Diabetes-induced renal vascular dysfunction is normalized by inhibition of epidermal growth factor receptor tyrosine

Ibrahim F Benter1, Mariam H M Yousif, Andrew J Hollins

  • 1Department of Pharmacology and Toxicology, Faculty of Medicine, Kuwait University, Safat. ibenter@hsc.edu.kw

Insights

Diabetic renal artery dysfunction involves tyrosine kinase (TK) activation. Inhibiting TKs, including epidermal growth factor receptor (EGFR) TK, normalized vasoconstrictor responses without altering blood glucose.

Area of Science:

  • Vascular Biology
  • Endocrinology
  • Pharmacology

Background:

  • Diabetic complications often involve vascular dysfunction.
  • The role of receptor tyrosine kinase (RTK) activation in diabetic renal artery dysfunction is unclear.
  • Increased vasoconstrictor responses are observed in diabetic renal arteries.

Purpose of the Study:

  • To investigate the role of tyrosine kinase (TK) activation in diabetic renal artery dysfunction.
  • To determine if inhibiting TKs or epidermal growth factor receptor (EGFR) TK can modulate altered vasoreactivity in diabetic renal arteries.

Main Methods:

  • Utilized streptozotocin-induced diabetes model in rats.
  • Administered genistein (broad-spectrum TK inhibitor) and AG1478 (EGFR TK inhibitor) chronically.
  • Assessed vasoreactivity of isolated renal artery ring segments to norepinephrine, endothelin-1, and angiotensin II.
  • Analyzed protein levels of phosphorylated EGFR via Western blotting.

Main Results:

  • Diabetic renal arteries exhibited significantly increased vasoconstrictor responses to agonists.
  • Genistein and AG1478 treatments normalized these responses in diabetic animals without affecting blood glucose.
  • Diadzein, an inactive genistein analogue, had no effect.
  • Phosphorylated EGFR levels were elevated in diabetic renal arteries, and AG1478 treatment normalized EGFR levels.

Conclusions:

  • Activation of TK pathways, specifically the EGFR TK signaling pathway, contributes to the development of diabetic vascular dysfunction in the renal artery.
  • Targeting TKs may offer a therapeutic strategy for managing diabetic nephropathy-related vascular complications.

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