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Metformin suppresses LRG1 and TGFβ1/ALK1-induced angiogenesis and protects against ultrastructural changes in rat diabetic nephropathy - 13/01/23

Doi : 10.1016/j.biopha.2022.114128 
Hala M.F. Mohammad a, b, Sahar Galal Gouda c, Mohamed Ahmed Eladl d, Amany Y. Elkazaz e, f, Khaled S. Elbayoumi g, h, Noha E. Farag i, j, Amr Elshormilisy k, Buthainah B. Al-Ammash l, Ann Hegazy m, Sozan M. Abdelkhalig n, Abir S. Mohamed o, Mohamed El-Dosoky p , Sawsan A. Zaitone q, r,
a Department of Clinical Pharmacology, Faculty of Medicine, Suez Canal University, Ismailia 41522, Egypt 
b Central Lab., Center of Excellence in Molecular and Cellular Medicine (CEMCM), Faculty of Medicine, Suez Canal University, Ismailia, Egypt 
c Department of Histology and cell Biology, College of Medicine, Suez Canal University, Ismailia 41522, Egypt 
d Department of Basic Medical Sciences, College of Medicine, University of Sharjah, Sharjah 27272, United Arab Emirates 
e Biochemistry and Molecular Biology Department, Faculty of Medicine, Suez Canal University, Ismailia 41522, Egypt 
f Biochemistry and Molecular Biology Department, Faculty of Medicine, Portsaid University, Portsaid, Egypt 
g Department of Human Anatomy and Embryology, Faculty of Medicine, Mansoura University, Mansoura, Egypt 
h Department of Basic medical Sciences, Ibn Sina University for Medical Sciences, Amman 11104, Jordan. 
i Department of Physiology, Faculty of Medicine, Suez Canal University, Ismailia 41522, Egypt 
j Department of Physiology, College of Medicine, Taif University, Taif 21974, Saudi Arabia 
k Internal Medicine Department, Faculty of Medicine, Helwan University, Egypt 
l Department of Pharmaceutical Care Services, King Fahad hospital, Ministry of health, Medina, Saudi Arabia 
m Department of Clinical Pathology, Faculty of Medicine, Suez Canal University, Ismailia 41522, Egypt 
n Department of Basic Medical Sciences, College of Medicine, AlMaarefa University, Riyadh, Saudi Arabia 
o Faculty of Public Health and Tropical Medicine, Jazan University, Jazan, Saudi Arabia 
p Department of Neurosciences Technology, College of Applied Medical Sciences in Jubail, Imam Abdulrahman Bin Faisal University, Jubail 34221, Saudi Arabia 
q Department of Pharmacology and Toxicology, Faculty of Pharmacy, University of Tabuk, Tabuk, Saudi Arabia 
r Department of Pharmacology and Toxicology, Faculty of Pharmacy, Suez Canal University, Ismailia 41522, Egypt 

Correspondence to: Department of Pharmacology and Toxicology, Faculty of Pharmacy, Suez Canal University, Egypt.Department of Pharmacology and Toxicology, Faculty of Pharmacy, Suez Canal UniversityEgypt.

Abstract

Diabetic nephropathy (DN) has high prevalence and poor prognosis which make it a research priority for scientists. Since metformin, a hypoglycaemic drug, has been found to prolong the survival of mice with DN. This study aims at investigating the molecular mechanisms leading to DN in rats and to explore the role of leucine-rich α-2-glycoprotein-1 (LRG1), activin-like kinase1 (ALK1), and transforming growth factor–β (TGFβ1) in the pathologic alterations seen in DN. The aim was also extended to explore the protective action of metformin against DN in rats and its influence on LRG1and ALK1/TGFβ1 induced renal angiogenesis. 24 male rats were used. Rats were assigned as, the vehicle group, the diabetic control group and diabetic + metformin (100 and 200 mg/kg) groups. Kidney samples were processed for histopathology, immunohistochemistry and biochemical analysis. Bioinformatic analysis of studied proteins was done to determine protein-protein interactions. Metformin reduced serum urea and creatinine significantly, decreased the inflammatory cytokine levels and reduced LRG1, TGFβ1, ALK1 and vascular endothelial growth factor (VEGF) proteins in rat kidneys. Bioinformatic analysis revealed interactions between the studied proteins. Metformin alleviated the histopathological changes observed in the diabetic rats such as the glomerular surface area and increased Bowman’s space diameter. Metformin groups showed decreased VEGF immunostaining compared to diabetic group. Metformin shows promising renoprotective effects in diabetic model that was at least partly mediated by downregulation of LRG1 and TGFβ1/ALK1-induced renal angiogenesis. These results further explain the molecular mechanism of metformin in DN management.

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Highlights

STZ induced features of functional and histological diabetic nephropathy in rats.
Metformin alleviated the pathological features and renal fibrosis in nephropathy.
Metformin suppresses LRG1 and TGFβ1/ALK1-induced renal angiogenesis.
Metformin protects against ultrastructural changes in rat diabetic nephropathy.

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Keywords : ALK1, Diabetic nephropathy, Metformin, LRG1, Rat, TGFβ1-induced angiogenesis


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Vol 158

Article 114128- février 2023 Retour au numéro
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