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Effects of a new diuretic (piretanide) compared with furosemide on renal diluting and concentrating mechanisms in patients with the nephrotic syndrome.

The mode and site of action of the new diuretic agent piretanide were investigated in man. The effect of a single oral dose of 12 mg was compared with that of furosemide 80 mg p.o. iin 6 patients with the nephrotic syndrome. Piretanide showed a greater diuretic and natriuretic response than furosemide during maximal water diuresis, but the effect was similar in the hydropenic state. Like furosemide, piretanide decreased free water clearance relative to delivery during water diuresis and the reabsorption of solute-free water during hydropenia. This inhibitory action on both the concentrating and diluting urinary mechanisms demonstrates an effect of piretanide localized in the ascending limb of Henle's loop. Consistent alterations in glomerulur filtration rate, renal blood flow or filtration fraction were not observed.

Body Water↗

Potassium activity in cells of isolated perfused cortical thick ascending limbs of rabbit kidney.

The Na+2Cl-K+ cotransporter in the apical membrane of the cortical thick ascending limb of the Henle's loop (cTAL) of rabbit nephron utilizes the electrochemical gradient for Na+ to transport K+ and Cl- against an unfavorable electrochemical gradient from lumen to cell interior. In the present study attempts are made to measure intracellular K+ activity (a cell K+) under control conditions and after inhibition of the cotransport system by furosemide (50 X 10(-6) mol X l-1). 70 cTAL segments of 55 rabbits were perfused in vitro. Conventional Ling-Gerard and K+-selective microelectrodes were used to measure the PD across the basolateral membrane (PDbl) as well as the PD sensed by the single barrelled K+-selective electrode (PDK+). PDbl was -64 +/- 1 (n = 65) mV and PDK+ + 15 +/- 1 (n = 32) mV under control conditions. The positive PDK+ value, significantly different from zero, indicates that a cell K+ is higher than predicted for passive distribution. The estimate for a cell K+ obtained from PDbl and PDK+ was 113 +/- 8 mmol X l-1. Furosemide lead to the previously reported hyperpolarization of PDbl by 17 +/- 4 (n = 13) mV and to a reduction of PDK+ from 15 +/- 1 to 5 +/- 1 (n = 20) mV. The a cell K+, obtained from this set of data, was 117 +/- 9 mmol X l-1, and was not different from the control value. The present data indicate that a cell K+ is significantly above Nernst equilibrium under control conditions.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

Localization of kallikrein-like activity along a single nephron in rabbits.

In order to investigate the presence of renal kallikrein, the localization of kallikrein-like proteolytic activity along a single nephron was determined in rabbits. Single nephrons were dissected into 8 segments under a microscope. Activity was fluorometrically measured with two different substrates (benzoyl-L-arginine ethyl ester: BAEE and prolyl-phenylalanyl-arginine-methylcoumarin amide: MCA). Proteolytic activity could be detected in the early (S1), the middle (S2), and the terminal (S3) portions of the proximal tubule and in the granular portion of the distal tubule (DCTg). With MCA, the specific activity in S1, S2, S3 and DCTg was 0.77 +/- 0.08, 0.28 +/- 0.10, 0.13 +/- 0.05, and 0.27 +/- 0.05 pmoles/microgram/min, respectively. The activity in DCTg was inhibited by aprotinin but that in the proximal tubules was not inhibited. No activity was found in the glomerulus, the thick ascending limb of Henle's loop, the bright portion of the distal tubule, and the light portion of the cortical collecting tubule. The inhibition of the activity by aprotinin in DCTg suggests that intrarenal kallikrein could be localized only in DCTg.

Animals↗

Effects of glucagon on Na+, Cl-, K+, Mg2+ and Ca2+ transports in cortical and medullary thick ascending limbs of mouse kidney.

