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- Title
Ischemia causes rapidly progressive nephropathy in the diabetic rat.
- Authors
Melin, Jan; Bellberg, Olof; Akyürek, Levent M.; Källskog, Orjan; Larsson, Erik; Fellström, Bengt C.
- Abstract
We examined the influence of renal ischemia in rats with diabetes mellitus (DM). Male Wistar rats were rendered diabetic by streptozotocin treatment. Two weeks later, 30 minutes of complete ischemia was induced in the left kidney of DM and non-DM animals. Both groups were evaluated functionally and morphologically four or eight weeks post-ischemia. In non-DM animals renal function and morphoIogy showed almost complete recovery. In the DM animals, however, this comparatively short period of ischemia caused a substantial loss of renal function. Four weeks post-ischemia inulin clearance in the DM kidneys rendered ischemic was only 20% of that in the corresponding non-DM kidneys, and after eight weeks the DM kidneys were completely anuric. Extensive inflammation and tubulointerstitial fibrosis were evident in DM kidneys four weeks after ischemia and seemed to increase over time. After eight weeks, tubular atrophy was found in the ischemic DM kidneys, resulting in a substantial loss of kidney mass. We conclude that in diabetic rats renal ischemia causes rapidly progressive kidney damage that in several respects resembles diabetic nephropathy in humans. Since advanced renal lesions similar to those seen in human diabetic nephropathy never develop in the rat solely as a result of DM, the present study may provide an experimental model for further studies on renal failure in diabetes mellitus.
- Subjects
IMMUNOSUPPRESSIVE agents; KIDNEY diseases; DIABETES; ISCHEMIA; CARBOHYDRATE intolerance; RATS
- Publication
Kidney International, 1997, Vol 52, Issue 4, p985
- ISSN
0085-2538
- Publication type
Article
- DOI
10.1038/ki.1997.420