Skip to main content
Top
Published in: International Urology and Nephrology 4/2014

01-04-2014 | Nephrology - Original Paper

Perirenal fat associated with microalbuminuria in obese rats

Authors: Ningning Hou, Fang Han, Mingling Wang, Na Huang, Jiangang Zhao, Xue Liu, Xiaodong Sun

Published in: International Urology and Nephrology | Issue 4/2014

Login to get access

Abstract

Purpose

To determine whether perirenal fat is associated with increased urinary albumin excretion and whether perirenal fat affects renal vascular endothelial function in obese rats.

Methods

Wistar rats were randomly divided into normal and obesity group, which were fed with normal and high-fat diet, respectively. Blood and urine samples were collected. Endothelial function of the aorta was determined by measuring endothelium-dependent vasodilatation. Renal tissues were collected for CD34 immunohistochemistry and free fatty acids (FFA) measurement. Levels of glomerular nitric oxide (NO) and reactive oxygen species (ROS) were measured.

Results

After 24 weeks, plasma FFA, high-sensitivity C-reactive protein, and malondialdehyde levels were elevated and were significantly higher in renal venous blood than in jugular venous blood in obese rats. Urinary albumin/creatinine ratio, glomerular CD34 expression, glomerular ROS level, and renal cortex FFA levels were higher in obese rats. Endothelial dysfunction was more severe in the infra-renal aorta than in the thoracic aorta in obese rats. Plasma adiponectin and glomerular NO levels were lower in obese rats.

