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1.
Growth Horm IGF Res ; 20(5): 345-55, 2010 Oct.
Article in English | MEDLINE | ID: mdl-20655258

ABSTRACT

OBJECTIVE: Bovine growth hormone (bGH) transgenic mice develop severe kidney damage. This damage may be due, at least in part, to changes in gene expression. Identification of genes with altered expression in the bGH kidney may identify mechanisms leading to damage in this system that may also be relevant to other models of kidney damage. DESIGN: cDNA subtraction libraries, northern blot analyses, microarray analyses and real-time reverse transcription polymerase chain reaction (RT/PCR) assays were used to identify and verify specific genes exhibiting differential RNA expression between kidneys of bGH mice and their non-transgenic (NT) littermates. RESULTS: Immunoglobulins were the vast majority of genes identified by the cDNA subtractions and the microarray analyses as being up-regulated in bGH. Several glycoprotein genes and inflammation-related genes also showed increased RNA expression in the bGH kidney. In contrast, only a few genes were identified as being significantly down-regulated in the bGH kidney. The most notable decrease in RNA expression was for the gene encoding kidney androgen-regulated protein. CONCLUSIONS: A number of genes were identified as being differentially expressed in the bGH kidney. Inclusion of two groups, immunoglobulins and inflammation-related genes, suggests a role of the immune system in bGH kidney damage.


Subject(s)
Gene Expression , Growth Hormone/genetics , Immunity/genetics , Kidney Diseases/genetics , Kidney/metabolism , Animals , Cattle , Down-Regulation , Female , Gene Expression Profiling , Glycoproteins/metabolism , Immunoglobulins/genetics , Kidney/immunology , Kidney/pathology , Kidney Diseases/pathology , Mice , Mice, Inbred C57BL , Mice, Transgenic , Up-Regulation
2.
Acta Biomater ; 6(8): 3152-6, 2010 Aug.
Article in English | MEDLINE | ID: mdl-20152944

ABSTRACT

The arthropod cuticle is a remarkable and versatile biological material commonly composed of chitin and proteins. Lessons can be learned from the way it is adapted to fit its functions. The larval jewel beetle, Pseudotaenia frenchi, demonstrates hardness in the cutting edge of the mandibles in excess of the mineralized carapace of stone crabs and compares favourably with some stainless steels. Yet this is a form of cuticle which is devoid of transition metals or mineralization. In seeming contradiction, the similarly dark coloured adult beetle mandibles contain the transition metal manganese, but are significantly softer. Energy dispersive X-ray analysis and infrared spectroscopy have been used to investigate the differences in composition of mandible cuticle of the adult and larval beetles.


Subject(s)
Bone and Bones/anatomy & histology , Coleoptera/anatomy & histology , Transition Elements/analysis , Animals , Bone and Bones/ultrastructure , Coleoptera/ultrastructure , Elastic Modulus , Hardness , Mandible/anatomy & histology , Mandible/ultrastructure , Spectrophotometry, Infrared
3.
Arthropod Struct Dev ; 38(3): 173-8, 2009 May.
Article in English | MEDLINE | ID: mdl-19101653

ABSTRACT

Crustaceans are known for their hard, calcified exoskeleton; however some regions appear different in colour and opacity. These include leg and cheliped tips in the grapsid crab, Metopograpsus frontalis. The chelipeds and leg tips contain only trace levels of calcium but a significant mass of the halogens, chlorine (Cl) and bromine (Br). In contrast, the carapace is heavily calcified and contains only a trace mass of Cl and no Br. In transverse section across the non-calcified tip regions of cheliped and leg the mass percent of halogens varies with position. As such, the exoskeleton of M. frontalis provides a useful model to examine a possible correlation of halogen concentration with the physical properties of hardness (H) and reduced elastic modulus (E(r)), within a chitin-based matrix. Previously published work suggests a correlation exists between Cl concentration and hardness in similar tissues that contain a metal (e.g. zinc). However, in M. frontalis H and E(r) did not vary significantly across cheliped or leg tip despite differences in halogen concentration. The non-calcified regions of M. frontalis are less hard and less stiff than the carapace but equivalent to values found for insect cuticle lacking metals. Cheliped tips showed a complex morphological layering that differed from leg tips.