The effects of glucagon on transepithelial Na+, Cl-, K+, Ca2+ and Mg2+ net fluxes were investigated in isolated perfused cortical (cTAL) and medullary (mTAL) thick ascending limbs of Henle's loop of the mouse nephron. Transepithelial ion net fluxes (JNa+, JCl-, JK+, JCa2+, JMg2+) were determined by electron probe analysis of the collected tubular fluid. Simultaneously the transepithelial voltage (PDte) and the transepithelial resistance (Rte) were recorded. In cTAL-segments (n = 8), glucagon (1.2 x 10(-8) mol.1-1) stimulated significantly the reabsorption of Na+, Cl-, Ca2+ and Mg2+: JNa+ increased from 204 +/- 20 to 228 +/- 23 pmol.min-1.mm-1, JCl- from 203 +/- 18 to 234 +/- 21 pmol.min-1.mm-1, JCa2+ from 0.52 +/- 0.13 to 1.34 +/- 0.30 pmol.min-1.mm-1 and JMg2+ from 0.51 +/- 0.08 to 0.84 +/- 0.08 pmol.min-1.mm-1.JK+ remained unchanged: 3.2 +/- 1.3 versus 4.0 +/- 1.9 pmol.min-1.mm-1. Neither PDte (16.3 +/- 1.5 versus 15.9 +/- 1.4 mV) nor Rte (22.5 +/- 3.0 versus 20.3 +/- 2.6 omega cm2) were changed significantly by glucagon. However, in the post-experimental periods a significant decrease in PDte and increase in Rte were noted. In mTAL-segments (n = 9), Mg2+ and Ca2+ transports were close to zero and glucagon elicited no significant effect. The reabsorptions of Na+ and Cl-, however, were strongly stimulated: JNa+ increased from 153 +/- 17 to 226 +/- 30 pmol.min-1.mm-1 and JCl- from 151 +/- 23 to 243 +/- 30 pmol.min-1.mm-1.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

Role of sodium and urea in the renal concentrating mechanism in Psammomys obesus.

Micropunctures were performed at the tip of Henle's loops and vasa recta accessible at the extrarenal surface of the papilla in a desert rodent (Psammomys obesus) studied under mild NaCl ((NaCl 4%, 0.0375 ml/min) and mild urea (urea 4%, 0.0375 ml/min) loading conditions. In Nacl loaded animals, it was confirmed that solute addition (mainly sodium) contributes in a large proportion to the concentrating process along the thin descending limb. Comparison of sodium and urea concentrations in the loops with those in vasa recta at the same level of the papilla demonstrated that 1. the transepithelial sodium gradient was compatible with a diffusion transport of this ion from the interstitium to the thin descending limb; 2. the sodium concentration higher in interstitium than in the loop fluid was not compatible with the existence of a purely passive concentrating process in inner medulla as was recently proposed [8], 3. the transepithelial urea gradient was very limited which indicates that this solute does not play an important part in the concentrating process. In urea loaded psammomys, solute addition (mainly urea) to the thin descending limb fluid was still present but water abstraction was enhanced as compared to salt loaded animals, probably on account to the higher interstitial urea concentration. It is, thus, brought to evidence that the relative contribution of water abstraction and solute addition to the concentrating process along the thin descending limb can vary in a given species as a function of the physiological state.

Animals↗

Primary culture of mammalian nephron epithelia: requirements for cell outgrowth and proliferation from defined explanted nephron segments.

Nephron segments were dissected from fetal or from early postnatal rabbit kidneys (n = 86) and explanted individually into primary tissue culture. Outgrowth of epithelioid cells and proliferation in monolayers from the collecting tubule and the thick ascending limb of Henle's loop occurred regularly if a special substratum and matrix were used. Media were either supplemented with non-proteins (defined media) or with embryo extract and fetal sera (undefined media). Outgrowth and monolayer spreading were recorded by Differential Interference Contrast Microscopy. Monolayer cells resemble those seen with the same recording technique during tubule in vitro perfusion. Undefined media were essential for growth of convoluted tubule segments from embryonic Nephron Anlagen and outgrowth of cells from proximal straight tubules, in contrast to the distal nephron segments. The specific functional and morphological properties of cells derived from primary culture of nephron segments are under study.

Animals↗

Additive effects of glucagon and vasopressin on renal Mg reabsorption and urine concentrating ability in the rat.

