Glucagon-Like Peptide-1 Mediates the Protective Effect of the Dipeptidyl Peptidase IV Inhibitor on Renal Fibrosis via Reducing the Phenotypic Conversion of Renal Microvascular Cells in Monocrotaline-Treated Rats.

Chronic kidney diseases are characterized by renal fibrosis with excessive matrix deposition, leading to a progressive loss of functional renal parenchyma and, eventually, renal failure. Renal microcirculation lesions, including the phenotypic conversion of vascular cells, contribute to renal fibros...

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Publicado en:BioMed Research International Vol. 2018; pp. 1 - 15
Autores principales: Xu, Jian, Wang, Jingjing, Cheng, Yusheng, Li, Xiang, He, Mengyu, Zhu, Jiali, Han, Honghao, Wei, Guihong, Kong, Hui, Xie, Weiping, Wang, Hong, Zuo, Xiangrong
Formato: pictorial research tables/charts Journal Article
Publicado: Wiley-Blackwell 1/23/2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 1/23/2018
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2018/1864107
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        atl: Glucagon-Like Peptide-1 Mediates the Protective Effect of the Dipeptidyl Peptidase IV Inhibitor on Renal Fibrosis via Reducing the Phenotypic Conversion of Renal Microvascular Cells in Monocrotaline-Treated Rats.
      aug:
        au:
          Xu, Jian
          Wang, Jingjing
          Cheng, Yusheng
          Li, Xiang
          He, Mengyu
          Zhu, Jiali
          Han, Honghao
          Wei, Guihong
          Kong, Hui
          Xie, Weiping
          Wang, Hong
          Zuo, Xiangrong
        affil: Department of Respiratory & Critical Care Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210029, China
      sug:
        subj:
          Kidney Drug Effects
          Dipeptidyl Peptidase 4 Inhibitors Pharmacodynamics
          Glucagon-Like Peptide 1
          Phenotype
          Alkaloids Therapeutic Use
          Renal Insufficiency, Chronic
          Fibrosis
          Epithelial Cells
          Microcirculation
          Alkaloids Administration and Dosage
          Sitagliptin Administration and Dosage
          Glucagon-Like Peptide-1 Receptor Agonists
          Apoptosis Drug Effects
          Human
      ab: Chronic kidney diseases are characterized by renal fibrosis with excessive matrix deposition, leading to a progressive loss of functional renal parenchyma and, eventually, renal failure. Renal microcirculation lesions, including the phenotypic conversion of vascular cells, contribute to renal fibrosis. Here, renal microcirculation lesions were established with monocrotaline (MCT, 60 mg/kg). Sitagliptin (40 mg/kg/d), a classical dipeptidyl peptidase-4 (DPP-4) inhibitor, attenuated the renal microcirculation lesions by inhibiting glomerular tuft hypertrophy, glomerular mesangial expansion, and microvascular thrombosis. These effects of sitagliptin were mediated by glucagon-like peptide-1 receptor (GLP-1R), since they were blocked by the GLP-1R antagonist exendin-3 (Ex-3, 40 ug/kg/d). The GLP-1R agonist liraglutide showed a similar renal protective effect in a dose-independent manner. In addition, sitagliptin, as well as liraglutide, alleviated the MCT-induced apoptosis of renal cells by increasing the expression of survival factor glucose-regulated protein 78 (GRP78), which was abolished by the GLP-1R antagonist Ex-3. Sitagliptin and liraglutide also effectively ameliorated the conversion of vascular smooth muscle cells (SMCs) from a synthetic phenotype to contractile phenotype. Moreover, sitagliptin and liraglutide inhibited endothelial-mesenchymal transition (EndMT) via downregulating transforming growth factor-β1 (TGF-β1). Collectively, these findings suggest that DPP-4 inhibition can reduce microcirculation lesion-induced renal fibrosis in a GLP-1-dependent manner.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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