Details

Autor(en) / Beteiligte

• Temm, Constance
• Dominguez, Jesus H

Titel

Microcirculation: nexus of comorbidities in diabetes

Ist Teil von

• American journal of physiology. Renal physiology, 2007-08, Vol.293 (2), p.F486-F493

Ort / Verlag

United States: American Physiological Society

Erscheinungsjahr

2007

Quelle

Electronic Journals Library

Beschreibungen/Notizen

• Generalized capillary dysfunction is a morbid element in the metabolic syndrome, and it is likely involved in its complications. We tested the hypothesis that vast amounts of serum albumin previously observed in kidneys of rats with the metabolic syndrome were caused, in part, by leakage from renal peritubular capillaries. We report herein large scale leaks of plasma fluid in peritubular capillaries of rats with the metabolic syndrome. This finding was directly demonstrated in vivo, and the presence of leftover albumin residue confirmed the leak in postmortem kidney specimens. Moreover, renal interstitial fibrosis and tubular atrophy were found in a distribution similar to the leaked renal albumin in obese rats. We suggest that there is an important link between peritubular capillary damage and interstitial fibrosis, represented as tubulointerstitial disease in the metabolic syndrome. We propose that maintenance of the peritubular microcirculation may improve renal outcomes in diabetes and the metabolic syndrome.