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1 Physiology and Biophysics, University of Louisville, Louisville, Kentucky, United States
2 Physiology and Biophysics, University of Louisville, LOUISVILLE, KY, Kentucky, United States
* To whom correspondence should be addressed. E-mail: s0tyag01{at}louisville.edu.
Renal dysfunction is a hallmark of established diabetes mellitus. We
tested the hypothesis that impairment of the peroxisome proliferator activated
receptor-
(PPAR
) initiates the renal dysfunction by increasing renal-glomerular
matrix metalloproteinase-2 (MMP-2) activity because of increased renal
homocysteine (Hcy) and decreased nitric oxide levels. C57BL/6J mice were made
diabetic (D) by feeding a high fat-calorie diet and an increase in PPAR
activity was
induced by adding pioglitazone (Pi) to the diet. Mice were grouped into: Normal
calorie diet (N), D, N+Pi and D+Pi (n=6 in each group). In each mouse, glomerular
filtration rate (GFR), renal artery blood flow and pressure, and plasma glucose were
measured. Renal-glomeruli and pre-glomerular arterioles were isolated. Plasma and
glomerular levels of nitric oxide (NO), Hcy, and MMP activity were measured. The
contractile response to phenylephrine and dilatation response to acetylcholine in
renal arteriolar rings were measured in a tissue myobath. In N, D, N+Pi and D+Pi
groups, respectively, GFR was 9.4±1.2, 3.9±1.1, 9.2±1.6 and 8.4±1.4 µl/min/g of
body weight. Renovascular resistance was 140±3, 367±21, 161±9, and 153±10
mmHg/ml/min. Blood glucose levels were 2-fold higher in D as compared to N
groups. There was 25% decrease in blood glucose levels in D+Pi group as
compared to D group. The levels of Hcy were increased from 5.8±1.5 in N to
18.0±4.0 µmol/L in D groups. There was no effect of Pi on plasma levels of Hcy. The
glomerular levels of MMP-2 were increased in D mice as compared with N mice, and
there was no change in the levels of MMP-9. The treatment with Pi ameliorated the
glomerular levels of MMP-2 and Hcy in D group. Renal artery ring contraction and
relaxation by phenylephrine and acetylcholine, respectively, were attenuated in D
groups as compared with N groups. Treatment with Pi ameliorated these
attenuations. The results suggest that PPAR
agonist ameliorates glomerular
remodeling and the contractile impairment in diabetes, in part, by decreasing tissue
levels of Hcy and MMP-2 activity and increasing NO.
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