Previous studies demonstrated that in rat kidney, arginine-vasopressin (AVP), glucagon (GLU), calcitonin and parathyroid hormone exert similar effects on the thick ascending limb of Henle's loop (TALH). To ascertain the physiological significance of such multiple hormonal control of TALH function, it is necessary to establish whether one hormone can exert its effect on TALH, even when other hormones are present. We therefore compared renal responses to submaximal (1 ng/min) and maximal (10 ng/min) doses of glucagon in rats deprived of endogenous AVP, GLU, calcitonin and parathyroid hormone with the responses of similar rats given a maximal dose of AVP (40 pg/min). Administration of glucagon or AVP alone reduced Mg fractional excretion, but the reduction was more marked when both hormones were given together. Consequently, their effects were additive, at submaximal and maximal doses. In the presence of AVP + glucagon, urinary osmolality was also higher than in the presence of AVP alone (Umax: 1242 +/- 49 vs. 936 +/- 50 mosmol/kg; p less than 0.001). This latter effect may indicate that AVP and glucagon also exert additive effects on Na reabsorption in the TALH.

Absorption↗

Effects of hypercalcemia on water and sodium excretion by the isolated dog kidney.

The effects of acute hypercalcemia on hemodynamics and on water and sodium excretion were studied on the blood-perfused isolated dog kidney. This model advantageously eliminates various factors which modify medullary osmolality and intrarenal hemodynamics, as well as collecting duct permeability. Calcium ion directly inhibits sodium reabsorption in the proximal tubule and in the ascending limb of Henle's loop, leading to increased sodium excretion rate and to decreased free water generation. The vasoconstrictive action of calcium, leading to decreased glomerular filtration rate, may mitigate the strong natriuretic effect of this ion.

Animals↗

Studies with the optically active isomers of the new diuretic drug ozolinone. I. Differences in stereoselectivity of the renal target structures of ozolinone.

The renal actions of the optically active isomers of the new diuretic drug ozolinone were studied by clearance, flowmeter and micropuncture techniques in rats. The levorotatory, but not the dextrorotatory isomer of ozolinone increased urine flow, urinary sodium and chloride excretion and enhanced sodium and chloride concentrations in early distal tubular fluid as checked by in situ microperfusion of Henle's loops. This indicates stereospecificity of the drug's diuretic action. However, both isomers of ozolinone equally inhibited maximal tubular secretion of paraaminohippurate and increased renal blood flow as measured by an electromagnetic flowmeter. Thus, the different renal target structures of ozolinone differ markedly with respect to stereoselectivity.

Animals↗

Lack of stimulation of kidney Na-K-ATPase by thyroid hormones in long-term thyroidectomized rabbits.

The effects of long-term thyroidectomy and of subsequent triiodothyronine administration on kidney Na-K-ATPase were studied at the level of single nephron segments and were compared to the short-term effects previously reported. After 8-11 weeks, thyroidectomy resulted in a marked decrease in Na-K-ATPase activity in all the segments of the rabbit nephron, the proximal tubule, the thick ascending limb of Henle's loop, the distal convoluted tubule and the collecting tubule. Within this delay, thyroidectomy also decreased the ouabain-insensitive Mg-ATPase activity, the basal and hormone-stimulated adenylate-cyclase activity, and the volume of tubular epithelium in all the segments where these parameters were measured. Administration of 50 micrograms/kg body weight triiodothyronine to 8-11 weeks thyroidectomized rabbits did not restore Na-K-ATPase activity in any nephron segment within 48 h. These observations are different from those reported in animals thyroidectomized only 1 week before study since, within this latter delay, thyroidectomy altered specifically Na-K-ATPase activity, this action was observed on the proximal and collecting tubules exclusively and, triiodothyronine administration corrected Na-K-ATPase alterations after 48 h. Results of the present study indicate that in the long term, thyroidectomy has a wide spectrum of renal effects which involves the whole nephron and most cellular functions. The tubular involution induced by long-term thyroidectomy is probably responsible for the inability of kidney cells to quickly increase their Na-K-ATPase activity in response to hormonal stimulation.

Adenylyl Cyclases↗

Formation and excretion of NH3----NH4+. New aspects of an old problem.

