TY  - JOUR
A1  - Alter, Markus L.
A1  - Kretschmer, Axel
A1  - Von Websky, Karoline
A1  - Tsuprykov, Oleg
A1  - Reichetzeder, Christoph
A1  - Simon, Alexandra
A1  - Stasch, Johannes-Peter
A1  - Hocher, Berthold
T1  - Early urinary and plasma biomarkers for experimental diabetic Nephropathy
JF  - Clinical laboratory : the peer reviewed journal for clinical laboratories and laboratories related to blood transfusion
N2  - Background: As the prevalence of diabetes rises, its complications such as diabetic nephropathy affect an increaseing number of patients. Consequently, the need for biomarkers in rodent models which reflect the stage and course of diabetic nephropathy is high. This article focuses on Heart-type fatty acid binding protein (H-FABP), osteopontin (OPN), nephrin, and Neutrophil gelatinase-associated lipocalin (NGAL) in urine, and kidney injury molecule (KIM)-1, clusterin, and tissue inhibitior of metalloproteinases (TIMP) 1 in plasma in uni-nephrectomized rats with streptocotozin-induced type 1 diabetes mellitus, a common animal model to explore renal impairment in the setting of diabetes mellitus.
 Methods: 23 male Wistar rats were uni-nephrectomized and subsequently divided into two study groups. The diabetic group received streptozotocin (STZ) via tail-vein injection, the non-diabetic group received citrate buffer without STZ. Subsequently, blood glucose, body weight, and blood pressure were checked regularly. After 18 weeks, animals were placed in metabolic cages, blood and urine obtained and subsequently organs were harvested after sacrifice.
 Results: Blood glucose levels were highly increased in diabetic animals throughout the experiment, whereas systolic blood pressure did not differ between the study groups. At study end, classical biomarkers such as urinary albumin and protein and plasma cystatin c were only slightly but not significantly different between groups indicating a very early disease state. In contrast, urinary excretion of H-FABP, OPN, nephrin, and NGAL were highly increased in diabetic animals with a highly significant p-value (p<0.01 each) compared to non-diabetic animals. In plasma, differences were found for calbindin, KIM-1, clusterin, TIMP-1, and OPN. These findings were confirmed by means of the area under the receiver operating characteristic curve (ROC-AUC) analysis.
 Conclusions: In summary, our study revealed elevated levels of new plasma and urinary biomarkers (urinary osteopontin, urinary nephrin, urinary NGAL, urinary H-FABP, plasma KIM-1, plasma TIMP-1) in uni-nephrectomized diabetic rats, an established rat model of diabetic nephropathy. These biomarkers appeared even before the classical biomarkers of diabetic nephropathy such as albuminuria and urinary protein excretion. The new biomarkers might offer advantage to urinary albumin and plasma cystatin c with respect to early detection.
KW  - diabetic nephropathy
KW  - urinary biomarker
KW  - blood biomarker
KW  - heart-type fatty acid binding protein
KW  - osteopontin
KW  - nephrin
KW  - neutrophil gelatinase-associated lipocalin
KW  - kidney injury molecule 1
KW  - clusterin
KW  - tissue inhibitior of metalloproteinases 1
Y1  - 2012
U6  - https://doi.org/10.7754/Clin.Lab.2011.111010
SN  - 1433-6510
VL  - 58
IS  - 7-8
SP  - 659
EP  - 671
PB  - Clin Lab Publ., Verl. Klinisches Labor
CY  - Heidelberg
ER  -