Application of PNR Detection in the Diagnosis and Drug-efficacy Evaluation of Diabetic Kidney Disease in Rats

Objective This study aims to monitor the mRNA ratio of podocin to nephrin (PNR) in glomerular podocytes of early diabetic kidney disease (DKD) rat models. The feasibility of using PNR as an early diagnostic indicator for DKD was evaluated by comparing it with the urinary albumin-to-creatinine ratio...

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Main Authors: ZHANG Naiqun, YUAN Piaopiao, CAO Linrong, YING Na, YANG Taotao
Format: Article
Language:zho
Published: Editorial Office of Laboratory Animal and Comparative Medicine 2024-10-01
Series:Shiyan dongwu yu bijiao yixue
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Online Access:https://www.slarc.org.cn/dwyx/CN/10.12300/j.issn.1674-5817.2024.044
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author ZHANG Naiqun
YUAN Piaopiao
CAO Linrong
YING Na
YANG Taotao
author_facet ZHANG Naiqun
YUAN Piaopiao
CAO Linrong
YING Na
YANG Taotao
author_sort ZHANG Naiqun
collection DOAJ
description Objective This study aims to monitor the mRNA ratio of podocin to nephrin (PNR) in glomerular podocytes of early diabetic kidney disease (DKD) rat models. The feasibility of using PNR as an early diagnostic indicator for DKD was evaluated by comparing it with the urinary albumin-to-creatinine ratio (U-ACR). Additionally, the early intervention effects of valsartan and fosinopril sodium on DKD were compared. Methods The DKD rat model was established by caudal intravenous injection of streptozotocin (STZ) at a dosage of 60 mg/kg. The early changes in PNR and U-ACR were monitored and compared, followed by timely intervention with valsartan and fosinopril sodium. Hematoxylin and eosin staining (HE) was used to observe glomerular structure, while transmission electron microscopy examined the ultrastructure of glomerular podocytes.ResultsPNR reached the critical value(≥1) on day 9 after modeling, earlier than U-ACR, which reached the critical value(≥30 mg/g) on day 15. Intervention with valsartan and fosinopril sodium on day 9 after modeling significantly reduced U-ACR (P < 0.05), with low-dose valsartan showing better results than high-dose (P>0.05), while high-dose fosinopril sodium outperformed low-dose (P>0.05). Both low doses of valsartan and fosinopril sodium significantly reduced PNR (P<0.05), with no significant effect observed for high doses. The interventions with valsartan and fosinopril sodium improved and maintained glomerular structure and podocyte arrangement.ConclusionPNR changes earlier than U-ACR, indicating its potential as an early diagnostic marker for DKD in rats. Early intervention with valsartan and fosinopril sodium demonstrates a therapeutic effect on DKD in rats.
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spelling doaj-art-a1cb0d5a39014f288609c694f5ca4d192025-01-06T05:07:29ZzhoEditorial Office of Laboratory Animal and Comparative MedicineShiyan dongwu yu bijiao yixue1674-58172024-10-0144554354910.12300/j.issn.1674-5817.2024.0441674-5817(2024)05-0543-07Application of PNR Detection in the Diagnosis and Drug-efficacy Evaluation of Diabetic Kidney Disease in RatsZHANG Naiqun0YUAN Piaopiao1CAO Linrong2YING Na3YANG Taotao4The No.4 People's Hospital of Yuyao, Yuyao 315470, ChinaThe No.4 People's Hospital of Yuyao, Yuyao 315470, ChinaThe No.4 People's Hospital of Yuyao, Yuyao 315470, ChinaThe No.4 People's Hospital of Yuyao, Yuyao 315470, ChinaNingbo Medical Center Lihuili Hospital, Ningbo 315000, ChinaObjective This study aims to monitor the mRNA ratio of podocin to nephrin (PNR) in glomerular podocytes of early diabetic kidney disease (DKD) rat models. The feasibility of using PNR as an early diagnostic indicator for DKD was evaluated by comparing it with the urinary albumin-to-creatinine ratio (U-ACR). Additionally, the early intervention effects of valsartan and fosinopril sodium on DKD were compared. Methods The DKD rat model was established by caudal intravenous injection of streptozotocin (STZ) at a dosage of 60 mg/kg. The early changes in PNR and U-ACR were monitored and compared, followed by timely intervention with valsartan and fosinopril sodium. Hematoxylin and eosin staining (HE) was used to observe glomerular structure, while transmission electron microscopy examined the ultrastructure of glomerular podocytes.ResultsPNR reached the critical value(≥1) on day 9 after modeling, earlier than U-ACR, which reached the critical value(≥30 mg/g) on day 15. Intervention with valsartan and fosinopril sodium on day 9 after modeling significantly reduced U-ACR (P < 0.05), with low-dose valsartan showing better results than high-dose (P>0.05), while high-dose fosinopril sodium outperformed low-dose (P>0.05). Both low doses of valsartan and fosinopril sodium significantly reduced PNR (P<0.05), with no significant effect observed for high doses. The interventions with valsartan and fosinopril sodium improved and maintained glomerular structure and podocyte arrangement.ConclusionPNR changes earlier than U-ACR, indicating its potential as an early diagnostic marker for DKD in rats. Early intervention with valsartan and fosinopril sodium demonstrates a therapeutic effect on DKD in rats.https://www.slarc.org.cn/dwyx/CN/10.12300/j.issn.1674-5817.2024.044pnrurinary albumin-to-creatinine ratio (u-acr)diabetic kidney diseaseproteinuria preventionrats
spellingShingle ZHANG Naiqun
YUAN Piaopiao
CAO Linrong
YING Na
YANG Taotao
Application of PNR Detection in the Diagnosis and Drug-efficacy Evaluation of Diabetic Kidney Disease in Rats
Shiyan dongwu yu bijiao yixue
pnr
urinary albumin-to-creatinine ratio (u-acr)
diabetic kidney disease
proteinuria prevention
rats
title Application of PNR Detection in the Diagnosis and Drug-efficacy Evaluation of Diabetic Kidney Disease in Rats
title_full Application of PNR Detection in the Diagnosis and Drug-efficacy Evaluation of Diabetic Kidney Disease in Rats
title_fullStr Application of PNR Detection in the Diagnosis and Drug-efficacy Evaluation of Diabetic Kidney Disease in Rats
title_full_unstemmed Application of PNR Detection in the Diagnosis and Drug-efficacy Evaluation of Diabetic Kidney Disease in Rats
title_short Application of PNR Detection in the Diagnosis and Drug-efficacy Evaluation of Diabetic Kidney Disease in Rats
title_sort application of pnr detection in the diagnosis and drug efficacy evaluation of diabetic kidney disease in rats
topic pnr
urinary albumin-to-creatinine ratio (u-acr)
diabetic kidney disease
proteinuria prevention
rats
url https://www.slarc.org.cn/dwyx/CN/10.12300/j.issn.1674-5817.2024.044
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