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Updated: Apr 19, 2026

Comparative Proteomic Analysis of Whole Kidney, Medulla, and Cortical Tubules in Diabetic Pathogenesis of Kidney Injury in Mice
Published on: May 2, 2025
Sex-dependent differences in renal angiotensinogen as an early marker of diabetic nephropathy
D de Alencar Franco Costa1, M Todiras, L A Campos
1Center of Innovation, Technology and Education-(CITE), University Camilo Castelo Branco, Sao Jose dos Campos, Brazil.
Aim:
The renal renin-angiotensin system (RAS) has been implicated in the pathogenesis of diabetic nephropathy. The aim of this study was to investigate sex differences in renal renin-angiotensin system (RAS) and the roles of androgens in diabetes-associated renal injury.
Methods:
Renal injury and fibrosis were studied in streptozotocin-induced diabetic rats by albuminuria and by gene expression of collagen I and fibronectin. RAS was investigated by analysing the plasma angiotensinogen (AOGEN) and renin activity (PRA) and their renal gene expression. Also, a group of diabetic rats was treated with the anti-androgen flutamide.
Results:
Albuminuria was significantly lower in diabetic females than in males (1.2 [0.8-1.5] versus 4.4 [2.2-6.1] mg/24 h, data are median [IQR] values, P < 0.05). Renal AOGEN mRNA levels were increased by diabetes in males (8.1 ± 0.8% in diabetes versus 0.8 ± 0.2% in control, P < 0.001) but not in females (1.0 ± 0.1% in diabetes versus 0.8 ± 0.1% in control, P > 0.05), as were collagen I and fibronectin mRNAs. Furthermore, AOGEN mRNA levels were strongly correlated with albuminuria (Spearman r = 0.64, 95% [CI] 0.36-0.81, P < 0.0001). Diabetes decreased PRA, renal renin mRNA and plasma AOGEN in both females and males. Anti-androgen treatment decreased albuminuria only in diabetic males without affecting the endocrine or renal RAS.
Conclusions:
These data indicate that renal but not hepatic AOGEN or renin is positively associated with diabetic albuminuria and contribute to the sex-dependent differences in renal injury. Androgens may contribute to albuminuria in male independently of the RAS.
Insights
Diabetic kidney injury shows significant sex differences, with males exhibiting higher albuminuria linked to renal angiotensinogen. Androgens may worsen male diabetic kidney damage independently of the renin-angiotensin system.
Area of Science:
- Nephrology
- Endocrinology
- Molecular Biology
Background:
- The renal renin-angiotensin system (RAS) plays a role in diabetic nephropathy.
- Sex differences in diabetic kidney disease are not fully understood.
Purpose of the Study:
- Investigate sex disparities in the renal RAS in diabetic nephropathy.
- Examine the influence of androgens on diabetes-associated renal injury.
Main Methods:
- Utilized streptozotocin-induced diabetic rat model.
- Assessed renal injury via albuminuria and gene expression (collagen I, fibronectin).
- Analyzed plasma and renal RAS components (angiotensinogen, renin activity, mRNA levels); tested anti-androgen flutamide.
Main Results:
- Diabetic males showed significantly higher albuminuria and renal angiotensinogen mRNA than females.
- Renal angiotensinogen mRNA levels strongly correlated with albuminuria in males.
- Anti-androgen treatment reduced albuminuria in diabetic males, independent of RAS modulation.
Conclusions:
- Renal angiotensinogen, not hepatic, is linked to diabetic albuminuria, contributing to sex-dependent renal injury.
- Androgens may exacerbate albuminuria in males with diabetes through RAS-independent mechanisms.
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