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Updated: Mar 15, 2026

Comparative Proteomic Analysis of Whole Kidney, Medulla, and Cortical Tubules in Diabetic Pathogenesis of Kidney Injury in Mice
Published on: May 2, 2025
Effect of Linagliptin on Structural Changes in the Kidney in Experimental Type 2 Diabetes Mellitus
Yu S Gavrilova1, N P Bgatova2, V V Klimontov2
1Research Institute of Clinical and Experimental Lymphology, Novosibirsk, Russia. inabrite@yandex.ru.
Abstract:
Effect of the dipeptidyl peptidase-4 inhibitor linagliptin on structural manifestations of diabetic nephropathy was studied in BKS.Cg-Dock7m+/+Leprdb/J mice (experimental model of type 2 diabetes mellitus). Linagliptin (10 mg/kg per day) or vehicle was administered by gavage over 8 weeks. Mesangial expansion, thickening of the basement membrane in glomerular capillaries and proximal tubules, and retraction of cytopodia were less pronounced in mice receiving linagliptin. The protective effect of linagliptin on the kidney structure was not associated with its hypoglycemic action.
Insights
Linagliptin, a dipeptidyl peptidase-4 inhibitor, protected kidney structure in a mouse model of type 2 diabetes. This protective effect on diabetic nephropathy was independent of blood sugar control.
Area of Science:
- Nephrology
- Endocrinology
- Pharmacology
Background:
- Diabetic nephropathy is a major complication of type 2 diabetes mellitus.
- Current treatments for diabetic nephropathy have limitations.
- Dipeptidyl peptidase-4 (DPP-4) inhibitors are used to manage type 2 diabetes.
Purpose of the Study:
- To investigate the effect of linagliptin on structural changes in diabetic nephropathy.
- To determine if linagliptin's protective effects on the kidney are linked to its glucose-lowering action.
Main Methods:
- A study was conducted using BKS.Cg-Dock7m+/+Leprdb/J mice, an established model for type 2 diabetes.
- Mice received either linagliptin (10 mg/kg daily) or a vehicle control via gavage for 8 weeks.
- Kidney tissue was examined for structural markers of nephropathy, including mesangial expansion and basement membrane thickening.
Main Results:
- Linagliptin treatment significantly reduced mesangial expansion in the glomeruli.
- Thickening of the glomerular capillary and proximal tubule basement membranes was less pronounced in linagliptin-treated mice.
- Retraction of cytopodia, another indicator of kidney damage, was also reduced by linagliptin.
- These structural improvements were observed without a significant decrease in blood glucose levels.
Conclusions:
- Linagliptin demonstrates a protective effect on kidney structure in a mouse model of type 2 diabetes.
- The renoprotective effects of linagliptin in this model are not mediated by its hypoglycemic activity.
- These findings suggest a potential direct role for linagliptin in mitigating diabetic nephropathy beyond glucose control.
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