Renoprotective effect of GLP-1 receptor agonist, liraglutide, in early-phase diabetic kidney disease in spontaneously diabetic Torii fatty rats

Background The aim of this study is to investigate the renoprotective effect of the GLP-1 receptor agonist, liraglutide, in early-phase diabetic kidney disease (DKD) using an animal model of type 2 diabetes with several metabolic disorders. Methods Male 8-week-old spontaneously diabetic Torii (SDT)...

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Veröffentlicht in:Clinical and experimental nephrology 2021-04, Vol.25 (4), p.365-375
Hauptverfasser: Yamada, Shohei, Tanabe, Jun, Ogura, Yuji, Nagai, Yoshio, Sugaya, Takeshi, Ohata, Keiichi, Natsuki, Yasunori, Ichikawa, Daisuke, Watanabe, Shiika, Inoue, Kazuho, Hoshino, Seiko, Kimura, Kenjiro, Shibagaki, Yugo, Kamijo-Ikemori, Atsuko
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container_issue 4
container_start_page 365
container_title Clinical and experimental nephrology
container_volume 25
creator Yamada, Shohei
Tanabe, Jun
Ogura, Yuji
Nagai, Yoshio
Sugaya, Takeshi
Ohata, Keiichi
Natsuki, Yasunori
Ichikawa, Daisuke
Watanabe, Shiika
Inoue, Kazuho
Hoshino, Seiko
Kimura, Kenjiro
Shibagaki, Yugo
Kamijo-Ikemori, Atsuko
description Background The aim of this study is to investigate the renoprotective effect of the GLP-1 receptor agonist, liraglutide, in early-phase diabetic kidney disease (DKD) using an animal model of type 2 diabetes with several metabolic disorders. Methods Male 8-week-old spontaneously diabetic Torii (SDT) fatty rats ( n  = 19) were randomly assigned to three groups. The liraglutide group ( n  = 6) was injected subcutaneously with liraglutide. Another treatment group ( n  = 6) received subcutaneous insulin against hyperglycemia and hydralazine against hypertension for matching blood glucose levels and blood pressure with the liraglutide group. The control groups of SDT fatty ( n  = 7) and non-diabetic Sprague–Dawley rats ( n  = 7) were injected only with a vehicle. Results The control group of SDT fatty rats exhibited hyperglycemia, obesity, hypertension, hyperlipidemia, glomerular sclerosis, and tubulointerstitial injury with high urinary albumin and L-FABP levels. Liraglutide treatment reduced body weight, food intake, blood glucose and blood pressure levels, as well as ameliorated renal pathologic findings with lower urinary albumin and L-FABP levels. Liraglutide increased expressions of phosphorylated (p)-eNOS and p-AMPK in glomeruli, downregulated renal expression of p-mTOR, and increased renal expressions of LC3B-II, suggesting activation of autophagy. However, these effects were not caused by the treatments with insulin and hydralazine, despite comparable levels of hyperglycemia and hypertension to those achieved with liraglutide treatment. Conclusions Liraglutide may exert a renoprotective effect via prevention of glomerular endothelial abnormality and preservation of autophagy in early-phase DKD, independent of blood glucose, and blood pressure levels.