The proximal tubule cell is the major site of renal ammoniagenesis. Glutamine is the major substrate. Deamidation by mitochondrial glutaminase yields glutamate- and NH4+ (not NH3, as traditionally taught). A second NH4+ ion is obtained by deamination of glutamate- to 2-oxo-glutarate2-. NH4+ preferentially enters the tubule lumen primarily, but probably not exclusively, by non-ionic diffusion of NH3. For each NH3 formed in the cell one H+ ion is left behind. H+ and NH3 are secreted on separate routes, but recombine in the lumen to NH4+ and reach the final urine in this form. This process per se does not net-remove H+ from the organism. For this purpose, the anionic products of ammoniagenesis (2-oxo-glutarate2- and others) have to be converted into neutral compounds (CO2, glucose). This metabolism again takes place usually in the tubule cell. For each negative charge one HCO3- is formed which enters the peritubular blood. Luminal gamma-glutamyl transferase-mediated ammoniagenesis contributes to NH4+ accumulation in the proximal tubule to a small extent. The endproximal NH4+ delivery exceeds the filtered load by a factor of 9. Only 1/3 of it reaches the distal convoluted tubule mainly because NH+4 as such is reabsorbed from the thick ascending limb of Henle's loop by secondary active transport or electrodiffusion. Both processes are energized by the active Na+ transport in this segment. Thereby NH3----NH4+ is accumulated in the medullary interstitium, which establishes the chemical gradient for non-ionic diffusion of NH3 into the lumen of the collecting ducts. This is favoured by the acidic disequilibrium pH in the lumen of this segment.(ABSTRACT TRUNCATED AT 250 WORDS)

Acid-Base Equilibrium↗

[Kidney medullary hypoxia: a key to understanding acute renal failure?].

The ability to produce a concentrated urine is imposed by a uniquely low ambient oxygen pressure in the renal medulla due to shunt diffusion within the vascular bundles. As the thick ascending limb of Henle's loop (TAL-segment) is able to glycolyse anaerobically, a phase of oxygen deficiency may be bridgespanned. It allows an exceptionally high oxygen extraction of 80% in this area. If oxygen capacity is reduced systematically, which can be effected in the isolated kidney model by using cell free perfusate, a typical pattern of lesions occur in TAL-segments. Segments near vascular bundles remain intact, as they take advantage from a radial oxygen diffusion originating from vascular bundles. The extent of lesions is increasing directed to the inner medulla due to the reduction of oxygen pressure, whereas lesions are not present in the inner medulla itself. Cells of TAL-segments are swelling during oxygen deficiency, when transport work surpasses the available energy necessary due to the luminal fluid inflow. Lesions could be prevented, when oxygen capacity was enhanced by adding erythrocytes or when transport was blocked by furosemide. Swollen cells in TAL-segments however are able to aggravate medullary hypoxia by an outflow block in vivo. Secondly, it can be demonstrated, that oxygen shunt diffusion is not only present in renal medulla but also within renal cortex especially as a preglomerular diffusion shunt for blood gases. Thus PCO2 has been measured to be 65 mmHg in the outermost cortical zone and thereby some 20 mmHg higher than renal venous blood.(ABSTRACT TRUNCATED AT 250 WORDS)

Acute Kidney Injury↗

Reconstitution in phospholipid vesicles of calcium-activated potassium channel from outer renal medulla.

A barium-sensitive Ca-activated K+ channel in the luminal membrane of the tubule cells in thick ascending limb of Henle's loop is required for maintenance of the lumen positive transepithelial potential and may be important for regulation of NaCl reabsorption. In this paper we examine if the K+ channel can be solubilized and reconstituted into phospholipid vesicles with preservation of its native properties. The K+ channel in luminal plasma membrane vesicles can be quantitatively solubilized in CHAPS at a detergent/protein ratio of 3. For reconstitution, detergent is removed by passage over a column of Sephadex G 50 (coarse). K+-channel activity is assayed by measurement of 86Rb+ uptake against a large opposing K+ gradient. The reconstituted K+ channel is activated by Ca2+ in the physiological range of concentration (K1/2 approximately 2 X 10(-7) M at pH 7.2) as found for the K+ channel in native plasma membrane vesicles and shows the same sensitivity to inhibitors (Ba2+, trifluoperazine, calmidazolium, quinidine) and to protons. Reconstitution of the K+ channel into phospholipid vesicles with full preservation of its native properties is an essential step towards isolation and purification of the K+-channel protein. Titration with Ca2+ shows that most of the active K+ channels in reconstituted vesicles have their cytoplasmic aspect facing outward in contrast to the orientation in plasma membrane vesicles, which requires also addition of Ca2+ ionophore in order to observe Ca2+ stimulation.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

Ammonium transport in medullary thick ascending limb of rabbit kidney: involvement of the Na+,K+,Cl(-)-cotransporter.

