Rofecoxib decreases renal injury in obese Zucker rats

Clinical Science - Tập 107 Số 6 - Trang 561-570 - 2004
Aparajita Dey1, Christine Maric2, Wayne Kaesemeyer3, Constantine Z. Zaharis1, J. Philip Stewart1, Jennifer S. Pollock3,1, John D. Imig4,1
1Vascular Biology Center, Medical College of Georgia, Augusta, GA 30912, U.S.A.
2Center for the Study of Sex Differences in Health, Aging and Disease, Georgetown University Medical Center, Washington, DC 20007, U.S.A.
3Department of Pharmacology and Toxicology, Medical College of Georgia, Augusta, GA 30912, U.S.A.
4Department of Physiology, Medical College of Georgia, Augusta, GA 30912, U.S.A.

Tóm tắt

The present study tested the hypothesis that altered vascular regulation of arachidonic acid enzymes in obese Zucker rats contributes to renal damage. Protein expression of CYP450 (cytochrome P450) and COX (cyclo-oxygenase) enzymes in renal microvessels was studied in obese and lean Zucker rats at 20–21 weeks of age. Body weight and blood glucose averaged 649±13 g and 142±10 mg/dl in obese Zucker rats compared with 437±10 g and 111±5 mg/dl in age-matched lean Zucker rats. Renal microvascular CYP4A and COX-2 protein levels were increased and CYP2C protein levels decreased in obese Zucker rats. TX (thromboxane) B2 excretion was 2-fold higher and PG (prostaglandin) E2 excretion significantly lower in obese Zucker rats. Additional studies investigated the ability of the COX-2 inhibitor, rofecoxib, to slow the progression of renal injury in obese Zucker rats. Rofecoxib treatment decreased urinary PGF2α and 8-isoprostane levels in obese Zucker rats. Renal microvessel mRNA expression of pro-inflammatory chemokines was decreased in COX-2-inhibitor-treated obese Zucker rats. Urinary albumin excretion, an index of kidney damage, averaged 95±11 mg/day in vehicle-treated and 9±1 mg/day in rofecoxib-treated obese Zucker rats. Glomerulosclerosis, characterized by mesangial expansion, tubulo-interstitial fibrosis and extracellular matrix accumulation, was prominent in obese Zucker rats compared with a lack of damage in age-matched lean Zucker rats and rofecoxib-treated obese Zucker rats. These results suggest that altered vascular arachidonic acid enzymes contribute to the renal damage, and that COX-2 inhibition decreases glomerular injury in obese Zucker rats.

Từ khóa


Tài liệu tham khảo

U.S. Renal Data System. USRDS 2001 Annual data report: atlas of end-stage renal disease in the united states 2001 Bethesda, MD National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases

Lewis, 2002, The role of angiotensin II receptor blockers in preventing the progression of renal disease in patients with type 2 diabetes, Am. J. Hypertens., 15, 123S, 10.1016/S0895-7061(02)03007-8

Steinberg, 1999, Insulin resistance and hypertension, Hypertension Primer, 121

Landsberg, 1999, Obesity, Hypertension Primer, 118

Park, 1995, Renal function and hemodynamic study in obese Zucker rats, Korean J. Intern. Med., 10, 48, 10.3904/kjim.1995.10.1.48

Miatello, 2002, Effects of enalapril on the vascular wall in an experimental model of syndrome X, Am. J. Hypertens., 15, 872, 10.1016/S0895-7061(02)02983-7

Frisbee, 2002, Oxidant stress-induced increase in myogenic activation of skeletal muscle resistance arteries in obese Zucker rats, Am. J. Physiol. Heart Circ. Physiol., 283, H2160, 10.1152/ajpheart.00379.2002

Stevenson, 2001, Hyperphagia as a mediator of renal disease initiation in obese Zucker rats, Obes. Res., 9, 492, 10.1038/oby.2001.64

Hoshi, 2002, Podocyte injury promotes progressive nephropathy in Zucker diabetic fatty rats, Lab. Invest., 82, 25, 10.1038/labinvest.3780392

Imig, 2000, Eicosanoid regulation of the renal vasculature, Am. J. Physiol. Renal Physiol., 279, F965, 10.1152/ajprenal.2000.279.6.F965

Zeldin, 2001, Epoxygenase pathways of arachidonic acid metabolism, J. Biol. Chem., 276, 36059, 10.1074/jbc.R100030200

Roman, 2002, P-450 metabolites of arachidonic acid in the control of cardiovascular function, Physiol. Rev., 82, 131, 10.1152/physrev.00021.2001

Cheng, 2002, Cyclooxygenase-2 inhibitor blocks expression of mediators of renal injury in a model of diabetes and hypertension, Kidney Int., 62, 929, 10.1046/j.1523-1755.2002.00520.x