doi_str_mv 10.1007/s10157-020-02007-2
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Methods Male 8-week-old spontaneously diabetic Torii (SDT) fatty rats ( n  = 19) were randomly assigned to three groups. The liraglutide group ( n  = 6) was injected subcutaneously with liraglutide. Another treatment group ( n  = 6) received subcutaneous insulin against hyperglycemia and hydralazine against hypertension for matching blood glucose levels and blood pressure with the liraglutide group. The control groups of SDT fatty ( n  = 7) and non-diabetic Sprague–Dawley rats ( n  = 7) were injected only with a vehicle. Results The control group of SDT fatty rats exhibited hyperglycemia, obesity, hypertension, hyperlipidemia, glomerular sclerosis, and tubulointerstitial injury with high urinary albumin and L-FABP levels. Liraglutide treatment reduced body weight, food intake, blood glucose and blood pressure levels, as well as ameliorated renal pathologic findings with lower urinary albumin and L-FABP levels. Liraglutide increased expressions of phosphorylated (p)-eNOS and p-AMPK in glomeruli, downregulated renal expression of p-mTOR, and increased renal expressions of LC3B-II, suggesting activation of autophagy. However, these effects were not caused by the treatments with insulin and hydralazine, despite comparable levels of hyperglycemia and hypertension to those achieved with liraglutide treatment. Conclusions Liraglutide may exert a renoprotective effect via prevention of glomerular endothelial abnormality and preservation of autophagy in early-phase DKD, independent of blood glucose, and blood pressure levels.</description><identifier>ISSN: 1342-1751</identifier><identifier>EISSN: 1437-7799</identifier><identifier>DOI: 10.1007/s10157-020-02007-2</identifier><identifier>PMID: 33409761</identifier><language>eng</language><publisher>Singapore: Springer Singapore</publisher><subject>Agonists ; Albumin ; Albuminuria - physiopathology ; Albuminuria - prevention &amp; control ; Animal models ; Animals ; Antidiabetics ; Autophagy ; Autophagy - drug effects ; Biomarkers - blood ; Blood glucose ; Blood Glucose - drug effects ; Blood Glucose - metabolism ; Blood pressure ; Blood Pressure - drug effects ; Body weight ; Diabetes ; Diabetes mellitus (non-insulin dependent) ; Diabetes Mellitus, Type 2 - drug therapy ; Diabetes Mellitus, Type 2 - metabolism ; Diabetes Mellitus, Type 2 - physiopathology ; Diabetic Nephropathies - metabolism ; Diabetic Nephropathies - pathology ; Diabetic Nephropathies - physiopathology ; Diabetic Nephropathies - prevention &amp; control ; Diabetic nephropathy ; Disease Models, Animal ; Fatty acid-binding protein ; Food intake ; GLP-1 receptor agonists ; Glucagon-Like Peptide-1 Receptor - agonists ; Glucagon-Like Peptide-1 Receptor - metabolism ; Glucose ; Hyperglycemia ; Hyperlipidemia ; Hypertension ; Hypoglycemic Agents - pharmacology ; Incretins - pharmacology ; Insulin ; Kidney - drug effects ; Kidney - metabolism ; Kidney - pathology ; Kidney - physiopathology ; Kidney diseases ; Liraglutide - pharmacology ; Male ; Medicine ; Medicine &amp; Public Health ; Metabolic disorders ; Nephrology ; Original Article ; Phagocytosis ; Rats ; Rats, Inbred Strains ; Sclerosis ; Signal Transduction ; TOR protein ; Urology</subject><ispartof>Clinical and experimental nephrology, 2021-04, Vol.25 (4), p.365-375</ispartof><rights>Japanese Society of Nephrology 2021</rights><rights>Japanese Society of Nephrology 