Conclusion

Perirenal fat is associated with increased urinary albumin excretion in obese rats. The mechanism may be renal vascular endothelial dysfunction caused by increased oxidative stress and activation of inflammatory molecular pathways due to elevated FFA and low adiponectin levels.
Literature
1.
go back to reference Hurt RT, Frazier TH, McClave SA, Kaplan LM (2011) Obesity epidemic: overview, pathophysiology, and the intensive care unit conundrum. JPEN J Parenter Enteral Nutr 35(5 Suppl):4S–13SPubMedCrossRef Hurt RT, Frazier TH, McClave SA, Kaplan LM (2011) Obesity epidemic: overview, pathophysiology, and the intensive care unit conundrum. JPEN J Parenter Enteral Nutr 35(5 Suppl):4S–13SPubMedCrossRef
2.
go back to reference Rokholm B, Baker JL, Sorensen TI (2010) The levelling off of the obesity epidemic since the year 1999—a review of evidence and perspectives. Obes Rev 11(12):835–846PubMedCrossRef Rokholm B, Baker JL, Sorensen TI (2010) The levelling off of the obesity epidemic since the year 1999—a review of evidence and perspectives. Obes Rev 11(12):835–846PubMedCrossRef
3.
go back to reference Klausen KP, Parving HH, Scharling H, Jensen JS (2009) Microalbuminuria and obesity: impact on cardiovascular disease and mortality. Clin Endocrinol (Oxf) 71(1):40–45CrossRef Klausen KP, Parving HH, Scharling H, Jensen JS (2009) Microalbuminuria and obesity: impact on cardiovascular disease and mortality. Clin Endocrinol (Oxf) 71(1):40–45CrossRef
4.
go back to reference Kopple JD, Feroze U (2011) The effect of obesity on chronic kidney disease. J Ren Nutr 21(1):66–71PubMedCrossRef Kopple JD, Feroze U (2011) The effect of obesity on chronic kidney disease. J Ren Nutr 21(1):66–71PubMedCrossRef
5.
go back to reference Weisinger JR, Kempson RL, Eldridge FL, Swenson RS (1974) The nephrotic syndrome: a complication of massive obesity. Ann Intern Med 81(4):440–447PubMedCrossRef Weisinger JR, Kempson RL, Eldridge FL, Swenson RS (1974) The nephrotic syndrome: a complication of massive obesity. Ann Intern Med 81(4):440–447PubMedCrossRef
6.
go back to reference Kambham N, Markowitz GS, Valeri AM, Lin J, D’Agati VD (2001) Obesity-related glomerulopathy: an emerging epidemic. Kidney Int 59(4):1498–1509PubMedCrossRef Kambham N, Markowitz GS, Valeri AM, Lin J, D’Agati VD (2001) Obesity-related glomerulopathy: an emerging epidemic. Kidney Int 59(4):1498–1509PubMedCrossRef
7.
go back to reference Foster MC, Hwang SJ, Massaro JM, Hoffmann U, DeBoer IH, Robins SJ et al (2011) Association of subcutaneous and visceral adiposity with albuminuria: the Framingham Heart Study. Obesity (Silver Spring) 19(6):1284–1289CrossRef Foster MC, Hwang SJ, Massaro JM, Hoffmann U, DeBoer IH, Robins SJ et al (2011) Association of subcutaneous and visceral adiposity with albuminuria: the Framingham Heart Study. Obesity (Silver Spring) 19(6):1284–1289CrossRef
8.
go back to reference Sun X, Han F, Miao W, Hou N, Cao Z, Zhang G (2013) Sonographic evaluation of para- and perirenal fat thickness is an independent predictor of early kidney damage in obese patients. Int Urol Nephrol 45(6):1589–1595PubMedCrossRef Sun X, Han F, Miao W, Hou N, Cao Z, Zhang G (2013) Sonographic evaluation of para- and perirenal fat thickness is an independent predictor of early kidney damage in obese patients. Int Urol Nephrol 45(6):1589–1595PubMedCrossRef
9.
go back to reference Lamacchia O, Nicastro V, Camarchio D, Valente U, Grisorio R, Gesualdo L et al (2011) Para- and perirenal fat thickness is an independent predictor of chronic kidney disease, increased renal resistance index and hyperuricaemia in type-2 diabetic patients. Nephrol Dial Transplant 26(3):892–898PubMedCrossRef Lamacchia O, Nicastro V, Camarchio D, Valente U, Grisorio R, Gesualdo L et al (2011) Para- and perirenal fat thickness is an independent predictor of chronic kidney disease, increased renal resistance index and hyperuricaemia in type-2 diabetic patients. Nephrol Dial Transplant 26(3):892–898PubMedCrossRef
10.
go back to reference Han F, Hou N, Miao W, Sun X (2013) Correlation of ultrasonographic measurement of intrarenal arterial resistance index with microalbuminuria in nonhypertensive, nondiabetic obese patients. Int Urol Nephrol 45(4):1039–1045PubMedCrossRef Han F, Hou N, Miao W, Sun X (2013) Correlation of ultrasonographic measurement of intrarenal arterial resistance index with microalbuminuria in nonhypertensive, nondiabetic obese patients. Int Urol Nephrol 45(4):1039–1045PubMedCrossRef
11.
go back to reference Sun X, Han F, Yi J, Hou N, Cao Z (2013) The effect of telomerase activity on vascular smooth muscle cell proliferation in type 2 diabetes in vivo and in vitro. Mol Med Rep 7(5):1636–1640PubMed Sun X, Han F, Yi J, Hou N, Cao Z (2013) The effect of telomerase activity on vascular smooth muscle cell proliferation in type 2 diabetes in vivo and in vitro. Mol Med Rep 7(5):1636–1640PubMed
