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Updated: Jul 17, 2026

Comparative Proteomic Analysis of Whole Kidney, Medulla, and Cortical Tubules in Diabetic Pathogenesis of Kidney Injury in Mice
Published on: May 2, 2025
Double-edged action of SOD mimetic in diabetic nephropathy
Kensuke Asaba1, Akihiro Tojo, Maristela Lika Onozato
1Division of Nephrology and Endocrinology, University of Tokyo, Tokyo, Japan.
Abstract:
Oxidative stress plays an important role in the pathogenesis of diabetic complications, and we investigated the effect of superoxide dismutase (SOD) mimetic, tempol, in diabetic nephropathy. Streptozotocin-induced diabetic rats were treated with tempol from 2 weeks until 8 weeks. The expression of NADPH oxidase, catalase, and myeloperoxidase (MPO), superoxide dismutase activity, and production of peroxide and hypochlorite were evaluated. Tempol treatment prevented the increase in NADPH oxidase and peroxide production in the glomeruli of diabetic rat. Catalase was decreased without change in SOD activity, and MPO was enhanced in the kidney of diabetic rats. Tempol treatment stimulated SOD activity and increased the conversion of superoxide to hydrogen peroxide, and hydrogen peroxide on its hand was converted to hypochlorite by the increased MPO. The reduction of peroxide by tempol was followed by the decrease in TGF-beta and mesangial matrix expansion. However, tempol did not reduce hypochlorite or urinary protein excretion. In conclusion, tempol inhibited glomerular matrix expansion via suppression of peroxide production and TGF-beta, but it failed to reduce proteinuria, probably due to the increased hypochlorite production in diabetic nephropathy.
Insights
Tempol treatment reduced oxidative stress and glomerular matrix expansion in diabetic nephropathy by suppressing peroxide production. However, it did not decrease hypochlorite or urinary protein excretion.
Area of Science:
- Nephrology
- Oxidative Stress Research
- Pharmacology
Background:
- Diabetic nephropathy is a significant complication of diabetes mellitus.
- Oxidative stress is implicated in the pathogenesis of diabetic nephropathy.
- Superoxide dismutase (SOD) mimetics are potential therapeutic agents.
Purpose of the Study:
- To investigate the effect of the SOD mimetic, tempol, on diabetic nephropathy.
- To evaluate the impact of tempol on oxidative stress markers and kidney damage in diabetic rats.
Main Methods:
- Streptozotocin-induced diabetic rats were treated with tempol for 6 weeks.
- Evaluated NADPH oxidase expression, catalase and myeloperoxidase (MPO) activity, SOD activity, and production of peroxide and hypochlorite.
- Assessed transforming growth factor-beta (TGF-beta) and mesangial matrix expansion.
Main Results:
- Tempol prevented increased NADPH oxidase and peroxide production in diabetic rat glomeruli.
- Tempol stimulated SOD activity and increased hydrogen peroxide conversion, with enhanced MPO converting it to hypochlorite.
- Tempol reduced TGF-beta and mesangial matrix expansion but did not reduce hypochlorite or urinary protein excretion.
Conclusions:
- Tempol inhibited glomerular matrix expansion by suppressing peroxide production and TGF-beta.
- Tempol failed to reduce proteinuria in diabetic nephropathy, potentially due to increased hypochlorite production.
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