Subject(s)
Crustacea/anatomy & histology , Crustacea/physiology , Animal Structures , Animals , Behavior, Animal , Elastic Modulus , Elasticity , Halogens/metabolism , Hardness , Microscopy, Electron, Scanning/methods , Tensile Strength , X-Ray Diffraction
4.
Diabetologia ; 50(7): 1541-9, 2007 Jul.
Article in English | MEDLINE | ID: mdl-17473913

ABSTRACT

AIMS/HYPOTHESIS: An increasing amount of evidence indicates that mannose-binding lectin (MBL) plays a role in the development of diabetic nephropathy. The main objective of the study was to analyse whether MBL influences the effects of diabetes on the kidneys. MATERIALS AND METHODS: In one group of wild-type mice and in one group of MBL double knockout mice we induced diabetes by the use of streptozotocin as a model of type 1 diabetes. Two groups of non-diabetic mice, wild-type and MBL knockout, were also included. By two-way ANOVA we evaluated if MBL modulated the effects of diabetes by testing the interaction between diabetes and MBL. RESULTS: MBL interacted with the effects of diabetes on three outcome measures: kidney weight (p < 0.001), urinary albumin excretion (p = 0.001) and the expression of collagen IV alpha 1 (Col4a1) mRNA (p = 0.002). This means that the effects that diabetes normally has on these parameters were significantly modified by MBL. MBL showed a tendency to interact with the effects of diabetes on glomerular basement membrane thickness and total mesangial volume (p = 0.065 and p = 0.063, respectively). Glomerular volume and total mesangial volume were significantly smaller in animals lacking MBL than in wild-type animals (p = 0.006 and p = 0.047, respectively). CONCLUSIONS/INTERPRETATION: These findings, for the first time, show that the degree of kidney alteration as a consequence of diabetes is modified by MBL. These findings support a pivotal role of MBL in the development of diabetic kidney disease.


Subject(s)
Diabetes Mellitus, Experimental/therapy , Diabetes Mellitus, Type 1/genetics , Diabetes Mellitus, Type 1/pathology , Kidney/pathology , Mannose-Binding Lectin/deficiency , Streptozocin/pharmacology , Albumins/metabolism , Animals , Collagen Type IV/biosynthesis , Creatinine/urine , Diabetes Mellitus, Experimental/pathology , Female , Male , Mannose-Binding Lectin/metabolism , Mice , Mice, Inbred C57BL , Mice, Knockout , Organ Size
5.
Acta Physiol Scand ; 181(4): 537-42, 2004 Aug.
Article in English | MEDLINE | ID: mdl-15283768

ABSTRACT

The aetiology of cardiovascular disease originally included two components: a genetic component and an environmental or lifestyle component. Increasing epidemiologic evidence has been accumulating during the last decades indicating the importance of a third component: the influence of the environment during foetal development. Poor living conditions resulted in a high infant mortality and influenced the incidence of cardiovascular diseases in adulthood despite better living conditions (A. Forsdahl. Br J Prev Soc Med 1977; 31, 91-95). An association between pre-natal growth pattern and the rate of death from cardiovascular disease in adulthood was reported (D.J. Barker, P.D. Winter, C. Osmond, B. Margetts & S.J. Simmonds. Lancet 1989; 2, 577-580). Men from Hartfordshire (UK), born between 1911 and 1930 were investigated. The investigations showed that men with the lowest weight at birth and at 1 year of age had the highest risks of death from cardiovascular disease (D.J. Barker, P.D. Winter, C. Osmond, B. Margetts & S.J. Simmonds. Lancet 1989; 2, 577-580). These findings suggested that factors in the perinatal environment could programme an individual for later risk of development of cardiovascular disease compared with someone born with a normal weight. Numerous studies have since confirmed these initial findings of an inverse relationship between early growth pattern and cardiovascular disease in adulthood.


Subject(s)
Hypertension/embryology , Renin-Angiotensin System/physiology , Animals , Dietary Proteins/administration & dosage , Embryonic and Fetal Development/physiology , Growth Substances/physiology , Humans , Kidney/embryology , Risk Factors
7.
J Endocrinol ; 172(3): 637-43, 2002 Mar.
Article in English | MEDLINE | ID: mdl-11874712

ABSTRACT

It was recently discovered that the streptozotocin (STZ)-diabetic mouse model is characterised by GH hypersecretion in contrast to the STZ-diabetic rat, the former thus mimicking the changes in GH in human type 1 diabetes. Inhibition of circulating and renal IGF-I by long-acting somatostatin analogues reduces renal and glomerular growth and urinary albumin excretion in diabetic rats. The aim of the present study was to examine renal and glomerular growth in early experimental diabetes in mice along with changes in the GH/IGF-I axis following treatment with the somatostatin analogue octreotide. Balb/C(a) mice were randomised into non-diabetic controls, placebo-treated and octreotide-treated diabetic (50 microg/day) mice and examined 7 and 14 days after induction of diabetes. There was no effect of octreotide treatment on body weight, glycaemic control or food intake. However, octreotide treatment significantly inhibited renal and glomerular growth by the end of the study period when compared with placebo treatment. In addition, octreotide prevented an increase in kidney IGF-I by day 7. GH hypersecretion was observed in the diabetic groups but octreotide treatment reduced GH levels compared with placebo treatment by day 14. No significant differences in serum or kidney IGF-binding protein-3 levels were observed between placebo- and octreotide-treated diabetic mice. In conclusion, this new diabetic mouse model mimicking human type 1 diabetes is characterised by GH hypersecretion and the somatostatin analogue octreotide is able to prevent renal and glomerular growth, probably mediated through changes in circulating GH and local kidney IGF-I levels.


