal expression of B1-kinin receptors (B1KR) and angiotensin II AT2 receptors and decreased expression of the prosclerotic connective tissue growth factor (CTGF). At a cellular level, our findings demonstrate that bradykinin (BK) down regulates the expression of AT2 receptors in mesangial cells (MC). These findings provide the first evidence that targeted deletion of B2KR protects against the development of DN.
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