• Am. J. Med. Sci. · Nov 2024

    Sodium Tungstate (NaW) Decreases Inflammation and Renal Fibrosis in Diabetic Nephropathy.

    • Alejandro J Yáñez, Karen Jaramillo, Pamela Silva, Mariana Yáñez A, Moises Sandoval, Daniel Carpio, and Marcelo Aguilar.
    • Facultad de Ciencias, Universidad Austral de Chile, 5090000 Valdivia, Chile; Interdisciplinary Center for Aquaculture Research (INCAR), 4030000 Universidad de Concepción, Chile; Research and Development Department, Greenvolution SpA. Puerto Varas, Chile. Electronic address: ajyanezc@gmail.com.
    • Am. J. Med. Sci. 2024 Nov 1; 368 (5): 518531518-531.

    BackgroundDiabetic Nephropathy is one of the most severe complications of Diabetes Mellitus and the main cause of end-stage kidney disease worldwide. Despite the therapies available to control blood glucose and blood pressure, many patients continue to suffer from progressive kidney damage. Chronic hyperglycemia is the main driver of changes observed in diabetes; however, it was recently discovered that inflammation and oxidative stress contribute to the development and progression of kidney damage. Therefore, it is important to search for new pharmacological therapies that stop the progression of DN. Sodium tungstate (NaW) is an effective short and long-term antidiabetic agent in both type 1 and type 2 diabetes models.MethodsIn this study, the effect of NaW on proinflammatory signalling pathways, proinflammatory proteins and fibrosis in the streptozotocin (STZ)-induced type 1 diabetic rat model was analysed using histological analysis, western blotting and immunohistochemistry.ResultsNaW treatment in diabetic rats normalize parameters such as glycemia, glucosuria, albuminuria/creatinuria, glomerular damage, and tubulointerstitial damage. NaW decreased the proinflammatory signaling pathway NF-κB, inflammatory markers (ICAM-1, MCP-1 and OPN), profibrotic pathways (TGFβ1/Smad2/3), reduced epithelial-mesenchymal transition (α -SMA), and decreased renal fibrosis (type IV collagen).ConclusionNaW could be an effective drug therapy for treating human diabetic nephropathy.Copyright © 2024 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.

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