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Therapeutic effect of antihypertensive drug on diabetic nephropathy: Functional and structural kidney investigation
Seyedeh Masoumeh Ghoreishi1, Mehrangiz Amiri2, Ali Shabestani Monfared3
1Cellular and Molecular Research Center, Babol University of Medical Sciences, Babol, Iran.
Insights
Carvedilol effectively treats diabetic nephropathy by improving kidney function and structure. This study demonstrates carvedilol
Area of Science:
- Nephrology
- Endocrinology
- Pharmacology
Background:
- Diabetic nephropathy is a major complication of diabetes mellitus (DM), necessitating effective treatments with minimal side effects.
- Existing treatments for diabetic nephropathy often have limitations, driving the search for novel therapeutic agents.
Purpose of the Study:
- To evaluate the therapeutic effects of carvedilol on both the functional and structural aspects of the kidney in a rat model of diabetic nephropathy.
- To investigate carvedilol's impact on key biochemical markers and renal imaging in diabetic nephropathy.
Main Methods:
- Diabetic nephropathy was induced in rats using streptozotocin (STZ).
- Three groups were studied: control, diabetic, and diabetic treated with carvedilol.
- Evaluated biochemical parameters (glucose, BUN, creatinine, uric acid, Na+, K+), histopathology, and SPECT imaging with 99mTc-DMSA.
Main Results:
- Carvedilol treatment significantly reduced blood glucose, BUN, creatinine, uric acid, and potassium levels in diabetic rats.
- Sodium levels increased towards normal ranges in the carvedilol-treated group.
- Histopathological examination and SPECT imaging revealed significant improvements in renal structure and function in the carvedilol-treated group.
Conclusions:
- Carvedilol demonstrates significant therapeutic effects in treating diabetic nephropathy, improving both kidney function and structure.
- The findings support carvedilol as a potential treatment option for patients suffering from diabetic nephropathy.
Abstract:
Due to the growth of diabetic mellitus (DM) and diabetic nephropathy as a significant complication for diabetic patients, study on effective treatment with fewer side effects has been fascinated. In this study for the first time carvedilol effects on both function and structure of kidney in diabetic nephropathy treatment were evaluated. Diabetes was induced by injection of streptozotocin (STZ) intravenously in rats and three groups including control, diabetic, and treatment with carvedilol were considered. Biochemical parameters such as, blood glucose level, BUN, creatinine, uric acid, Na+, K+ was determined. Results showed that glucose (516 to 291 mg/dl), BUN (42 to 21.67 mg/dl), creatinine (0.75 to 0.6 mg/dl), uric acid (4.45 to 1.36 mg/dl), and K+ (7.433 to 5.433 mEq/l) level reduced. Decrease in glucose, BUN, creatinine, uric acid, and K+ and increase in Na+ level (138 to 146.33 mEq/l) confirmed therapeutic effect of carvedilol. Furthermore, the histopathological study was done for each group. Histopathological results confirmed the data obtained by biochemical parameters. For further investigation, SPECT imaging with 99mTc-DMSA, which is a gold standard in diabetic nephropathy detection, was done. SPECT imaging showed that accumulation of 99mTc-DMSA was increased in treated group (5 to 25 kcpm) which means the improvement in renal structure in the treated group compare to the diabetic group (5 kcpm). Finally, obtained results confirmed our hypothesis that carvedilol had a therapeutic effect on diabetic nephropathy.
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