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Effects of heparin on renal morphology and albuminuria in experimental diabetes
Ist Teil von
American journal of physiology: endocrinology and metabolism, 1996-08, Vol.271 (2), p.E326-E332
Ort / Verlag
United States
Erscheinungsjahr
1996
Quelle
MEDLINE
Beschreibungen/Notizen
S. M. Marshall, K. W. Hansen, R. Osterby, J. Frystyk, H. Orskov and A. Flyvbjerg
Institute of Experimental Clinical Research, University of Aarhus, Denmark.
Female nondiabetic and streptozotocin diabetic Wistar rats received 200
units heparin two times daily by subcutaneous injection for 6 mo. Mesangial
volume fraction was reduced in heparin-treated control (CH) compared with
untreated control (C) animals (CH 0.18 +/- 0.02 vs. C 0.24 +/- 0.02, P <
0.05), but other histological parameters were similar. In the
heparin-treated diabetic (DH) group, wet kidney weight was increased
compared with the untreated diabetic (D) group (DH 1,156 +/- 39 vs. D 1,050
+/- 30 mg, P < 0.05), as were absolute, but not fractional, glomerular
volume (P < 0.05) and capillary volume (P < 0.05). Basement membrane
thickness (DH 193 +/- 3 vs. D 231 +/- 9 nm, P < 0.01) and
mesangial/glomerular volume fraction (P < 0.001) were decreased. Urinary
albumin excretion was increased in the heparin-treated control animals
compared with control animals [CH 980 (range 150-4,448) vs. C 221 (range
86-654) micrograms/24 h, P < 0.001] and in the heparin-treated diabetic
animals compared with the diabetic animals [DH 12,785 (range 4,495-29,520)
vs. D 899 (range 450-1,335) micrograms/24 h, P < 0.001]. Thus the
possibly deleterious increases in glomerular capillary volume and albumin
excretion may negate the beneficial effects of heparin on mesangial and
basement membrane structures.