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10.1093/ndt/gfp724

http://scihub22266oqcxt.onion/10.1093/ndt/gfp724
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20061322!2902889!20061322
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suck abstract from ncbi


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pmid20061322      Nephrol+Dial+Transplant 2010 ; 25 (6): 1803-10
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  • Sulodexide ameliorates early but not late kidney disease in models of radiation nephropathy and diabetic nephropathy #MMPMID20061322
  • Rossini M; Naito T; Yang H; Freeman M; Donnert E; Ma LJ; Dunn SR; Sharma K; Fogo AB
  • Nephrol Dial Transplant 2010[Jun]; 25 (6): 1803-10 PMID20061322show ga
  • BACKGROUND: Sulodexide is a glycosaminoglycan with anticoagulant and antithrombotic activities. Although sulodexide reduced albuminuria in patients with type 1 and type 2 diabetes, long-term effects on chronic renal injury are not established. We investigated sulodexide effects and mechanisms in a rat radiation nephropathy model and in the db/db mouse model of diabetic kidney disease. METHODS: Sprague-Dawley rats received kidney radiation and were treated as follows: 15 mg/kg/day sulodexide s.c., 6 day/week (SUL) or no treatment (CONT). Subsets of animals were sacrificed after 8 weeks and 12 weeks. Blood pressure, serum creatinine, creatinine clearance (CrCl) and urinary protein excretion were measured every 4 weeks. Sclerosis and plasminogen activator inhibitor-1 (PAI-1) expression were assessed at 8 and 12 weeks, and collagen I, total collagen content and phospho-smad-2 expressions were determined at 12 weeks. Twelve-week-old db/db mice received sulodexide as above or vehicle. Albuminuria and CrCl were assessed at intervals till sacrifice at week 9 with assessment of urinary transforming growth factor-beta (TGF-beta) and glomerular lesions. RESULTS: Blood pressure, serum creatinine and CrCl were not different in radiation rat CONT vs SUL at any time. Proteinuria was significantly lower in SUL compared to CONT at 4 and 8 weeks but not at 12 weeks. Sclerosis and PAI-1 expression trended lower in SUL vs CONT at 8 weeks. There was no difference between the groups in sclerosis, collagen I mRNA, total collagen content or PAI-1 expression at 12 weeks. Phospho-smad 2 expression was significantly decreased in SUL compared to CONT at 12 weeks. Db/db mice with or without SUL showed no difference in urinary albumin/creatinine ratio, urine TGF-beta or mesangial matrix expansion. CONCLUSIONS: Our data show that sulodexide can reduce the early, but not late, proteinuria in radiation nephropathy in rats. In addition, sulodexide did not affect urine TGF-beta established albuminuria or mesangial matrix expansion in a chronic model of diabetic kidney disease in mice. Although sulodexide may affect TGF-beta activation in radiation nephropathy, this effect appeared insufficient in this model to inhibit the expressions of PAI-1 and collagen and reduce accumulation of extracellular matrix. These results may explain in part its lack of efficacy in recent clinical trials of chronic kidney disease.
  • |Animals[MESH]
  • |Anticoagulants/pharmacology[MESH]
  • |Collagen/metabolism[MESH]
  • |Diabetic Nephropathies/*drug therapy/pathology/physiopathology[MESH]
  • |Disease Models, Animal[MESH]
  • |Fibrinolytic Agents/pharmacology[MESH]
  • |Glycosaminoglycans/*pharmacology[MESH]
  • |Humans[MESH]
  • |Kidney Diseases/*drug therapy/etiology/pathology/physiopathology[MESH]
  • |Kidney Glomerulus/drug effects/pathology/physiopathology[MESH]
  • |Kidney/drug effects/injuries/radiation effects[MESH]
  • |Male[MESH]
  • |Mice[MESH]
  • |Mice, Inbred C57BL[MESH]
  • |Plasminogen Activator Inhibitor 1/genetics/metabolism[MESH]
  • |RNA, Messenger/genetics/metabolism[MESH]
  • |Radiation Injuries, Experimental/*drug therapy[MESH]
  • |Rats[MESH]
  • |Rats, Sprague-Dawley[MESH]
  • |Time Factors[MESH]


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