Komers, 2001, Immunohistochemical and functional correlations of renal cyclooxygenase-2 in experimental diabetes, J. Clin. Invest., 107, 889, 10.1172/JCI10228

Zatz, 2002, Cyclooxygenase-2 inhibitors: will they help us prevent diabetic nephropathy?, Kidney Int., 62, 1091, 10.1046/j.1523-1755.2002.00542.x

Fujihara, 2003, Cyclooxygenase-2 (COX-2) inhibition limits abnormal COX-2 expression and progressive injury in the remnant kidney, Kidney Int., 64, 2172, 10.1046/j.1523-1755.2003.00319.x

Hermann, 2003, Differential effects of selective cyclooxygenase-2 inhibitors on endothelial function in salt-induced hypertension, Circulation, 108, 2308, 10.1161/01.CIR.0000101683.30157.0B

Imig, 1996, Formation and action of 20-hydroxyeicosatetraenoic acid in rat renal arterioles, Am. J. Physiol. Regulatory Integrative Comp. Physiol., 270, R217, 10.1152/ajpregu.1996.270.1.R217

Lowry, 1951, Protein measurement with the Folin phenol reagent, J. Biol. Chem., 193, 265, 10.1016/S0021-9258(19)52451-6

Maric, 2004, Glomerulosclerosis and tubulointerstitial fibrosis is ameliorated with 17β-estradiol in the aging Dahl salt sensitive rat, J. Am. Soc. Nephrol., 15, 1546, 10.1097/01.ASN.0000128219.65330.EA

Hall, 2004, Is obesity a major cause of chronic kidney disease?, Adv. Ren. Replace. Ther., 11, 41, 10.1053/j.arrt.2003.10.007

Alonso-Galicia, 1996, Hypertension in obese Zucker rats. Role of angiotensin II and adrenergic activity, Hypertension, 28, 1047, 10.1161/01.HYP.28.6.1047

Ehrhart-Bornstein, 2003, Human adipocytes secrete mineralocorticoid-releasing factors, Proc. Natl. Acad. Sci. U.S.A., 100, 14211, 10.1073/pnas.2336140100

de Paula, 2004, Aldosterone antagonism attenuates obesity-induced hypertension and glomerular hyperfiltration, Hypertension, 43, 41, 10.1161/01.HYP.0000105624.68174.00

Kurtz, 1989, The Zucker fatty rat as a genetic model of obesity and hypertension, Hypertension, 13, 896, 10.1161/01.HYP.13.6.896

Enriquez, 1999, Altered expression of hepatic CYP 2E1 and CYP4A in obese, diabetic ob/ob mice and fa/fa Zucker rats, Biochem. Biophys. Res. Commun., 255, 300, 10.1006/bbrc.1999.0202

Barnett, 1990, Induction of cytochrome P450 III and P450 IV family proteins in streptozocin induced diabetes, Biochem. J., 268, 765, 10.1042/bj2680765

Shimojo, 1993, Changes in amounts of cytochrome P450 isozymes and levels of catalytic activities in hepatic and renal microsomes of rats with streptozocin-induced diabetes, Biochem. Pharmacol., 46, 621, 10.1016/0006-2952(93)90547-A

Dey, 2004, Altered kidney CYP2C and cyclooxygenase-2 levels are associated with obesity-related albuminuria, Obes. Res., 12, 1278, 10.1038/oby.2004.162

Wang, 2003, Downregulation of renal CYP-derived eicosanoid synthesis in rats with diet-induced hypertension, Hypertension, 42, 594, 10.1161/01.HYP.0000090123.55365.BA

Bandyopadhyay, 1993, Expression of a male-specific cytochrome P450 isozyme (CYP2C11) in fa/fa Zucker rats: effect of Phenobarbital treatment, Arch. Biochem. Biophys., 307, 386, 10.1006/abbi.1993.1604

Irizar, 1995, Defective expression of cytochrome P450 proteins in the liver of the genetically obese Zucker rat, Eur. J. Pharmacol., 293, 385, 10.1016/0926-6917(95)90059-4

Umeda, 1995, Prostaglandins and diabetic nephropathy, J. Diabetes Complications, 9, 334, 10.1016/1056-8727(95)80035-D

Bunke, 1986, Urinary excretion and renal production of prostaglandins E2, F2α and thromboxane B2 in experimental diabetes mellitus, J. Lab. Clin. Med., 108, 332

Okumura, 2000, Renal production of thromboxane and prostaglandins in a rat model of type 2 diabetes, Life Sci., 66, 371, 10.1016/S0024-3205(99)00603-7

Kammerl, 2001, Inhibition of COX-2 counteracts the effects of diuretics in rats, Kidney Int., 60, 1684, 10.1046/j.1523-1755.2001.00988.x

