Study the role of GLP-1 receptor agonist (Liraglutide) on experimentally induced diabetic nephropathy in male albino rats
Keywords:
caspase-12, Diabetic nehpropathy, FOXO1, Glucagon-like peptide 1, GRP78Abstract
This study is to display glucagon-like peptide 1 (GLP-1) receptor agonist (liraglutide) role in diabetic nephropathy (DN) in rats and to investigate its mechanism of action. 60 male albino rats were divided into: I) control group; II) DN group; III) DN pre-treated group; IV) DN post-treated group. Group II, III & IV revealed a significant reduction in final body weight compared to control. Group II showed significant decreases in e-GFR, GSH and FoxO1 which were significantly elevated in group III & IV near to control. However, Group II showed significant rises in urinary protein, ACR, BUN, serum creatinine, TNFα, insulin, glucose, HOMA IR, MDA, caspase-12 and GRP78 that were significantly reduced in group III & IV near to control. FoxO1 has positive correlations with e-GFR and GSH and has negative correlations with urinary protein, ACR, BUN, serum creatinine, TNF-α, insulin, glucose, HOMA IR, MDA, caspase-12 and GRP78 in all groups. The histopathological findings of Group II showed glomeruli distortion and interstitial hemorrhage but group III & IV revealed enhancement in renal architecture. We can conclude that liraglutide has a significant role in the protection and treatment of the kidneys in DN.
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Anders HJ, Huber TB, Isermann B & Schiffer M, (2018): CKD in diabetes: diabetic kidney disease versus nondiabetic kidney disease. Nat Rev Nephrol; 14: 361-77. DOI: https://doi.org/10.1038/s41581-018-0001-y
Bartels H, Böhmer M and Heierli C, (1972): Serum creatinine determination without protein precipitation. Clin Chim Acta; 37:193-7. DOI: https://doi.org/10.1016/0009-8981(72)90432-9
Baylan U, Korn A, Emmens RW, Schalkwijk CG, Niessen HWM, Krijnen PAJ et al., (2022): Liraglutide treatment attenuates inflammation markers in the cardiac, cerebral and renal microvasculature in streptozotocin-induced diabetic rats. Eur J Clin Invest.;52(9): e13807. DOI: https://doi.org/10.1111/eci.13807
Besseling PJ, Pieters TT, Nguyen ITN, de Bree BM, Willekes N, Dijk AH et al., (2021): A plasma creatinine- and urea-based equation to estimate glomerular filtration rate in rats. Am J Physiol Renal Physiol;320: F518-24. DOI: https://doi.org/10.1152/ajprenal.00656.2020
Beutler E, Duron O and Kelly BM, (1963): Improved method for the determination of blood glutathione. Journal of Laboratory and Clinical Medicine; 61:882-8.
Brouckaert P, Libert C, Everaerdit B, Takahashi N, Cauwels A & Fiers W, (1993): Tumor necrosis factor, its receptors and the connection with interleukin1 and interleukin 6. Immunobiology; 187:317-29. DOI: https://doi.org/10.1016/S0171-2985(11)80347-5
Chen J, Xie JJ, Shi KS, Gu YT, Wu CC, Xuan J et al., (2018): Glucagon-like peptide-1 receptor regulates endoplasmic reticulum stress-induced apoptosis and the associated inflammatory response in chondrocytes and the progression of osteoarthritis in rat. Cell Death Dis.;9(2):212. DOI: https://doi.org/10.1038/s41419-017-0217-y
Chen YL, Qiao YC, Xu Y, Ling W, Pan YH, Huang YC et al., (2017): Serum TNF-α concentrations in type 2 diabetes mellitus patients and diabetic nephropathy patients: A systematic review and meta-analysis. Immunol Lett.;186:52-8. DOI: https://doi.org/10.1016/j.imlet.2017.04.003
Clarke HE, Coates ME, Eva JK, Ford DJ, Milner CK, O'Donoghue PN, et al., (1977): Dietary standards for laboratory animals: Report of the Laboratory Animals Centre Diets Advisory Committee. Lab. Anim.;11: 1–28. DOI: https://doi.org/10.1258/002367777780959175
Danowitz M & De Leon DD, (2022): The role of GLP-1 signaling in hypoglycemia due to hyperinsulinism. Front Endocrinol (Lausanne).;13: 863184. DOI: https://doi.org/10.3389/fendo.2022.863184
Deacon A, (2009): Calculations in laboratory science. ACB Venture Publications. 338 pp. ISBN 978-0-902429- 43-7.