Subject(s)
Diabetes Mellitus, Experimental/drug therapy , Growth Hormone/blood , Kidney/pathology , Octreotide/therapeutic use , Analysis of Variance , Animals , Diabetes Mellitus, Experimental/blood , Diabetes Mellitus, Experimental/pathology , Female , Hormones/therapeutic use , Insulin-Like Growth Factor Binding Protein 3/analysis , Insulin-Like Growth Factor Binding Protein 3/blood , Insulin-Like Growth Factor I/analysis , Insulin-Like Growth Factor I/metabolism , Kidney/metabolism , Kidney Glomerulus/metabolism , Kidney Glomerulus/pathology , Mice , Mice, Inbred BALB C , Random Allocation , Somatostatin/metabolism
8.
Hypertension ; 38(3): 337-42, 2001 Sep.
Article in English | MEDLINE | ID: mdl-11566901

ABSTRACT

The present study was designed to determine whether adult hypertension caused by a reduced number of nephrons from birth is due to preceding glomerular damage. Newborn male Sprague-Dawley rat pups were uninephrectomized during the first 24 hours after birth (UNX rats). At 20 weeks of age, chronically instrumented UNX animals were hypertensive on a normal-sodium (0.20%) diet compared with sham-operated controls (142+/-2 versus 124+/-2 mm Hg in controls). Body weights and the total kidney-to-body weight ratio were not significantly different in adult UNX animals compared with controls. Glomerular filtration rate (GFR) was reduced by 49% in UNX rats (1.85+/-0.24 versus 3.65+/-0.22 mL/min). Urine protein excretions were higher in UNX rats (20+/-2 versus 7+/-1 mg/d in controls). On a high-sodium (3.15%) diet, arterial pressure increased more in UNX than in controls (28+/-9 versus 3+/-1 mm Hg). In contrast, in animals studied at 8 weeks of age, GFR was only reduced by 26% in UNX animals (2.02+/-0.06 versus 2.73+/-0.07 mL/min). Their hypertension (125+/-2 versus 117+/-2 mm Hg) was also salt sensitive (increase on high-sodium diet of 35+/-11 versus 8+/-2 mm Hg in controls) but was not associated with proteinuria or histological signs of glomerular disease. Number of glomeruli per kidney in UNX animals was not different from controls, but individual glomerular volume increased by 41%. Thus, surgical removal of 50% of the nephrons, when done during development, causes reduced renal function and salt-sensitive hypertension in adulthood. Hypertension is present earlier in life than signs of glomerular disease, which suggests that hypertension is a major contributor to rather than primarily resulting from onset of renal disease.


Subject(s)
Hypertension/etiology , Kidney Diseases/etiology , Kidney Glomerulus/pathology , Nephrectomy/adverse effects , Analysis of Variance , Animals , Animals, Newborn , Blood Pressure/physiology , Body Weight , Female , Glomerular Filtration Rate , Hemodynamics , Hypertension/physiopathology , Hypertension/urine , Insulin/administration & dosage , Insulin/blood , Insulin/urine , Kidney Diseases/physiopathology , Kidney Diseases/urine , Organ Size , Pregnancy , Rats , Rats, Sprague-Dawley , Time Factors , p-Aminohippuric Acid/administration & dosage , p-Aminohippuric Acid/blood , p-Aminohippuric Acid/urine
9.
J Endocrinol ; 170(3): 647-51, 2001 Sep.
Article in English | MEDLINE | ID: mdl-11524245

