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Dipeptidyl peptidase-4 deficiency protects against experimental diabetic nephropathy partly by blocking the advanced glycation end products-receptor axis.

Abstract
Advanced glycation end products (AGEs) and their receptor (RAGE) have a role in diabetic nephropathy. We have recently found that linagliptin, an inhibitor of dipeptidyl peptidase-4 (DPP-4), could inhibit renal damage in type 1 diabetic rats by suppressing the AGE-RAGE axis. However, it remains unclear whether DPP-4 deficiency could also have beneficial effects on experimental diabetic nephropathy. To address the issue, we rendered wild-type F344/NSlc and DPP-4-deficient F344/DuCrl/Crlj rats diabetic by injection of streptozotocin, and then investigated whether DPP-4 deficiency could block the activation of AGE-RAGE axis in the diabetic kidneys and resultantly ameliorate renal injury in streptozotocin-induced diabetic rats. Compared with control rats at 9 and 11 weeks old, body weight and heart rates were significantly lower, while fasting blood glucose was higher in wild-type and DPP-4-deficient diabetic rats at the same age. There was no significant difference of body weight, fasting blood glucose and lipid parameters between the two diabetic rat strains. AGEs, 8-hydroxy-2'-deoxyguanosine (8-OHdG) and nitrotyrosine levels in the kidney, renal gene expression of RAGE and intercellular adhesion molecule-1, glomerular area, urinary excretion of 8-OHdG and albumin, and the ratio of renal to body weight were increased in wild-type diabetic rats at 9 and/or 11 weeks old compared with age-matched control rats, all of which except for urinary 8-OHdG levels at 11 weeks old were significantly suppressed in DPP-4-deficient diabetic rats. Our present study suggests that DPP-4 deficiency could exert beneficial actions on type 1 diabetic nephropathy partly by blocking the AGE-RAGE axis. DPP-4 might be a novel therapeutic target for preventing diabetic nephropathy.
AuthorsTakanori Matsui, Sae Nakashima, Yuri Nishino, Ayako Ojima, Nobutaka Nakamura, Kazunari Arima, Kei Fukami, Seiya Okuda, Sho-ichi Yamagishi
JournalLaboratory investigation; a journal of technical methods and pathology (Lab Invest) Vol. 95 Issue 5 Pg. 525-33 (May 2015) ISSN: 1530-0307 [Electronic] United States
PMID25730373 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Glycation End Products, Advanced
  • Dipeptidyl Peptidase 4
Topics
  • Albuminuria (genetics)
  • Animals
  • Diabetic Nephropathies (genetics, metabolism)
  • Dipeptidyl Peptidase 4 (genetics, metabolism)
  • Glycation End Products, Advanced (genetics, metabolism)
  • Kidney (metabolism, pathology)
  • Male
  • Mice, Knockout
  • Oxidative Stress (genetics)
  • Rats
  • Signal Transduction (genetics)

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