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c520t-7984d4b4f898c7497ae6c9298ef97534ccc8a95065a0557a4a5972ec85a8d7c03</citedby><cites>FETCH-LOGICAL-c520t-7984d4b4f898c7497ae6c9298ef97534ccc8a95065a0557a4a5972ec85a8d7c03</cites><orcidid>0000-0002-0786-3197</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10157-020-02007-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10157-020-02007-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33409761$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamada, Shohei</creatorcontrib><creatorcontrib>Tanabe, Jun</creatorcontrib><creatorcontrib>Ogura, Yuji</creatorcontrib><creatorcontrib>Nagai, Yoshio</creatorcontrib><creatorcontrib>Sugaya, Takeshi</creatorcontrib><creatorcontrib>Ohata, Keiichi</creatorcontrib><creatorcontrib>Natsuki, Yasunori</creatorcontrib><creatorcontrib>Ichikawa, Daisuke</creatorcontrib><creatorcontrib>Watanabe, Shiika</creatorcontrib><creatorcontrib>Inoue, Kazuho</creatorcontrib><creatorcontrib>Hoshino, Seiko</creatorcontrib><creatorcontrib>Kimura, Kenjiro</creatorcontrib><creatorcontrib>Shibagaki, Yugo</creatorcontrib><creatorcontrib>Kamijo-Ikemori, Atsuko</creatorcontrib><title>Renoprotective effect of GLP-1 receptor agonist, liraglutide, in early-phase diabetic kidney disease in spontaneously diabetic Torii fatty rats</title><title>Clinical and experimental nephrology</title><addtitle>Clin Exp Nephrol</addtitle><addtitle>Clin Exp Nephrol</addtitle><description>Background The aim of this study is to investigate the renoprotective effect of the GLP-1 receptor agonist, liraglutide, in early-phase diabetic kidney disease (DKD) using an animal model of type 2 diabetes with several metabolic disorders. Methods Male 8-week-old spontaneously diabetic Torii (SDT) fatty rats ( n  = 19) were randomly assigned to three groups. The liraglutide group ( n  = 6) was injected subcutaneously with liraglutide. Another treatment group ( n  = 6) received subcutaneous insulin against hyperglycemia and hydralazine against hypertension for matching blood glucose levels and blood pressure with the liraglutide group. The control groups of SDT fatty ( n  = 7) and non-diabetic Sprague–Dawley rats ( n  = 7) were injected only with a vehicle. Results The control group of SDT fatty rats exhibited hyperglycemia, obesity, hypertension, hyperlipidemia, glomerular sclerosis, and tubulointerstitial injury with high urinary albumin and L-FABP levels. Liraglutide treatment reduced body weight, food intake, blood glucose and blood pressure levels, as well as ameliorated renal pathologic findings with lower urinary albumin and L-FABP levels. Liraglutide increased expressions of phosphorylated (p)-eNOS and p-AMPK in glomeruli, downregulated renal expression of p-mTOR, and increased renal expressions of LC3B-II, suggesting activation of autophagy. However, these effects were not caused by the treatments with insulin and hydralazine, despite comparable levels of hyperglycemia and hypertension to those achieved with liraglutide treatment. 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control</subject><subject>Diabetic nephropathy</subject><subject>Disease Models, Animal</subject><subject>Fatty acid-binding protein</subject><subject>Food intake</subject><subject>GLP-1 receptor agonists</subject><subject>Glucagon-Like Peptide-1 Receptor - agonists</subject><subject>Glucagon-Like Peptide-1 Receptor - metabolism</subject><subject>Glucose</subject><subject>Hyperglycemia</subject><subject>Hyperlipidemia</subject><subject>Hypertension</subject><subject>Hypoglycemic Agents - pharmacology</subject><subject>Incretins - pharmacology</subject><subject>Insulin</subject><subject>Kidney - drug effects</subject><subject>Kidney - metabolism</subject><subject>Kidney - pathology</subject><subject>Kidney - physiopathology</subject><subject>Kidney diseases</subject><subject>Liraglutide - pharmacology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Metabolic disorders</subject><subject>Nephrology</subject><subject>Original Article</subject><subject>Phagocytosis</subject><subject>Rats</subject><subject>Rats, Inbred Strains</subject><subject>Sclerosis</subject><subject>Signal Transduction</subject><subject>TOR