Effect of Renal Denervation on Early and Late Stages of Diabetic Nephropathy

IF 4.2 2区 生物学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY
Biyang Xu, Melissa Lowe, Vladislav Levchenko, Mark N. Morales, Christine A. Klemens, Christopher T. Banek, Alexander Staruschenko
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Abstract

Diabetic kidney disease (DKD) is a major driver of morbidity and mortality worldwide. Although the FDA has recently approved renal denervation (RDNx) to treat hypertension, contradictory findings have been reported on the effect of RDNx on the progression of DKD in type 2 diabetes. Here, we used type 2 diabetic nephropathy (T2DN) rats, a well-established non-obese model that mimics key features in human DKD, to evaluate the effect of RDNx on the progression of DKD in the early and late stages of diabetic nephropathy. Results indicate that RDNx lowers mean arterial pressure in the early but not late stage of DKD without improving glycemic control or renal function, which may suggest that the effect of RDNx on type 2 diabetes is stage-dependent, emphasizing the importance of timing when considering RDNx as a potential treatment for DKD.

Abstract Image

肾去神经支配对糖尿病肾病早、晚期的影响
糖尿病肾病(DKD)是世界范围内发病率和死亡率的主要驱动因素。尽管FDA最近批准了肾去神经支配(RDNx)治疗高血压,但关于RDNx对2型糖尿病DKD进展的影响,报道了相互矛盾的发现。在这里,我们使用2型糖尿病肾病(T2DN)大鼠(一种成熟的非肥胖模型,模仿人类DKD的关键特征)来评估RDNx对糖尿病肾病早期和晚期DKD进展的影响。结果表明,RDNx降低了DKD早期而非晚期的平均动脉压,而没有改善血糖控制或肾功能,这可能表明RDNx对2型糖尿病的作用是分期依赖的,强调了考虑RDNx作为DKD的潜在治疗时时机的重要性。
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来源期刊
The FASEB Journal
The FASEB Journal 生物-生化与分子生物学
CiteScore
9.20
自引率
2.10%
发文量
6243
审稿时长
3 months
期刊介绍: The FASEB Journal publishes international, transdisciplinary research covering all fields of biology at every level of organization: atomic, molecular, cell, tissue, organ, organismic and population. While the journal strives to include research that cuts across the biological sciences, it also considers submissions that lie within one field, but may have implications for other fields as well. The journal seeks to publish basic and translational research, but also welcomes reports of pre-clinical and early clinical research. In addition to research, review, and hypothesis submissions, The FASEB Journal also seeks perspectives, commentaries, book reviews, and similar content related to the life sciences in its Up Front section.
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