Comparative effects of incretin-based therapy on early-onset diabetic nephropathy in rats : Role of TNF-α, TGF-β and c-caspase-3

Copyright © 2021 Elsevier Inc. All rights reserved..

AIMS: Diabetic nephropathy, a major threat to diabetic patients, is considered as the main reason for end-stage renal disease. Fortunately, incretin-based therapy has been aroused as considerable source to attenuate diabetic renal damage. This study aimed to investigate whether superior protective effects on the progression of diabetic kidney are exerted by glucagon-like peptide-1 analog, exenatide, or dipeptidyl peptidase-4 inhibitor, sitagliptin.

MATERIALS AND METHODS: Male Wistar rats were fed high-fat diet for 2 weeks followed by injection of low dose streptozotocin to induce type 2 diabetes mellitus. Four weeks after induction of diabetes, diabetic rats were administered vehicle, exenatide (5 μg/kg/day, SC) or sitagliptin (10 mg/kg/day, orally) for 4 weeks.

KEY FINDINGS: Different incretin mimetic agents improved renal function as evident by significant decreases in serum creatinine and urea levels with decline in urinary microalbuminuria and marked improvement in histological alterations. Both treated diabetic rats also exhibited a significant improvement in metabolic intolerance with more pronounced effect of exenatide on glucose regulation. Ameliorated renal oxidative stress alongside significant downregulation in transforming growth factor-beta, tumor necrosis factor-alpha and cleaved-caspase-3 protein expressions in renal tissues were recorded in treated diabetic rats.

SIGNIFICANCE: Administration of either exenatide or sitagliptin showed ameliorative effects on early diabetic nephropathy without notable differences between their renal protective effects. However, further clinical studies are still required to ensure their comparative promising effects on the management of renal complication of diabetes.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:278

Enthalten in:

Life sciences - 278(2021) vom: 01. Aug., Seite 119624

Sprache:

Englisch

Beteiligte Personen:

Habib, Heba A [VerfasserIn]
Heeba, Gehan H [VerfasserIn]
Khalifa, Mohamed M A [VerfasserIn]

Links:

Volltext

Themen:

C-Caspase-3
Caspase 3
Comparative Study
Diabetic nephropathy
EC 3.4.22.-
Exenatide
Incretin-based therapy
Incretins
Journal Article
Sitagliptin
TGF-β
TNF-α
Transforming Growth Factor beta
Tumor Necrosis Factor-alpha

Anmerkungen:

Date Completed 21.06.2021

Date Revised 21.06.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.lfs.2021.119624

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM325553858