ABSTRACT

Diabetic nephropathy is characterised by an increase in glomerular and tubular fibrosis that compromises kidney function. The transforming growth factor-betas (TGF-betas) have been shown to play a major role in fibrosis and we have shown that TGF-beta2, in particular, increases co-ordinately with fibrogenesis in the diabetic kidney. The aim of this study was to investigate the changes in expression of extracellular matrix molecules in the diabetic kidney, with and without systemic administration of a recombinant human monoclonal antibody to TGF-beta2. Streptozotocin-induced diabetic rats were split into two groups. The first were treated with 5 mg/kg irrelevant control IgG4 (placebo) and the second treated with 5 mg/kg isoform-specific recombinant monoclonal anti-TGF-beta2 IgG4 (termed CAT-152) systemically every second day for 14 days. A further group of six non-diabetic rats was also used as a control. Various biological parameters were measured daily throughout the experimental period, and on termination of the experiment at 14 days Western blotting was performed on kidney cortices for procollagen-I C-propeptide, which is an indicator of the rate of collagen-I synthesis within the kidney. In the placebo-treated diabetic rats, blood glucose, food consumption, urinary albumin excretion (UAE) and kidney weights were all significantly higher than in the non-diabetic group (P<0.05, n=24, by ANOVA). In the anti-TGF-beta2-treated diabetic rats, kidney weights and UAE levels were decreased when compared with those in placebo-treated diabetics. Western blotting for the procollagen-I C-propeptide in kidney cortices showed a significant increase in levels in placebo-treated diabetic rats compared with non-diabetic controls over the 14 day diabetic period, indicating initiation of fibrogenesis. By contrast, in anti-TGF-beta2-treated diabetic rats, levels of the propeptide remained at non-diabetic levels. In summary, a significant suppression of kidney fibrosis was seen in anti-TGF-beta2-treated diabetic rats, compared with placebo-treated diabetic rats. We conclude that systemic delivery of CAT-152, a neutralising anti-TGF-beta2 antibody, during the acute stages of diabetic nephropathy reduces the rate of pathogenic fibrosis in the kidney.


Subject(s)
Antibodies, Monoclonal/therapeutic use , Diabetes Mellitus, Experimental/pathology , Diabetic Nephropathies/prevention & control , Kidney/pathology , Transforming Growth Factor beta/immunology , Albuminuria/prevention & control , Animals , Body Weight , Diabetes Mellitus, Experimental/metabolism , Diabetic Nephropathies/metabolism , Diabetic Nephropathies/pathology , Female , Fibrosis , Kidney/metabolism , Kidney Glomerulus/pathology , Organ Size , Peptide Fragments/metabolism , Procollagen/metabolism , Rats , Rats, Wistar , Transforming Growth Factor beta/antagonists & inhibitors , Transforming Growth Factor beta2
10.
J Endocrinol ; 170(2): 333-46, 2001 Aug.
Article in English | MEDLINE | ID: mdl-11479130

ABSTRACT

Insulin-like growth factor (IGF) binding protein-1 (IGFBP-1) is generally believed to inhibit IGF action in the circulation. In contrast, IGFBP-1 has been reported to interact with cell surfaces and enhance IGF-I action locally in some tissues. Renal IGFBP-1 levels are found elevated in various conditions characterized by renal growth (e.g. diabetes mellitus, hypokalemia). To test whether IGFBP-1 is a renotropic factor, IGFBP-1 was administered alone or in combination with IGF-I to Snell dwarf mice, an in vivo model without compensatory feedback effects on growth hormone (GH) secretion. In three control groups of Snell dwarf mice, placebo, GH or IGF-I was administered. Compared with placebo, kidney weight increased in all treated groups, however, with different effects on kidney morphology. Administration of IGF-I, alone or in combination with IGFBP-1, tended to increase glomerular volume, while no changes were seen in the other groups. Administration of IGFBP-1 or IGFBP-1+IGF-I both caused dilatation of the thin limbs of Henle's loop, while GH or IGF-I administration had no visible effect. Furthermore, IGF-I administration resulted in an increased mean number of nuclei per cortical area and renal weight, whereas GH, IGF-I+IGFBP-1 or IGFBP-1 caused a decreased renal nuclei number. In situ hybridization and immunohistochemistry showed specific changes of the renal IGF system expression patterns in the different groups. Particularly, IGFBP-1 administration resulted in extensive changes in the mRNA expression of the renal IGF system, whereas the other administration regimen resulted in less prominent modifications. In contrast, administration of IGFBP-1 and IGFBP-1+IGF-I resulted in identical changes in the protein expression of the renal IGF system. Our results indicate that IGFBP-1, alone or in combination with IGF-I, demonstrated effects on the renal tubular system that differ from the effects of IGF-I.


Subject(s)
Growth Disorders/metabolism , Growth Hormone/deficiency , Insulin-Like Growth Factor Binding Protein 1/pharmacology , Insulin-Like Growth Factor I/pharmacology , Kidney/metabolism , Animals , Cell Count , Female , Growth Disorders/pathology , Growth Hormone/pharmacology , Immunohistochemistry/methods , In Situ Hybridization/methods , Insulin-Like Growth Factor I/analysis , Insulin-Like Growth Factor I/genetics , Kidney/pathology , Kidney Glomerulus/drug effects , Kidney Glomerulus/pathology , Loop of Henle/drug effects , Loop of Henle/pathology , Male , Mice , Mice, Mutant Strains , Organ Size/drug effects , RNA, Messenger/analysis
11.
Pediatr Res ; 49(4): 460-7, 2001 Apr.
Article in English | MEDLINE | ID: mdl-11264427

ABSTRACT

Restriction of maternal protein intake during rat pregnancy produces offspring that are hypertensive in adulthood, but the mechanisms are not well understood. Our purpose was to determine whether this adult hypertension could be programmed during development by suppression of the fetal/newborn renin-angiotensin system (RAS) and a consequent reduction in nephron number. Pregnant rats were fed a normal protein (19%, NP) or low-protein (8.5%, LP) diet throughout gestation. Birth weight was reduced by 13% (p < 0.0005), and the kidney/body weight ratio was reduced in LP pups. Renal renin mRNA levels were significantly reduced in newborn LP pups; renal renin concentration and renin immunostaining were suppressed. Renal tissue angiotensin II levels were also suppressed in newborn LP (0.079 +/- 0.002 ng/mg, LP versus 0.146 +/- 0.016 ng/mg, NP, p < 0.01). Mean arterial pressure in conscious, chronically instrumented adult offspring (21 wk) was higher in LP (135 +/- 1 mm Hg, LP versus 126 +/- 1 mm Hg, NP, p < 0.00007), and GFR normalized to kidney weight was reduced in LP (p < 0.04). The number of glomeruli per kidney was lower in adult LP offspring (21,567 +/- 1,694, LP versus 28,917 +/- 2,342, NP, p < 0.03), and individual glomerular volume was higher (1.81 +/- 0.16 10(6) microm(3), LP versus 1.11 +/- 0.10 10(6) microm(3), NP, p < 0.005); the total volume of all glomeruli per kidney was not significantly different. Thus, perinatal protein restriction in the rat suppresses the newborn intrarenal RAS and leads to a reduced number of glomeruli, glomerular enlargement, and hypertension in the adult.


Subject(s)
Dietary Proteins/administration & dosage , Hypertension/etiology , Nutritional Physiological Phenomena , Renin-Angiotensin System , Animals , Animals, Newborn , Female , Glomerular Filtration Rate , Kidney/anatomy & histology , Kidney/physiopathology , Rats , Rats, Sprague-Dawley
12.
Drug Alcohol Depend ; 58(3): 259-66, 2000 Mar 01.
Article in English | MEDLINE | ID: mdl-10759036

ABSTRACT

Although the association between heavy alcohol use and HIV risk has been studied in treatment populations, we know little about patterns of alcohol use and HIV risk among out-of-treatment African-American drug users. This study examines the extent to which alcohol use affects HIV risk in a sample of 495 African-American crack users who did not inject drugs. We present differences between levels of alcohol and crack use with regard to sexual practices (including sex while impaired), number of partners, frequency of sexual activity, and condom use. The findings suggest an intimate relationship between alcohol use, crack use, and sexual risks for HIV infection. Respondents who reported frequent use (15-30 days in the last 30 days) of alcohol, crack, or both displayed significantly greater risk than those who reported less than frequent use.


Subject(s)
Alcoholism/epidemiology , Black or African American/psychology , Cocaine-Related Disorders/epidemiology , Crack Cocaine , HIV Seropositivity/epidemiology , Adolescent , Adult , Aged , Alcoholism/complications , Cocaine-Related Disorders/complications , Female , HIV Seropositivity/complications , Humans , Male , Middle Aged , Risk Factors , Sexual Behavior/psychology
13.
Kidney Int ; 56(6): 2048-54, 1999 Dec.
Article in English | MEDLINE | ID: mdl-10594780

ABSTRACT

UNLABELLED: Compensatory renal growth in uninephrectomized adult mice is growth hormone dependent. BACKGROUND: Growth hormone (GH) and insulin-like growth factors (IGFs) have been implicated as pathogenic factors in compensatory renal growth (CRG) following unilateral nephrectomy in rodents. CRG in adult rats has been suggested to be GH dependent and GH independent in immature rats. However, the exact role of GH as a regulating or permissive factor in CRG in adult rodents has not been fully resolved to date. METHODS: To elucidate a possible direct, permissive role of GH in CRG, we examined the effect of a newly developed specific GH receptor (GHR) antagonist (G120K-PEG) on kidney IGF-I accumulation and renal/glomerular hypertrophy over seven days after uninephrectomy in adult mice. RESULTS: Placebo-treated uninephrectomized mice were characterized by a transient increase in kidney IGF-I concentration preceding CRG and an increase in glomerular volume. In G120K-PEG-treated uninephrectomized animals, increased kidney IGF-I levels, kidney weight, and glomerular volume were fully abolished. No differences were seen between the two uninephrectomized groups with respect to body weight, food intake, blood glucose, serum GH, IGF-I, or IGFBP-3 levels. CONCLUSIONS: The administration of a GHR antagonist in uninephrectomized adult mice has renal effects without affecting circulating levels of GH/IGFs, indicating that the effect of G120K-PEG may be mediated through a direct inhibitory effect on renal IGF-I accumulation through the renal GHR. This study shows, to our knowledge for the first time, that CRG in adult mice is strictly GH dependent.