Du M, Wang Q, Li W, Ma X, Wu L, Guo F et al., (2016): Overexpression of FOXO1 ameliorates the podocyte epithelial-mesenchymal transition induced by high glucose in vitro and in vivo. Biochemical and biophysical research communications.;471:416-22. DOI: https://doi.org/10.1016/j.bbrc.2016.02.066
Furman BL (2021): Streptozotocin-induced diabetic models in mice and rats. Current Protocols; 70:5.47.1-5.47.20. DOI: https://doi.org/10.1002/cpz1.78
Gil CL, Hooker E & Larrivée B, (2020): Diabetic kidney disease, endothelial damage, and podocyte-endothelial crosstalk. Kidney Med.;3(1):105-15. DOI: https://doi.org/10.1016/j.xkme.2020.10.005
Guo L, Jiang B, Li D & Xiao X, (2021): Nephroprotective effect of adropinin against streptozotocin-induced diabetic nephropathy in rats: inflammatory mechanism and YAP/TAZ factor. drug des devel ther.;15:589-600. DOI: https://doi.org/10.2147/DDDT.S294009
He J, Wang C, Sun Y, Lu B, Cui J, Dong N et al., (2016): Exendin-4 protects bone marrow-derived mesenchymal stem cells against oxygen/glucose and serum deprivation-induced apoptosis through the activation of the cAMP/PKA signaling pathway and the attenuation of ER stress. Int J Mol Med.;37(4):889–900. DOI: https://doi.org/10.3892/ijmm.2016.2509
Hendarto H, Inoguchi T, Maeda Y, Ikeda N, Zheng J, Takei R, et al., (2012): GLP-1 analog liraglutide protects against oxidative stress and albuminuria in streptozotocin-induced diabetic rats via protein kinase A-mediated inhibition of renal NAD(P)H oxidases. Metabolism;61: 1422-34. DOI: https://doi.org/10.1016/j.metabol.2012.03.002
Huang L, Lin T, Shi M, Chen X & Wu P, (2020): Liraglutide suppresses production of extracellular matrix proteins and ameliorates renal injury of diabetic nephropathy by enhancing Wnt/β-catenin signaling. Am J Physiol Renal Physiol.;319(3): F458-F68. DOI: https://doi.org/10.1152/ajprenal.00128.2020
Lim AkH, (2014): Diabetic nephropathy - complications and treatment. Int J Nephrol Renovasc Dis.;7: 361-81. DOI: https://doi.org/10.2147/IJNRD.S40172
Mali N, Su F, Ge J, Fan WX, Zhang J & Ma J, (2022): Efficacy of liraglutide in patients with diabetic nephropathy: a meta-analysis of randomized controlled trials. BMC Endocr Disord.;22(1):93. DOI: https://doi.org/10.1186/s12902-022-01006-6
Mann JFE, Ørsted DD, Brown-Frandsen K, Marso SP, Poulter NR, Rasmussen S et al., (2017): Liraglutide and renal outcomes in type 2 diabetes. N Engl J Med.; 377 (9):839 - 48. DOI: https://doi.org/10.1056/NEJMoa1616011
Matthews DR, Hosker JP, Rudenski AS, Naylor BA, Treacher DF & Turner RC, (1985): Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia; 28(7):412-9. DOI: https://doi.org/10.1007/BF00280883
Morales RE, Del Pino MD, Valdivielso JM, Ortiz A, Mora-Fernández C & Navarro-González JF, (2019): Inflammation in Diabetic Kidney Disease. Nephron.;143(1):12-6. DOI: https://doi.org/10.1159/000493278
Nishi HH & Elin RJ, (1985): Three turbidimetric methods for determining total protein compared. Clin. Chm.; 31(8):1377-80 DOI: https://doi.org/10.1093/clinchem/31.8.1377
Oguntibeju OO, (2019): Type 2 diabetes mellitus, oxidative stress and inflammation: examining the links. Int J Physiol Pathophysiol Pharmacol.;11(3):45-63.