12.
go back to reference Lee RM, Lu C, Su LY, Werstuck G, Gao YJ (2009) Effects of hyperglycemia on the modulation of vascular function by perivascular adipose tissue. J Hypertens 27(1):118–131PubMedCrossRef Lee RM, Lu C, Su LY, Werstuck G, Gao YJ (2009) Effects of hyperglycemia on the modulation of vascular function by perivascular adipose tissue. J Hypertens 27(1):118–131PubMedCrossRef
13.
go back to reference Sun X, Yu Y, Han L (2013) High FFA levels related to microalbuminuria and uncoupling of VEGF-NO axis in obese rats. Int Urol Nephrol 45(4):1197–1207PubMedCrossRef Sun X, Yu Y, Han L (2013) High FFA levels related to microalbuminuria and uncoupling of VEGF-NO axis in obese rats. Int Urol Nephrol 45(4):1197–1207PubMedCrossRef
14.
go back to reference Kono T, Saito M, Kinoshita Y, Satoh I, Shinbori C, Satoh K (2006) Real-time monitoring of nitric oxide and blood flow during ischemia-reperfusion in the rat testis. Mol Cell Biochem 286(1–2):139–145PubMedCrossRef Kono T, Saito M, Kinoshita Y, Satoh I, Shinbori C, Satoh K (2006) Real-time monitoring of nitric oxide and blood flow during ischemia-reperfusion in the rat testis. Mol Cell Biochem 286(1–2):139–145PubMedCrossRef
15.
go back to reference Asaba K, Tojo A, Onozato ML, Goto A, Quinn MT, Fujita T et al (2005) Effects of NADPH oxidase inhibitor in diabetic nephropathy. Kidney Int 67(5):1890–1898PubMedCrossRef Asaba K, Tojo A, Onozato ML, Goto A, Quinn MT, Fujita T et al (2005) Effects of NADPH oxidase inhibitor in diabetic nephropathy. Kidney Int 67(5):1890–1898PubMedCrossRef
16.
go back to reference Pinto-Sietsma SJ, Navis G, Janssen WM, de Zeeuw D, Gans RO, de Jong PE (2003) A central body fat distribution is related to renal function impairment, even in lean subjects. Am J Kidney Dis 41(4):733–741PubMedCrossRef Pinto-Sietsma SJ, Navis G, Janssen WM, de Zeeuw D, Gans RO, de Jong PE (2003) A central body fat distribution is related to renal function impairment, even in lean subjects. Am J Kidney Dis 41(4):733–741PubMedCrossRef
17.
go back to reference Bonnet F, Marre M, Halimi JM, Stengel B, Lange C, Laville M et al (2006) Larger waist circumference is a predictive factor for the occurrence of microalbuminuria in a non-diabetic population. Arch Mal Coeur Vaiss 99(7–8):660–662PubMed Bonnet F, Marre M, Halimi JM, Stengel B, Lange C, Laville M et al (2006) Larger waist circumference is a predictive factor for the occurrence of microalbuminuria in a non-diabetic population. Arch Mal Coeur Vaiss 99(7–8):660–662PubMed
18.
19.
go back to reference Sharma K (2009) The link between obesity and albuminuria: adiponectin and podocyte dysfunction. Kidney Int 76(2):145–148PubMedCrossRef Sharma K (2009) The link between obesity and albuminuria: adiponectin and podocyte dysfunction. Kidney Int 76(2):145–148PubMedCrossRef
20.
go back to reference Li Y, Sun X, Yu Y (2013) Serum fetuin-A levels related with microalbuminuria in diet-induced obese rats. Biomed Res Int 2013:795103PubMedCentralPubMed Li Y, Sun X, Yu Y (2013) Serum fetuin-A levels related with microalbuminuria in diet-induced obese rats. Biomed Res Int 2013:795103PubMedCentralPubMed
21.
go back to reference Kern PA (2003) Adiponectin expression from human adipose tissue relation to obesity, insulin resistance, and tumor necrosis factor-α expression. Diabetes 52(7):1779–1785PubMedCrossRef Kern PA (2003) Adiponectin expression from human adipose tissue relation to obesity, insulin resistance, and tumor necrosis factor-α expression. Diabetes 52(7):1779–1785PubMedCrossRef
22.
go back to reference Yamauchi T, Kadowaki T (2008) Physiological and pathophysiological roles of adiponectin and adiponectin receptors in the integrated regulation of metabolic and cardiovascular diseases. Int J Obes (Lond) 32(Suppl 7):S13–S18CrossRef Yamauchi T, Kadowaki T (2008) Physiological and pathophysiological roles of adiponectin and adiponectin receptors in the integrated regulation of metabolic and cardiovascular diseases. Int J Obes (Lond) 32(Suppl 7):S13–S18CrossRef
Metadata
Title
Perirenal fat associated with microalbuminuria in obese rats
Authors
Ningning Hou
Fang Han
Mingling Wang
Na Huang
Jiangang Zhao
Xue Liu
Xiaodong Sun
Publication date
01-04-2014
Publisher
Springer Netherlands
Published in
International Urology and Nephrology / Issue 4/2014
Print ISSN: 0301-1623
Electronic ISSN: 1573-2584
DOI
https://doi.org/10.1007/s11255-014-0656-7

Other articles of this Issue 4/2014

International Urology and Nephrology 4/2014 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine