dc.contributor.author |
Bánki Nóra Fanni |
|
dc.contributor.author |
Vér Ágota |
|
dc.contributor.author |
Wágner László József |
|
dc.contributor.author |
Vannay Ádám |
|
dc.contributor.author |
Degrell P |
|
dc.contributor.author |
Prókai Ágnes |
|
dc.contributor.author |
Gellai Renáta |
|
dc.contributor.author |
Lénárt Lilla |
|
dc.contributor.author |
Nagy-Szakál Dorottya |
|
dc.contributor.author |
Kenesei Éva |
|
dc.contributor.author |
Rosta Klára |
|
dc.contributor.author |
Reusz György |
|
dc.contributor.author |
Szabó Attila |
|
dc.contributor.author |
Tulassay Tivadar |
|
dc.contributor.author |
Baylis C |
|
dc.contributor.author |
Fekete Andrea |
|
dc.date.accessioned |
2015-01-05T11:04:55Z |
|
dc.date.available |
2015-01-05T11:04:55Z |
|
dc.date.issued |
2012 |
|
dc.identifier |
84862986085 |
|
dc.identifier.citation |
pagination=e39938;
journalVolume=7;
journalIssueNumber=6;
journalTitle=PLOS ONE; |
|
dc.identifier.uri |
http://repo.lib.semmelweis.hu//handle/123456789/868 |
|
dc.identifier.uri |
doi:10.1371/journal.pone.0039938 |
|
dc.description.abstract |
Angiotensin converting enzyme inhibitors (ACEi) and angiotensin II receptor blockers (ARB) are the standard clinical therapy of diabetic nephropathy (DN), while aldosterone antagonists are only used as adjuncts. Previously in experimental DN we showed that Na/K ATPase (NKA) is mislocated and angiotensin II leads to superimposed renal progression. Here we investigated the monotherapeutic effect of aldosterone blockers on the progression of DN and renal NKA alteration in comparison to ACEi and ARBs. Streptozotocin-diabetic rats developing DN were treated with aldosterone antagonists; ACEi and ARB. Renal function, morphology, protein level and tubular localization of NKA were analyzed. To evaluate the effect of high glucose per se; HK-2 proximal tubular cells were cultured in normal or high concentration of glucose and treated with the same agents. Aldosterone antagonists were the most effective in ameliorating functional and structural kidney damage and they normalized diabetes induced bradycardia and weight loss. Aldosterone blockers also prevented hyperglycemia and diabetes induced increase in NKA protein level and enzyme mislocation. A monotherapy with aldosterone antagonists might be as, or more effective than ACEi or ARBs in the prevention of STZ-induced DN. Furthermore the alteration of the NKA could represent a novel pathophysiological feature of DN and might serve as an additional target of aldosterone blockers. © 2012 Banki et al. |
|
dc.relation.ispartof |
urn:issn:1932-6203 |
|
dc.title |
Aldosterone antagonists in monotherapy are protective against streptozotocin-induced diabetic nephropathy in rats |
|
dc.type |
Journal Article |
|
dc.date.updated |
2014-12-22T09:49:50Z |
|
dc.language.rfc3066 |
en |
|
dc.identifier.mtmt |
2015749 |
|
dc.identifier.wos |
000305826400047 |
|
dc.identifier.pubmed |
22761931 |
|
dc.contributor.department |
SE/ÁOK/K/I. Sz. Gyermekgyógyászati Klinika |
|
dc.contributor.department |
SE/ÁOK/I/Orvosi Vegytani, Molekuláris Biológiai és Patobiokémiai Intézet |
|
dc.contributor.department |
SE/ÁOK/K/Transzplantációs és Sebészeti Klinika |
|
dc.contributor.department |
SE/ÁOK/K/ISZGYK/MTA-SE Gyermekgyógyászati és Nephrológiai Kutatócsoport |
|
dc.contributor.department |
SE/ÁOK/K/ISZGYK/MTA-SE Lendület Diabétesz Kutatócsoport |
|
dc.contributor.institution |
Semmelweis Egyetem |
|