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The Effect of Aldose Reductase Inhibition and Dietary Protein Restriction on Renal Function in Experimental Diabetes Mellitus

 

作者: McCormackAmy J.,   HakLawrence J.,   FinnWilliam F.,  

 

期刊: Renal Failure  (Taylor Available online 1991)
卷期: Volume 13, issue 4  

页码: 267-274

 

ISSN:0886-022X

 

年代: 1991

 

DOI:10.3109/08860229109022163

 

出版商: Taylor&Francis

 

关键词: Aldose reductase inhibitor;Diabetic nephropathy;Glomerular filtration rate;Prostaglandin synthetase inhibition;Renal blood flow;Rat;Sorbinil

 

数据来源: Taylor

 

摘要:

The effects of aldose reductase inhibition on renal function in hyperphagic diabetic rats were examined at 3 months. To prevent a high dietary protein intake from influencing renal function, protein intake in the diabetic animals was reduced to that of nondiabetic animals. To determine the influence of renal prostaglandins, clearance studies were performed before and after indomethacin infusion. Experiments were performed in uninephrectomized sorbinil-treated and -untreated streptozocin-diabetic and sorbinil-treated and -untreated control rats. Despite normalizaiton of protein intake, the mean value of the inulin clearance (CIn, mL/min/100 g BW) was 83% greater in the untreated diabetic rats when compared to the untreated control rats (1.06±0.15 vs. 0.58±0.07; p<0.05). In contrast, the mean value of the CInin the sorbinil-treated diabetic rats was significantly less than that in the untreated diabetic rats and only 38% greater than the mean value in the sorbinil-treated control rats (0.84±0.17 vs. 0.61±0.05; p<0.05). In a similar fashion, without sorbinil treatment the mean value of renal blood flow (RBF, mL/min/100 g BW) was greater in the diabetic than the control rats (6.58±2.03 vs. 3.70±0.68; p<0.05); whereas the mean values of RBF in the sorbinil-treated diabetic and control rats were not significantly different (4.75±0.73 vs. 4.17±0.64; NS). Indomethacin infusion failed to cause changes in the CInand RBF in any group of animals. These data provide evidence that renal hemodynamic abnormalities occur in the diabetic kidney which are not a result of an increase in dietary protein intake or stimulation of renal prostaglandins. Furthermore, these data support the notion that increased polyol pathway activity is an important component of the renal hemodynamic abnormalities in the diabetic kidney.

 

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