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Sarpogrelate hydrochloride ameliorates diabetic nephropathy associated with inhibition of macrophage activity and inflammatory reaction in db/db mice.

Abstract
The aim of this study was to evaluate the effects of sarpogrelate hydrochloride (SH), a selective serotonin 2A receptor antagonist, on diabetic nephropathy in a type 2 diabetes mouse model. We treated db/m and db/db mice with SH (30 mg/kg/day) for 12 weeks. Rat renal proximal tubule cells (NRK-52E) and mouse macrophages (Raw 264.7) were stimulated by high glucose (30 mM glucose) or LPS (100 ng/ml) with or without SH (20 μM). We found that SH treatment increased serum adiponectin level and decreased urinary albumin, macrophage infiltration to glomeruli, and renal inflammatory and fibrosis signals, which were highly expressed in diabetic mice. Proximal tubule cells treated with high glucose (30 mM) also showed increased inflammatory and fibrosis signals. However, SH (20 μM) treatment reduced these changes. Moreover, SH treatment inhibited LPS-stimulated macrophage migration and activation. These findings suggest that SH ameliorates diabetic nephropathy not only by suppressing macrophage infiltration, but also by anti-inflammatory and anti-fibrotic effects.
AuthorsEun Soo Lee, Mi Young Lee, Mi-Hye Kwon, Hong Min Kim, Jeong Suk Kang, You Mi Kim, Eun Young Lee, Choon Hee Chung
JournalPloS one (PLoS One) Vol. 12 Issue 6 Pg. e0179221 ( 2017) ISSN: 1932-6203 [Electronic] United States
PMID28640832 (Publication Type: Journal Article)
Chemical References
  • Adiponectin
  • Receptor, Serotonin, 5-HT2A
  • Succinates
  • Tumor Necrosis Factor-alpha
  • sarpogrelate
  • Nitric Oxide Synthase Type II
Topics
  • Adiponectin (blood)
  • Adipose Tissue (drug effects)
  • Albuminuria (complications)
  • Animals
  • Body Weight (drug effects)
  • Cell Movement (drug effects)
  • Diabetic Nephropathies (drug therapy, immunology, metabolism, pathology)
  • Fibrosis
  • Gene Expression Regulation, Enzymologic (drug effects)
  • Inflammation (complications)
  • Kidney Tubules, Proximal (drug effects, pathology)
  • Macrophage Activation (drug effects)
  • Macrophages (cytology, drug effects, immunology)
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Nitric Oxide Synthase Type II (metabolism)
  • Organ Size (drug effects)
  • RAW 264.7 Cells
  • Rats
  • Receptor, Serotonin, 5-HT2A (metabolism)
  • Succinates (pharmacology, therapeutic use)
  • Tumor Necrosis Factor-alpha (metabolism)

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