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DOI: 10.1055/s-2005-861027
Inhibition of Vascular Endothelial Growth Factor (VEGF) Does Not Affect Early Renal Changes in a Rat Model of Lean Type 2 Diabetes
Publication History
Received 15 April 2004
Accepted after second Revision 20 July 2004
Publication Date:
09 February 2005 (online)
Abstract
Type 2 diabetes is the most frequent cause of end-stage renal failure in many Western countries. Approximately 10 - 15 % of all type 2 diabetics are lean. Various growth factors and cytokines have been implicated in the pathophysiology of diabetic kidney disease, including vascular endothelial growth factor (VEGF). To elucidate a role for VEGF in the renal changes associated with type 2 diabetes, we examined the effect of a VEGF-antibody (ab) on early renal changes in the Goto-Kakizaki (GK) rat, a lean type 2 diabetes model. GK-rats were treated for 6 weeks with the VEGF-ab or with an isotype-matched irrelevant IgG. Wistar rats were used as non-diabetic controls. Placebo-treated GK-rats showed a pronounced increase in glomerular volume and urinary albumin excretion (UAE) and no change in the renal expression of endothelial nitric oxide synthase (eNOS) compared to placebo-treated non-diabetic controls. Kidney weight and creatinine clearance were no different between the groups. VEGF-ab treatment had no effect on glomerular volume, UAE, eNOS expression, body weight, blood glucose levels or food intake, but lowered serum insulin levels in non-diabetic and diabetic animals. We conclude that VEGF inhibition has minimal effects on early renal changes in GK-rats.
Key words
Endothelial nitric oxide synthase (eNOS) - Glomerular volume - Goto-Kakizaki (GK) rat - Kidney growth - VEGF-antibody (ab)
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Bieke Schrijvers, M. D.
Renal Unit, 0K12A, Gent University Hospital
De Pintelaan 185 · 9000 Gent · Belgium
Phone: +32 (9) 2403365
Fax: +32 (9) 2403059
Email: Bieke.Schrijvers@UGent.be