Subject(s)
Growth Hormone/antagonists & inhibitors , Growth Hormone/blood , Kidney/growth & development , Age Factors , Animals , Blood Glucose , Eating , Female , Gene Expression Regulation, Developmental/drug effects , Growth Hormone/genetics , Hypertrophy , Insulin-Like Growth Factor Binding Protein 3/blood , Insulin-Like Growth Factor Binding Protein 3/genetics , Insulin-Like Growth Factor I/analysis , Insulin-Like Growth Factor I/genetics , Insulin-Like Growth Factor I/metabolism , Kidney/chemistry , Kidney/pathology , Liver , Mice , Mice, Inbred BALB C , Nephrectomy , Organ Size , Polyethylene Glycols/pharmacology , RNA, Messenger/analysis
14.
J Am Soc Nephrol ; 10(11): 2374-81, 1999 Nov.
Article in English | MEDLINE | ID: mdl-10541297

ABSTRACT

The growth hormone (GH)/insulin-like growth factor (IGF) axis is involved in diabetic renal disease. The role of a specific GH receptor (GHR) antagonist in the development of early renal changes in nonobese diabetic (NOD) mice was investigated. Female diabetic (nonketotic) NOD mice treated with a polyethylene glycol-treated GHR antagonist (2 mg/kg, every other day) (DA group) or saline (D group) and their nonhyperglycemic age-matched littermates (control animals) were euthanized 3 wk after the onset of diabetes. Body weights at euthanasia were similar among the groups. Serum GH levels were markedly elevated, and serum IGF-I levels were significantly decreased in D and DA animals, compared with controls. The increases in kidney weights and glomerular volumes observed for the D group were absent in the DA group. Albuminuria was increased in the D group but was normalized in the DA group. Extractable renal IGF-I protein levels were increased in the D group but were partially normalized in the DA group. Renal IGF-binding protein 1 mRNA levels were increased in the D group but returned to almost normal levels in the DA animals. Kidney IGF-I and GHR mRNA levels were decreased in both the D and DA groups. Renal GH-binding protein mRNA levels remained unchanged in both diabetic groups. GHR antagonism had a blunting effect on renal/glomerular hypertrophy and albuminuria in diabetic NOD mice. These salutary effects were associated with concomitant inhibition of increased renal IGF-I protein levels and were obtained without affecting either somatic growth or circulating GH and IGF-I levels. Therefore, modulation of GH effects may have beneficial therapeutic implications in diabetic nephropathy.


Subject(s)
Diabetes Mellitus, Type 1/complications , Diabetic Nephropathies/prevention & control , Polyethylene Glycols/therapeutic use , Receptors, Somatotropin/antagonists & inhibitors , Animals , Body Weight , Female , Growth Hormone/blood , Insulin-Like Growth Factor Binding Protein 3/blood , Insulin-Like Growth Factor I/analysis , Mice , Mice, Inbred NOD , RNA, Messenger/analysis , Receptors, Somatotropin/genetics
15.
Diabetes ; 48(2): 377-82, 1999 Feb.
Article in English | MEDLINE | ID: mdl-10334317

ABSTRACT

Growth hormone (GH) and IGFs have a long and distinguished history in diabetes, with possible participation in the development of renal complications. To investigate the effect of a newly developed GH receptor (GHR) antagonist (G120K-PEG) on renal/glomerular hypertrophy and urinary albumin excretion (UAE), streptozotocin-induced diabetic and nondiabetic mice were injected with G120K-PEG every 2nd day for 28 days. Placebo-treated diabetic and nondiabetic animals were used as reference groups. Placebo-treated diabetic animals were characterized by growth retardation, hyperphagia, hyperglycemia, increased serum GH levels, reduced serum IGF-I, IGF-binding protein (IGFBP)-3, and liver IGF-I levels, increased kidney IGF-I, renal/glomerular hypertrophy, and increased UAE when compared with nondiabetic animals. No differences were seen between the two diabetic groups with respect to body weight, food intake, blood glucose, serum GH, IGF-I, and IGFBP-3 levels or hepatic IGF-I levels. Kidney IGF-I, kidney weight, and glomerular volume were normalized, while the rise in UAE was partially attenuated in the G120K-PEG-treated diabetic animals. No effect of G120K-PEG treatment on any of the parameters mentioned above was seen in nondiabetic animals. In conclusion, administration of a GHR antagonist in diabetic mice has renal effects without affecting metabolic control and circulating levels of GH, IGF-I, or IGFBP-3, thus indicating that the effect of G120K-PEG may be mediated through a direct inhibitory effect on renal IGF-I through the renal GHR. The present study suggests that specific GHR blockade may present a new concept in the treatment of diabetic kidney disease.


