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Publication : Direct Observation of Enhanced Nitric Oxide in a Murine Model of Diabetic Nephropathy.

First Author  Boels MG Year  2017
Journal  PLoS One Volume  12
Issue  1 Pages  e0170065
PubMed ID  28103268 Mgi Jnum  J:245112
Mgi Id  MGI:5914814 Doi  10.1371/journal.pone.0170065
Citation  Boels MG, et al. (2017) Direct Observation of Enhanced Nitric Oxide in a Murine Model of Diabetic Nephropathy. PLoS One 12(1):e0170065
abstractText  Uncoupling of nitric oxide synthase (NOS) secondary to redox signaling is a central mechanism in endothelial and macrophage activation. To date studies on the production of nitric oxide (NO) during the development of diabetic complications show paradoxical results. We previously showed that recoupling eNOS by increasing the eNOS cofactor tetrahydrobiopterin (BH4) could restore endothelial function and prevent kidney injury in experimental kidney transplantation. Here, we employed a diabetic mouse model to investigate the effects of diabetes on renal tissue NO bioavailability. For this, we used in vivo NO trapping, followed by electron paramagnetic resonance spectroscopy. In addition, we investigated whether coupling of NOS by supplying the cofactor BH4 could restore glomerular endothelial barrier function. Our data show that overall NO availability at the tissue level is not reduced sixteen weeks after the induction of diabetes in apoE knockout mice, despite the presence of factors that cause endothelial dysfunction, and the presence of the endogenous NOS inhibitor ADMA. Targeting uncoupled NOS with the BH4 precursor sepiapterin further increases NO availability, but did not modify renal glomerular injury. Notably, glomerular heparanase activity as a driver for loss of glomerular barrier function was not reduced, pointing towards NOS-independent mechanisms. This was confirmed by unaltered increased glomerular presence of cathepsin L, the protease that activates heparanase.
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