Nephrol Dial Transplant (2004) 19: 342-347
© ERAEDTA 2004; all rights reserved
Original Article
Chronic renal denervation prevents glomerular hyperfiltration in diabetic rats
Department of Pharmacology and Toxicology, Faculty of Medicine, University of Tübingen, Tübingen, Germany
Correspondence and offprint requests to: Dr G. Luippold, Department of Pharmacology and Toxicology, Faculty of Medicine, University of Tübingen, Wilhelmstrasse 56, D-72074 Tübingen, Germany. Email: gerd.luippold{at}uni-tuebingen.de
Background. The increase in glomerular filtration rate (GFR) induced by amino acid infusion is attenuated in rats with chronic renal denervation. The aim of the present study was to investigate whether renal denervation abrogates glomerular hyperfiltration occurring in the early state of diabetes mellitus.
Methods. SpragueDawley rats were subjected to bilateral renal denervation before induction of diabetes mellitus (DM) by streptozotocin. Clearance experiments were performed 2 weeks after onset of moderate DM. Glomerular volume was estimated following paraformaldehyde fixation in rat kidney slices from measurement of cross-sectional area of Bowman's capsule.
Results. GFR in non-diabetic rats with intact nerves (CON-INN) was 0.82±0.03 ml·min1·100 g1 body weight. Diabetic animals with innervated kidneys presented a significant glomerular hyperfiltration (1.13±0.03 ml·min1·100 g1 body weight), while renal denervation in diabetic rats lowered GFR towards levels of CON-INN (0.88±0.03 ml·min1·100 g1 body weight). Estimated glomerular volume amounted to 0.69±0.03·106 µm3 in the CON-INN group and was significantly higher in diabetic animals with intact renal nerves (0.86±0.04·106 µm3). Interestingly, renal denervation prevented the glomerular enlargement due to DM.
Conclusions. Renal nerves appear to be significantly involved in the mediation of glomerular hyperfiltration in experimental DM. If the kidney is prevented from sympathetic nerve stimulation, structural changes due to early diabetic nephropathy, i.e. glomerular enlargement, are abolished.
Keywords: diabetes mellitus; glomerular hyperfiltration; rats; renal denervation
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