Subject(s)
Albuminuria/etiology , Diabetes Mellitus, Experimental/pathology , Diabetes Mellitus, Experimental/urine , Kidney/pathology , Polyethylene Glycols/pharmacology , Receptors, Somatotropin/antagonists & inhibitors , Animals , Female , Growth Hormone/blood , Hypertrophy , Insulin-Like Growth Factor Binding Protein 3/blood , Insulin-Like Growth Factor I/metabolism , Kidney/drug effects , Kidney Glomerulus/drug effects , Kidney Glomerulus/pathology , Liver/metabolism , Mice , Mice, Inbred BALB C , Organ Size/drug effects
16.
Holist Nurs Pract ; 13(4): 90-7, 1999 Jul.
Article in English | MEDLINE | ID: mdl-10661122

ABSTRACT

This report is an exploratory study of the information needs and information seeking in a sample of nurse practitioners (NPs) approved to practice in North Carolina. A search and review of relevant literature revealed no studies on this topic. In this study, NPs report their most frequent information needs relate to drug therapy, diagnosis, and other therapy. Their most frequently used information resources are physicians, drug reference manuals, and textbooks. They most frequently confer with physicians on diagnosis and other therapy and other NPs on psychosocial issues.


Subject(s)
Education, Nursing, Continuing/organization & administration , Information Services/organization & administration , Needs Assessment , Nurse Practitioners/education , Attitude of Health Personnel , Humans , Internet , North Carolina , Nurse Practitioners/psychology , Nursing Education Research , Nursing Methodology Research , Surveys and Questionnaires
17.
Am J Physiol ; 275(5): R1593-9, 1998 11.
Article in English | MEDLINE | ID: mdl-9791078

ABSTRACT

ANG II is known to be important in normal renal development, but the long-term consequences of a suppressed renin-angiotensin system (RAS) during the developmental period are not completely understood. This study tested the hypothesis that the RAS in the developing animal is important in long-term regulation of renal function and arterial pressure. Newborn Sprague-Dawley rat pups were given the ANG II AT1 receptor antagonist losartan (25 mg . kg-1 . day-1 sc) for the first 12 days of postnatal life (Los). Body weights at weaning (22 days) were significantly reduced in Los (53.4 +/- 3.2 vs. 64.5 +/- 3.6 g in controls); however, at the time of study (approximately 22 wk), body weights and the kidney-to-body weight ratios were not different. In chronically instrumented conscious animals, glomerular filtration rate and effective renal plasma flow were reduced by 27 and 20%, respectively, in Los; the filtration fraction was not different. Maximal urine concentrating ability was also reduced in Los (1,351 +/- 45 vs. 2,393 +/- 52 mosmol/kg in controls). Mean arterial pressure was significantly higher in Los (134 +/- 3 vs. 120 +/- 1 mmHg). The number of glomeruli per kidney was reduced by 42% in Los, but the total glomerular volume was unchanged. Thus perinatal blockade of ANG II AT1 receptors results in fewer but enlarged glomeruli, reduced renal function, and an increased arterial pressure in adulthood. These data indicate that perinatal ANG II, acting via AT1 receptors, plays an important role in renal development and long-term control of renal function and arterial pressure. Physiological conditions that cause suppression of the RAS in the developing animal may have long-term consequences for renal function and blood pressure.


Subject(s)
Angiotensin II/physiology , Blood Pressure/physiology , Kidney Glomerulus/cytology , Kidney/physiology , Aging/physiology , Animals , Female , Kidney/cytology , Kidney Glomerulus/physiology , Male , Rats , Rats, Sprague-Dawley , Receptors, Angiotensin/physiology
18.
Cell Tissue Res ; 292(3): 563-71, 1998 Jun.
Article in English | MEDLINE | ID: mdl-9582413

ABSTRACT

In order to study the cellular mode of renin secretion, stereological methods were used to estimate number and volume of rat renin secretory granules during stimulation of the renin system. An acute decrease in renal perfusion pressure to 40 mmHg for 5 min increased plasma renin concentration (PRC) twofold, but did not significantly change the number of renin granules per arteriole or the renin-containing volume of the arteriole. Chronic stimulation was achieved by a combination of low-salt diet and inhibition of angiotensin-converting enzyme (ACE) for 14 days, and resulted in a 36-fold increase in PRC, a 20-fold increase in the number of granules per arteriole, and a 17-fold increase in the arteriolar volume that contained renin. An acute decrease in renal perfusion pressure to 40 mmHg for 5 min in the chronically stimulated rats increased PRC further (1.6-fold), and significantly reduced the number of granules per arteriole by 4000 (45% reduction), but did not change the renin-containing arteriolar volume significantly. The average renin granule size was 0.35 microm3 with no significant differences among the groups. We conclude that recruited granular cells contribute significantly to renin release, and that all granular cells along the arteriole participate in secretory responses. The reduced number of renin granules after acute stimulation is compatible with exocytosis as the dominating mechanism of renin release.