protein</subject><subject>Urology</subject><issn>1342-1751</issn><issn>1437-7799</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kcFu1DAQhiMEoqXwAhyQJS4cahg7dhwfUVVapJWoqnK2vM5kccnGwXYq5Sn6ynhJaSUOHKwZj7_5PfZfVW8ZfGQA6lNiwKSiwOGwQFH-rDpmolZUKa2fl7wWnDIl2VH1KqVbAGi11C-ro7oWoFXDjqv7axzDFENGl_0dEuz7kpHQk4vNFWUkosMph0jsLow-5VMy-Gh3w5x9h6fEjwRtHBY6_bAJSeftFrN35KfvRlzKPuGhXrA0hTHbEcOchuUJvAnRe9LbnBcSbU6vqxe9HRK-eYgn1fcv5zdnl3Tz7eLr2ecNdZJDpkq3ohNb0be6dUpoZbFxmusWe61kLZxzrdUSGmlBSmWFlVpxdK20bacc1CfVh1W3vP3XjCmbvU8Oh2Ed0XBRvodraHRB3_-D3oY5jmU6wyWwpmG1bgrFV8rFkFLE3kzR721cDANzsMusdplilfljl-Gl6d2D9LzdY_fY8tefAtQrkMrRuMP4dPd_ZH8D-QuhFQ</recordid><startdate>20210401</startdate><enddate>20210401</enddate><creator>Yamada, Shohei</creator><creator>Tanabe, Jun</creator><creator>Ogura, Yuji</creator><creator>Nagai, Yoshio</creator><creator>Sugaya, Takeshi</creator><creator>Ohata, Keiichi</creator><creator>Natsuki, Yasunori</creator><creator>Ichikawa, Daisuke</creator><creator>Watanabe, Shiika</creator><creator>Inoue, Kazuho</creator><creator>Hoshino, Seiko</creator><creator>Kimura, Kenjiro</creator><creator>Shibagaki, Yugo</creator><creator>Kamijo-Ikemori, Atsuko</creator><general>Springer Singapore</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0786-3197</orcidid></search><sort><creationdate>20210401</creationdate><title>Renoprotective effect of GLP-1 receptor agonist, liraglutide, in early-phase diabetic kidney disease in spontaneously diabetic Torii fatty rats</title><author>Yamada, Shohei ; Tanabe, Jun ; Ogura, Yuji ; Nagai, Yoshio ; Sugaya, Takeshi ; Ohata, Keiichi ; Natsuki, Yasunori ; Ichikawa, Daisuke ; Watanabe, Shiika ; Inoue, Kazuho ; Hoshino, Seiko ; Kimura, Kenjiro ; Shibagaki, Yugo ; Kamijo-Ikemori, Atsuko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c520t-7984d4b4f898c7497ae6c9298ef97534ccc8a95065a0557a4a5972ec85a8d7c03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Agonists</topic><topic>Albumin</topic><topic>Albuminuria - physiopathology</topic><topic>Albuminuria - prevention &amp; control</topic><topic>Animal models</topic><topic>Animals</topic><topic>Antidiabetics</topic><topic>Autophagy</topic><topic>Autophagy - drug effects</topic><topic>Biomarkers - blood</topic><topic>Blood glucose</topic><topic>Blood Glucose - drug effects</topic><topic>Blood Glucose - metabolism</topic><topic>Blood pressure</topic><topic>Blood Pressure - drug effects</topic><topic>Body weight</topic><topic>Diabetes</topic><topic>Diabetes mellitus (non-insulin dependent)</topic><topic>Diabetes Mellitus, Type 2 - drug therapy</topic><topic>Diabetes Mellitus, Type 2 - metabolism</topic><topic>Diabetes Mellitus, Type 2 - physiopathology</topic><topic>Diabetic Nephropathies - metabolism</topic><topic>Diabetic Nephropathies - pathology</topic><topic>Diabetic Nephropathies - physiopathology</topic><topic>Diabetic Nephropathies - prevention &amp; control</topic><topic>Diabetic nephropathy</topic><topic>Disease Models, Animal</topic><topic>Fatty acid-binding protein</topic><topic>Food intake</topic><topic>GLP-1 receptor agonists</topic><topic>Glucagon-Like Peptide-1 Receptor - agonists</topic><topic>Glucagon-Like Peptide-1 Receptor - metabolism</topic><topic>Glucose</topic><topic>Hyperglycemia</topic><topic>Hyperlipidemia</topic><topic>Hypertension</topic><topic>Hypoglycemic Agents - pharmacology</topic><topic>Incretins - pharmacology</topic><topic>Insulin</topic><topic>Kidney - drug effects</topic><topic>Kidney - metabolism</topic><topic>Kidney - pathology</topic><topic>Kidney - physiopathology</topic><topic>Kidney diseases</topic><topic>Liraglutide - pharmacology</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Metabolic disorders</topic><topic>Nephrology</topic><topic>Original Article</topic><topic>Phagocytosis</topic><topic>Rats</topic><topic>Rats, Inbred Strains</topic><topic>Sclerosis</topic><topic>Signal Transduction</topic><topic>TOR