In order to investigate the question whether ammonium reabsorption in the thick ascending limb of Henle's loop (TALH) proceeds via the Na+,K+,Cl(-)-cotransporter, plasma membrane vesicles were prepared from TALH cells isolated from rabbit kidney outer medulla and the effect of NH+4 on their transport properties was investigated. It was found that, in the presence of a 78-mmol/liter NaCl gradient, 5 mmol/liter NH+4 inhibited bumetanide-sensitive rubidium flux by 86%; a similar decrease was observed for 5 mmol/liter, K+. Inhibition of bumetanide-sensitive rubidium uptake by NH+4 was competitive and an apparent Ki of 1.9 mmol/liter was found. Bumetanide-sensitive sodium uptake measured in the presence of a 83 mmol/liter KCl gradient was not inhibited by 5 mmol/liter NH+4. A 100-mmol/liter NH4Cl gradient was, however, capable of stimulating bumetanide-sensitive sodium uptake to the same extent as a KCl gradient. These data suggest that NH+4 is accepted by the K+ site of the Na+,K+,Cl-cotransport system and that the transporter can function in a Na+,NH+4,2Cl mode. Since the affinity of the transporter for NH+4 lies in the concentration range found in the TALH lumen in vivo, it is concluded that Na+,NH+4,2Cl-cotransport can contribute to the NH+4 reabsorption in this tubular segment.

Ammonia↗

Effect of varying salt and urea permeabilities along descending limbs of Henle in a model of the renal medullary urine concentrating mechanism.

Modelling studies have played an important role in research on the mechanism of urine concentration and dilution by the medulla of the kidney ever since Hargitay and Kuhn (1951, Z. Elektrochem. 55, 539-558) first proposed that the parallel tubular structures in the kidney medulla must function as a "countercurrent multiplication" system. Present-day models, in keeping with our considerably improved understanding of most aspects of medullary structure-function relationships, have evolved into rather sophisticated systems of parallel tubes. In spite of this increasing complexity, it has remained the case that "model medullas" do not concentrate as well as the real kidney, especially in the inner medulla where only passive, diffusional transport occurs. Inasmuch as these models take into account the majority of contemporary ideas making up our global hypothesis about the functioning of this system, their failure to behave physiologically indicates that our understanding remains incomplete. The purpose of the present modelling study was to evaluate the implications of some recent measurements showing that permeabilities of NaCl (Ps) and urea (Pu) vary along the length of the descending thin limbs of Henle (Imai et al., 1988, Am. J. Physiol. 254, F323-F328), rather than being constant throughout this segment as had been assumed earlier. It was hoped that these newly measured values might explain, by a passive, diffusional process, the net solute addition at the bend of Henle's loop observed under some circumstances and heretofore attributed (though without any supporting experimental evidence) to active transport into the descending limb. The results of the present study show that whereas incorporation of the new values for Ps and Pu in the descending limbs of short nephrons does indeed improve the concentrating power of the model, these new values are nonetheless not sufficient to allow the model to build an osmolarity gradient that increases all the way through the inner medulla. This failing, which is common to virtually all modelling studies to date using measured values from rat kidneys, probably points to a key role for preferential exchange supposed by some to exist among certain tubule segments within vascular bundles in species whose kidneys have the highest concentrating power.

Animals↗

Effect of indomethacin in vivo and PGE2 in vitro on MTAL Na-K-ATPase of the rat kidney.

