Effect of mononuclear cells versus pioglitazone on streptozotocin-induced diabetic nephropathy in rats

Riham E Masoad1, Mohamed M S Ewais, Mona K Tawfik

  • 1Department of Pharmacology, Faculty of Medicine, Suez Canal University, Ismailia 41522, Egypt. dmon_kamal@yahoo.com

Abstract

Insights

Mononuclear cell (MNC) therapy significantly improved kidney structure and function in diabetic rats, outperforming pioglitazone. This suggests MNCs are a promising treatment for diabetic nephropathy.

Area of Science:

  • Nephrology
  • Regenerative Medicine
  • Diabetology

Background:

  • Diabetic nephropathy is a severe complication of diabetes, often leading to end-stage renal disease.
  • Cell-based therapies using stem cells show potential for treating various diseases.

Purpose of the Study:

  • To compare the efficacy of mononuclear cell (MNC) treatment versus pioglitazone in ameliorating renal structural and functional damage in a rat model of diabetic nephropathy.
  • To evaluate the impact of these treatments on reducing laminin deposition in the kidneys.

Main Methods:

  • Streptozotocin (STZ)-induced diabetic rats were treated with either MNCs (150 x 10^6 cells/rat, IV) or pioglitazone (10 mg/kg) for eight weeks.
  • Renal structure, function, and laminin deposition were assessed using histopathological and immunohistochemical analyses.

Main Results:

  • Both MNCs and pioglitazone treatments significantly improved renal function and structure compared to the diabetic control group.
  • MNC treatment demonstrated superior outcomes across all assessed parameters compared to pioglitazone.
  • Histopathological and immunohistochemical studies confirmed the beneficial effects of both treatments, with MNCs showing greater efficacy.

Conclusions:

  • MNC treatment is more effective than pioglitazone in managing STZ-induced diabetic nephropathy in rats.
  • MNCs show potential for controlling hyperglycemia, improving renal structure and function, and reducing renal laminin expression in diabetic nephropathy.

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