protein</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamada, Shohei</creatorcontrib><creatorcontrib>Tanabe, Jun</creatorcontrib><creatorcontrib>Ogura, Yuji</creatorcontrib><creatorcontrib>Nagai, Yoshio</creatorcontrib><creatorcontrib>Sugaya, Takeshi</creatorcontrib><creatorcontrib>Ohata, Keiichi</creatorcontrib><creatorcontrib>Natsuki, Yasunori</creatorcontrib><creatorcontrib>Ichikawa, Daisuke</creatorcontrib><creatorcontrib>Watanabe, Shiika</creatorcontrib><creatorcontrib>Inoue, Kazuho</creatorcontrib><creatorcontrib>Hoshino, Seiko</creatorcontrib><creatorcontrib>Kimura, Kenjiro</creatorcontrib><creatorcontrib>Shibagaki, Yugo</creatorcontrib><creatorcontrib>Kamijo-Ikemori, Atsuko</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium &amp; 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Methods Male 8-week-old spontaneously diabetic Torii (SDT) fatty rats ( n  = 19) were randomly assigned to three groups. The liraglutide group ( n  = 6) was injected subcutaneously with liraglutide. Another treatment group ( n  = 6) received subcutaneous insulin against hyperglycemia and hydralazine against hypertension for matching blood glucose levels and blood pressure with the liraglutide group. The control groups of SDT fatty ( n  = 7) and non-diabetic Sprague–Dawley rats ( n  = 7) were injected only with a vehicle. Results The control group of SDT fatty rats exhibited hyperglycemia, obesity, hypertension, hyperlipidemia, glomerular sclerosis, and tubulointerstitial injury with high urinary albumin and L-FABP levels. Liraglutide treatment reduced body weight, food intake, blood glucose and blood pressure levels, as well as ameliorated renal pathologic findings with lower urinary albumin and L-FABP levels. Liraglutide increased expressions of phosphorylated (p)-eNOS and p-AMPK in glomeruli, downregulated renal expression of p-mTOR, and increased renal expressions of LC3B-II, suggesting activation of autophagy. However, these effects were not caused by the treatments with insulin and hydralazine, despite comparable levels of hyperglycemia and hypertension to those achieved with liraglutide treatment. Conclusions Liraglutide may exert a renoprotective effect via prevention of glomerular endothelial abnormality and preservation of autophagy in early-phase DKD, independent of blood glucose, and blood pressure levels.</abstract><cop>Singapore</cop><pub>Springer Singapore</pub><pmid>33409761</pmid><doi>10.1007/s10157-020-02007-2</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-0786-3197</orcidid></addata></record>
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source MEDLINE; SpringerLink Journals
subjects Agonists
Albumin
Albuminuria - physiopathology
Albuminuria - prevention & control
Animal models
Animals
Antidiabetics
Autophagy
Autophagy - drug effects
Biomarkers - blood
Blood glucose
Blood Glucose - drug effects
Blood Glucose - metabolism
Blood pressure
Blood Pressure - drug effects
Body weight
Diabetes
Diabetes mellitus (non-insulin dependent)
Diabetes Mellitus, Type 2 - drug therapy
Diabetes Mellitus, Type 2 - metabolism
Diabetes Mellitus, Type 2 - physiopathology
Diabetic Nephropathies - metabolism
Diabetic Nephropathies - pathology
Diabetic Nephropathies - physiopathology
Diabetic Nephropathies - prevention & control
Diabetic nephropathy
Disease Models, Animal
Fatty acid-binding protein
Food intake
GLP-1 receptor agonists
Glucagon-Like Peptide-1 Receptor - agonists
Glucagon-Like Peptide-1 Receptor - metabolism
Glucose
Hyperglycemia
Hyperlipidemia
Hypertension
Hypoglycemic Agents - pharmacology
Incretins - pharmacology
Insulin
Kidney - drug effects
Kidney - metabolism
Kidney - pathology
Kidney - physiopathology
Kidney diseases
Liraglutide - pharmacology
Male
Medicine
Medicine & Public Health
Metabolic disorders
Nephrology
Original Article
Phagocytosis
Rats
Rats, Inbred Strains
Sclerosis
Signal Transduction
TOR protein
Urology
title Renoprotective effect of GLP-1 receptor agonist, liraglutide, in early-phase diabetic kidney disease in spontaneously diabetic Torii fatty rats
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