Carnosinase-1 Knock-Out Reduces Kidney Fibrosis in Type-1 Diabetic Mice on High Fat Diet

Tilman Pfeffer1,2, Charlotte Wetzel1, Philip Kirschner1

  • 1Centre for Paediatric and Adolescent Medicine, University of Heidelberg, 69120 Heidelberg, Germany.

Insights

Increased kidney carnosine and anserine levels protect against diabetic nephropathy by reducing local oxidative stress and glycation. This finding offers new insights into managing kidney disease in type-1 diabetes.

Area of Science:

  • Biochemistry
  • Nephrology
  • Metabolic Diseases

Background:

  • Carnosine and anserine are dipeptides known to reduce diabetic nephropathy in rodents.
  • The precise mechanism of their nephroprotective action, whether local or systemic, remains unclear.

Purpose of the Study:

  • To investigate the role of kidney carnosine and anserine concentrations in diabetic nephropathy.
  • To determine if elevated levels of these dipeptides independently affect kidney protection, irrespective of systemic glucose control.

Main Methods:

  • Global carnosinase-1 knockout (Cndp1-KO) and wild-type (WT) mice were studied under normal and high-fat diet conditions.
  • Streptozotocin (STZ)-induced type-1 diabetes was established in mice, and they were observed for 32 weeks.
  • Kidney metabolomes, glucose homeostasis markers, and indicators of nephropathy were analyzed.

Main Results:

  • Cndp1-KO mice exhibited significantly higher kidney anserine and carnosine levels than WT mice, without differences in systemic glucose control.
  • The diabetes-related increase in kidney advanced glycation end-products and oxidative stress markers was prevented in Cndp1-KO mice.
  • Diabetic Cndp1-KO mice showed reduced tubular protein accumulation and, on HFD, less interstitial inflammation and fibrosis compared to WT mice.

Conclusions:

  • Elevated kidney carnosine and anserine concentrations independently reduce local glycation and oxidative stress in type-1 diabetic mice.
  • These dipeptides mitigate interstitial nephropathy, particularly in diabetic mice on a high-fat diet.
  • The findings suggest a localized protective effect of carnosine and anserine within the kidney.