Ohkawa H, Ohishi N & Yagi K, (1979): Assay for lipid peroxides. In: Animal tissue by thiobarbituric acid reaction. Analytical Biochemistry; 95: 351-8. DOI: https://doi.org/10.1016/0003-2697(79)90738-3
Panagaki T, Michael M & Hölscher C, (2017): Liraglutide restores chronic ER stress, autophagy impairments and apoptotic signalling in SH-SY5Y cells. Sci Rep.;7(1):16158. DOI: https://doi.org/10.1038/s41598-017-16488-x
Panigrahy SK, Bhatt R & Kumar A, (2017): Reactive oxygen species: sources, consequences and targeted therapy in type 2 diabetes. J Drug Target.;25(2):93–101. DOI: https://doi.org/10.1080/1061186X.2016.1207650
Rasanayagam LJ, Lim KL, Beng CG & Lau KS, (1973): Measurement of urine albumin using bromocresol green. Clinica Chimica Acta; 44(1):53-7. DOI: https://doi.org/10.1016/0009-8981(73)90159-9
Ren H, Shao Y, Wu C, Ma X, Lv C & Wang Q, (2020): Metformin alleviates oxidative stress and enhances autophagy in diabetic kidney disease via AMPK/SIRT1-FoxO1 pathway. Mol. Cell. Endocrinol.; 500:110628. DOI: https://doi.org/10.1016/j.mce.2019.110628
Rizzo M, Abate N, Chandalia M, Rizvi AA, Giglio RV, Nikolic D et al., (2015): Liraglutide reduces oxidative stress and restores heme oxygenase-1 and ghrelin levels in patients with type 2 diabetes: A prospective pilot study. J Clin. Endocrinol. Metab.;100: 603- 6. DOI: https://doi.org/10.1210/jc.2014-2291
Sagoo MK & Gnudi L, (2018): Diabetic nephropathy: Is there a role for oxidative stress? Free Radical Biology and Medicine; 20(116(:50-63. DOI: https://doi.org/10.1016/j.freeradbiomed.2017.12.040
Sankrityayan H, Oza MJ, Kulkarni YA, Mulay SR & Gaikwad AB, (2019): ER stress response mediates diabetic microvascular complications. Drug Discovery Today; 24:2247–57. DOI: https://doi.org/10.1016/j.drudis.2019.08.003
Sinha SK & Nicholas SB, (2023): Pathomechanisms of diabetic kidney disease. Journal of Clinical Medicine; 12(23):7349. DOI: https://doi.org/10.3390/jcm12237349
Sonne DP, Engstrøm T & Treiman M, (2008): Protective effects of GLP-1 analogues exendin-4 and GLP-1(9-36) amide against ischemia-reperfusion injury in rat heart. Regul Pept;146: 243-9. DOI: https://doi.org/10.1016/j.regpep.2007.10.001
Srinivasan K, Viswanad B, Asrat L, Kaul CL and Ramarao P, (2005): Combination of high-fat diet-fed and low-dose streptozotocin-treated rat: a model for type 2 diabetes and pharmacological screening. Pharmacol Res; 52(4): 313-20. DOI: https://doi.org/10.1016/j.phrs.2005.05.004
Su J, Peng J, Wang L, Xie H, Zhou Y, Chen H et al., (2023): Identification of endoplasmic reticulum stress-related biomarkers of diabetes nephropathy based on bioinformatics and machine learning. Front Endocrinol (Lausanne).;14:1206154. DOI: https://doi.org/10.3389/fendo.2023.1206154
Su K, Yi B, Yao B Q, Xia T, Yang Y F, Zhang Z H, et al., (2020): 'Liraglutide attenuates renal tubular ectopic lipid deposition in rats with diabetic nephropathy by inhibiting lipid synthesis and promoting lipolysis'. Pharmacol Res;156: 104778. DOI: https://doi.org/10.1016/j.phrs.2020.104778
Sulaiman MK, (2019): Diabetic nephropathy: recent advances in pathophysiology and challenges in dietary management. Diabetol. Metab. Syndr.; 11:7. DOI: https://doi.org/10.1186/s13098-019-0403-4
Temple R, Clark PM & Hales CN, (1992): Measurement of insulin secretion in type 2 diabetes: problems and pitfalls. Diabet Med; 9(6): 503-12. DOI: https://doi.org/10.1111/j.1464-5491.1992.tb01830.x
Tietz NW, (1995): Clinical guide to laboratory tests. (ELISA). 3rd Edition, W.B. Saunders, Co., Philadelphia, 22-23.