We have previously shown that prostaglandin synthesis inhibition in rats which reduces urinary excretion of PGE2 and sodium, is associated with increased Na-K-ATPase activity in renal medulla. To further characterize this interaction studies were performed in isolated segments of medullary thick ascending limb of Henle's loop (MTAL) in rats. The effect of pretreatment with indomethacin in vivo and incubation with PGE2 in vitro on MTAL Na-K-ATPase activity was studied. Pretreatment of rats with indomethacin increased Na-K-ATPase of the MTAL from 37.2 +/- 2.0 x 10(-11) mol/mm/min in controls to 62.7 +/- 2.2 (p less than 0.001) while Mg-ATPase was only slightly decreased. Incubation of MTAL Na-K-ATPase from indomethacin pretreated rats with increasing concentration of PGE2 in vitro dose dependently inhibited MTAL Na-K-ATPase activity with no effect on Mg-ATPase. Baseline Na-K-ATPase was 62.7 +/- 2.2 in MTAL from indomethacin pretreated rats and decreased to 36.9 +/- 1.4 (p less than 0.001) with 1 microM of PGE2, to 26.5 +/- 2.3 (p less than 0.001) with 10 microM PGE2 and to 22.0 +/- 1.0 (p less than 0.001) with 100 microM PGE2. 100 microM PGE2 in the incubation medium inhibited MTAL Na-K-ATPase of intact rats from 37.2 +/- 2 to 21.3 +/- 1.2 (p less than 0.001) and completely abolished the indomethacin induced increase in MTAL Na-K-ATPase. The results of this study show stimulation of MTAL Na-K-ATPase by pretreatment with indomethacin in vivo and, direct inhibition of MTAL Na-K-ATPase by PGE2 in vitro.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

Molecular analysis of vasopressin receptors in the rat nephron. Evidence for alternative splicing of the V2 receptor.

Expression and regulation of vasopressin V2 and V1a receptors were studied at the mRNA level in the rat kidney. Two V2 mRNA variants were identified and shown to arise from a single gene by alternative splicing using one donor and two different acceptor sites. The long (V2L) form encodes the adenylyl cyclase-coupled receptor. The short (V2S) form lacks the nucleotide sequence encoding the putative seventh transmembrane domain and undergoes a frame shift in its 3'end coding region; it is inactive on the cyclase pathway in transfected cells. Measurement of mRNAs, carried out by quantitative reverse transcription-polymerase chain reaction (RT-PCR) on microdissected nephrons, demonstrated that neither V2L, V2S nor V1A mRNAs are expressed in glomeruli and proximal tubules (< 100 mRNA copies/glomerulus or mm of tubular length), whereas they are present in the ascending limb of Henle's loop and in the collecting tubule. The V2L mRNA, which is always predominant in these structures, is expressed throughout the collecting tubule at 10 times higher levels (30,000 copies/mm) than in the thin and thick ascending limbs. The ratio of the V2S over V2L mRNA is constant (15%) in all nephron segments; hence high V2S levels are only observed in the collecting tubule. The V1A mRNA is slightly expressed in the thin ascending limb, absent in the thick ascending limb and reaches its maximum in the cortical collecting duct (4,000 copies/mm), before gradually decreasing to undetectable levels in the terminal collecting duct. Finally, in vivo administration of a vasopressin V2 agonist decreased by 50% V2L and V2S mRNAs, but did not alter the V1A mRNA level. We conclude that this study provides the quantitation, on a molar basis, of vasopressin receptor mRNAs in kidney tubules and demonstrates the occurrence of two V2 mRNA spliced variants which are similarly down-regulated.

Animals↗

Effect of diabetes mellitus induced by streptozotocin on renal superoxide dismutases in the rat. A radioimmunoassay and immunohistochemical study.

Two forms of superoxide dismutase, CuZn-SOD and MnSOD, have been investigated in the kidneys of streptozotocin-induced diabetic rats using both radio-immunoassay and immunoenzyme staining. The rats were killed 2, 8 and 12 weeks after the induction of diabetes mellitus and the kidneys excised. Two weeks after the induction of diabetes, the kidneys were hypertrophied because of the proliferation of renal tubular epithelium. However, the total CuZnSOD content of the kidneys did not increase and, because of the epithelial proliferation, the CuZnSOD concentration in each proximal tubular cell was decreased. Armanni-Ebstein lesions were found in the distal tubules 8 and 12 weeks after the induction of diabetes. The cells in these lesions were intensely stained for CuZnSOD, suggesting an adaptive response to the enhanced oxidative stress. The MnSOD staining in the thick ascending limbs of Henle's loops was enhanced in the diabetic kidneys, while that in the cortical tubules was unaltered. MnSOD was assumed to increase in response to hypermetabolism associated with the proliferation of renal tubules. This was most marked in the cells which were rich in mitochondria, again suggesting an adaptive response to enhanced oxidative stress induced by diabetes mellitus. The glomeruli of both the diabetic and control groups were not stained for SODs, and no significant microscopic change was found even 12 weeks after the induction of diabetes mellitus.

Animals↗