Kammerl, 2001, Inhibition of cyclooxygenase-2 attenuates urinary prostanoid excretion without affecting renal renin expression, Pflügers Arch., 442, 842, 10.1007/s004240100616

O'Donnell, 1985, Effects of genetic obesity on renal structure and function in the Zucker rat. II. Micropuncture studies, J. Lab. Clin. Med., 106, 605

Gassler, 2001, Podocyte injury underlies the progression of focal segmental glomerulosclerosis in the fa/fa Zucker rat, Kidney Int., 60, 106, 10.1046/j.1523-1755.2001.00777.x

Chen, 2003, Diabetic nephropathy and transforming growth factor-beta: transforming our view of glomerulosclerosis and fibrosis build-up, Semin. Nephrol., 23, 532, 10.1053/S0270-9295(03)00132-3

Yamamoto, 1993, Expression of transforming growth factor β is elevated in human and experimental diabetic nephropathy, Proc. Natl. Acad. Sci. U.S.A., 90, 1814, 10.1073/pnas.90.5.1814

Cohen, 1998, The renal TGF-beta system in the db/db mouse model of diabetic nephropathy, Exp. Nephrol., 6, 226, 10.1159/000020527

Shankland, 1994, Expression of transforming growth factor-β1 during diabetic renal hypertrophy, Kidney Int., 46, 430, 10.1038/ki.1994.291

Morii, 2003, Association of monocyte chemoattractant protein-1 with renal tubular damage in diabetic nephropathy, J. Diabetes Complications, 17, 11, 10.1016/S1056-8727(02)00176-9

Sartipy, 2003, Monocyte chemoattractant protein 1 in obesity and insulin resistance, Proc. Natl. Acad. Sci. U.S.A., 100, 7265, 10.1073/pnas.1133870100

Chow, 2004, Macrophages in mouse type 2 diabetic nephropathy: Correlation with diabetic state and progressive renal injury, Kidney Int., 65, 116, 10.1111/j.1523-1755.2004.00367.x

Pickup, 1998, Is type II diabetes mellitus a disease of the innate immune system?, Diabetologia, 41, 1241, 10.1007/s001250051058

Murakami, 2001, Plasma levels of soluble vascular adhesion molecule-1 and cholesterol oxidation product in type 2 diabetic patients with nephropathy, J. Atheroscler. Thromb., 8, 21, 10.5551/jat1994.8.21

Ferreri, 2004, Renal COX-2, cytokines and 20-HETE: tubular and vascular mechanisms, Curr. Pharm. Des., 10, 613, 10.2174/1381612043453063

Van Hecken, 2000, Comparative inhibitory activity of rofecoxib, meloxicam, diclofenac, ibuprofen, and naproxen on COX-2 versus COX-1 in healthy volunteers, J. Clin. Pharmacol., 40, 1109, 10.1177/009127000004001005

Belton, 2000, Cyclooxygenase-1 and -2-dependent prostacyclin formation in patients with atherosclerosis, Circulation, 102, 840, 10.1161/01.CIR.102.8.840

Harding, 2000, Chronic cyclooxygenase-2 inhibition blunts low sodium-stimulated renin without changing renal haemodynamics, J. Hypertens., 18, 1107, 10.1097/00004872-200018080-00016

Tibble, 2000, Comparison of the intestinal toxicity of celecoxib, a selective COX-2 inhibitor, and indomethacin in the experimental rat, Scand. J. Gastroenterol., 35, 802, 10.1080/003655200750023156

Tanaka, 2002, Up-regulation of COX-2 by inhibition of COX-1 in the rat: a key to NSAID-induced gastric injury, Aliment. Pharmacol. Ther., 16, 90, 10.1046/j.1365-2036.16.s2.22.x

Cheng, 2002, Role of prostacyclin in the cardiovascular response to thromboxane A2, Science, 296, 539, 10.1126/science.1068711

Mori, 2003, Effect of eicosapentaenoic acid and docosahexaenoic acid on oxidative stress and inflammatory markers in treated-hypertensive type 2 diabetic subjects, Free Radical Biol. Med., 35, 772, 10.1016/S0891-5849(03)00407-6

Dobrian, 2001, Oxidative stress in a rat model of obesity-induced hypertension, Hypertension, 37, 554, 10.1161/01.HYP.37.2.554

Laight, 1999, F2-isoprostane evidence of oxidant stress in the insulin resistant, obese Zucker rat: effects of vitamin E, Eur. J. Pharmacol., 377, 89, 10.1016/S0014-2999(99)00407-0

Tomida, 2003, Inhibition of COX-2 prevents hypertension and proteinuria associated with a decrease of 8-iso-PGF2α formation in L-NAME-treated rats, J. Hypertens., 21, 601, 10.1097/00004872-200303000-00027