Tikellis C, Koh P, Burns W & Kantharidis P, (2009): Quantitative gene expression analysis in kidney tissues. Methods Mol Biol; 466:83-107. DOI: https://doi.org/10.1007/978-1-59745-352-3_7
Tronieri JS, Wadden TA, Walsh O, Berkowitz RI, Alamuddin N, Gruber K et al., (2020): Effects of liraglutide on appetite, food preoccupation, and food liking: results of a randomized controlled trial. Int J Obes (Lond).;44(2):353-61. DOI: https://doi.org/10.1038/s41366-019-0348-6
Tsai YL, Zhang Y, Tseng CC, Stanciauskas R, Pinaud F & Lee AS, (2015): Characterization and mechanism of stress-induced translocation of 78-kilodalton glucose-regulated protein (GRP78) to the cell surface. J Biol Chem.;290(13):8049-64. DOI: https://doi.org/10.1074/jbc.M114.618736
Wang P, Guo XY, Gao Y, Liu J, Shan XJ, Zhang R et al., (2017): Effects of liraglutide on ATF4/CHOP pathway of pancreatic beta cells in rats fed with high-fat diet. Chongqing Yixue; 46: 3755-8.
Wang Y & He W, (2021): Improving the dysregulation of FoxO1 activity is a potential therapy for alleviating diabetic kidney disease. Front Pharmacol.;12: 630617. DOI: https://doi.org/10.3389/fphar.2021.630617
Xiao S, Yang Y, Liu YT & Zhu J, (2021): Liraglutide regulates the kidney and liver in diabetic nephropathy rats through the miR-34a/SIRT1 pathway'. Journal of Diabetes Research; 2021:8873956. DOI: https://doi.org/10.1155/2021/8873956
Yadav H, Devalaraja S, Chung ST & Rane SG, (2017): TGF-β1/Smad3 pathway targets PP2A-AMPK-FoxO1 signaling to regulate hepatic gluconeogenesis. J Biol Chem.;292(8):3420-32. DOI: https://doi.org/10.1074/jbc.M116.764910
Ye Y, Zhong X, Li N & Pan T, (2019): Protective effects of liraglutide on glomerular podocytes in obese mice by inhibiting the inflammatory factor TNF-alpha-mediated NF-kappaB and MAPK pathway. Obes. Res. Clin. Pract.;13: 385- 90. DOI: https://doi.org/10.1016/j.orcp.2019.03.003
Yi X, Cai X, Wang S & Xiao Y, (2020): Mechanisms of impaired pancreatic β cell function in high fat diet induced obese mice: The role of endoplasmic reticulum stress. Mol Med Rep.;21(5):2041-50. DOI: https://doi.org/10.3892/mmr.2020.11013
Zhang M, Lv XY, Li J, Xu ZG &Chen L, (2008): The characterization of high-fat diet and multiple low-dose streptozotocin induced type 2 diabetes rat model. Exp Diabetes Res.; 2008:704045. DOI: https://doi.org/10.1155/2008/704045
Zhang Q, Liu J, Chen S, Liu J, Liu L, Liu G et al., (2016): Caspase-12 is involved in stretch-induced apoptosis mediated endoplasmic reticulum stress. Apoptosis.;21(4):432-42. DOI: https://doi.org/10.1007/s10495-016-1217-6
Zhang XY, Guo CC, Yu YX, Xie L & Chang CQ, (2020): Establishment of high-fat diet-induced obesity and insulin resistance model in rats. Health sciences; 52(3):557-63.
Zhao XY, Yu TT, Liu S, Liu YJ, Liu JJ & Qin J, (2020): Effect of liraglutide on endoplasmic reticulum stress in the renal tissue of type 2 diabetic rats. World J Diabetes; 11: 611-21. DOI: https://doi.org/10.4239/wjd.v11.i12.611
Zhou JY, Poudel A, Welchko R, Mekala N, Chandramani-Shivalingappa P, Rosca MG et al., (2019): Liraglutide improves insulin sensitivity in high fat diet induced diabetic mice through multiple pathways. Eur J Pharmacol.;861:172594. DOI: https://doi.org/10.1016/j.ejphar.2019.172594
Zhou SJ, Bai L, Lv L, Chen R, Li CJ, Liu XY et al., (2014): Liraglutide ameliorates renal injury in streptozotocin induced diabetic rats by activating endothelial nitric oxide synthase activity via the downregulation of the nuclear factor κB pathway. Mol Med Rep.;10: 2587-94. DOI: https://doi.org/10.3892/mmr.2014.2555
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