Subject(s)
Cytoplasmic Granules/metabolism , Juxtaglomerular Apparatus/metabolism , Renin/metabolism , Angiotensin-Converting Enzyme Inhibitors/pharmacology , Animals , Blood Pressure/physiology , Cytoplasmic Granules/ultrastructure , Diet, Sodium-Restricted , Enalapril/pharmacology , Juxtaglomerular Apparatus/cytology , Juxtaglomerular Apparatus/drug effects , Male , Microscopy, Electron , Rats , Rats, Wistar , Renal Circulation/drug effects , Sodium, Dietary/pharmacology
19.
Diabetologia ; 40(7): 802-9, 1997 Jul.
Article in English | MEDLINE | ID: mdl-9243101

ABSTRACT

A morphometric study was performed on moderately hyperglycaemic streptozotocin diabetic rats after 10 and 50 days of diabetes, and on groups of rats that, after initial hyperglycaemia for 50 days, were insulin treated for 2 h or for 5, 15 or 38 days. A group of hyperglycaemic diabetic animals were fasted for 18 h. Another group of rats had acute hyperglycaemia induced by intravenous glucose injection. After 10 and 50 days of diabetes, kidney weight was increased by 55 and 93%. Glomerular volume, tubule length, and tubular and interstitial volume increased in diabetic animals compared with controls. After 4 h insulin treatment, the kidney weight was 20% decreased; after 5 days it was 31% decreased. After 38 days the kidney weight was still 26% greater than in controls. In diabetic animals, 18 h fasting induced a 30% decrease in kidney weight. In normal animals, acute hyperglycaemia induced a 22% increase in kidney weight. Volume fractions of most kidney structures remained similar in all groups. However, the glomerular volume fraction was smaller during kidney enlargement, and the tubular volume fraction was larger after induced hyperglycaemia compared with controls. In conclusion, high blood glucose levels in diabetic and normal animals are associated with increased kidney weight. In hyperglycaemic diabetic animals, normalization of blood glucose after insulin treatment or fasting was followed by a decrease in kidney weight.


Subject(s)
Diabetes Mellitus, Experimental/drug therapy , Diabetes Mellitus, Experimental/pathology , Insulin/therapeutic use , Kidney/pathology , Animals , Blood Glucose/metabolism , Body Weight , Connective Tissue/drug effects , Connective Tissue/pathology , Female , Hyperglycemia/pathology , Kidney/drug effects , Kidney Glomerulus/pathology , Kidney Tubules, Distal/pathology , Kidney Tubules, Proximal/pathology , Organ Size , Rats , Rats, Wistar
20.
Cell Tissue Res ; 288(2): 399-406, 1997 May.
Article in English | MEDLINE | ID: mdl-9082976

ABSTRACT

The mutant beige mouse (C57BL/6 bg) has a disease characterised by abnormally enlarged cytoplasmic granules in a variety of cells. With the purpose of establishing a suitable cellular model for studying renin secretion, the present study was undertaken to compare renin granule morphology in beige mice with that of control (NMRI) mice. Immunohistochemistry with an antibody specific for renin revealed intense staining of the juxtaglomerular part of the afferent arterioles in both strains of mice. Plasma renin concentrations were higher in the controls than in the beige mice (4.4+/-0.6 vs 2.5+/-0.3 mGoldblatt units/ml). The total volume of renin granules per afferent arteriole was similar in the two mice strains (1114 microm3 in the controls and 1507 microm3 in the beige mice). The total number of renin granules per arteriole as assessed by stereological techniques was about 1900 in controls (average granular volume 0.681 microm3), whereas 1-2 large granules were present per cell in beige mice. The volume of afferent arteriole that contained secretory granules was lower in the beige mice. We conclude that the beige mouse synthesizes, stores and releases active renin. Renin secretory granules in beige mice are grossly enlarged with 1-2 granules per juxtaglomerular cell. Compared with control mice, a similar amount of total renin granule volume per afferent arteriole is contained in a smaller part of beige mouse afferent arteriole. Granular cells from beige mice could therefore be a valuable tool in the study of renin release.


Subject(s)
Arterioles/ultrastructure , Cytoplasmic Granules/pathology , Exocytosis/physiology , Juxtaglomerular Apparatus/chemistry , Kidney/blood supply , Renin/metabolism , Animals , Juxtaglomerular Apparatus/cytology , Mice , Mice, Inbred Strains , Mice, Mutant Strains , Microscopy, Electron
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