Lack of A1 adenosine receptors augments diabetic hyperfiltration and glomerular injury

J Am Soc Nephrol. 2008 Apr;19(4):722-30. doi: 10.1681/ASN.2007060721. Epub 2008 Feb 6.

Abstract

Intraglomerular hypertension and glomerular hyperfiltration likely contribute to the pathogenesis of diabetic nephropathy, and tubuloglomerular feedback (TGF) has been suggested to play a role in diabetic hyperfiltration. A1 adenosine receptor (A1AR) null mice lack a TGF response, so this model was used to investigate the contribution of TGF to hyperfiltration in diabetic Ins2(+/-) Akita mice. TGF responses in Ins2(+/-) A1AR(-/-) double mutants were abolished, whereas they were attenuated in Ins2(+/-) mice. GFR, assessed at 14, 24, and 33 wk, was approximately 30% higher in Ins2(+/-) than in wild-type (WT) mice and increased further in Ins2(+/-) A1AR(-/-) mutants (P < 0.01 versus both WT and Ins2(+/-) mice at all ages). Histologic evidence of glomerular injury and urinary albumin excretion were more pronounced in double-mutant than single-mutant or WT mice. In summary, the marked elevation of GFR in diabetic mice that lack a TGF response indicates that TGF is not required to cause hyperfiltration in the Akita model of diabetes. Rather, an A1AR-dependent mechanism, possibly TGF, limits the degree of diabetic hyperfiltration and nephropathy.

Publication types

  • Research Support, N.I.H., Intramural

MeSH terms

  • Animals
  • Diabetes Mellitus / physiopathology*
  • Diabetic Nephropathies / etiology*
  • Glomerular Filtration Rate*
  • Kidney Glomerulus*
  • Mice
  • Receptor, Adenosine A1 / deficiency*

Substances

  • Receptor, Adenosine A1