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Published in: Pediatric Nephrology 11/2008

01-11-2008 | Original Article

Effect of sodium overload on renal function of offspring from diabetic mothers

Authors: Luigi Rocco, Frida Zaladek Gil, Thaís Maria da Fonseca Pletiskaitz, Maria de Fátima Cavanal, Guiomar Nascimento Gomes

Published in: Pediatric Nephrology | Issue 11/2008

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Abstract

The aim if this study was to evaluate the effect of sodium overload on blood pressure and renal function in the offspring of diabetic rat mothers. Diabetes was induced with a single dose of streptozotocin before mating. Experimental groups were control (C), offspring from diabetic mother (D), control with sodium chloride (NaCl) overload (CS), and offspring from diabetic mother submitted to NaCl overload (DS). After weaning, all groups received food ad libitum; groups C and D had water ad libitum, and CS and DS received NaCl 0.15 M as drinking water. Renal morphology and function were evaluated in 3-month-old rats. Glomerular area, macrophage infiltration, interlobular artery wall thickness, and renal vascular resistance were significantly increased in CS, D, and DS compared with C. Renal plasma flow (RPF) and glomerular filtration rate (GFR) were decreased in CS and D compared with C. In DS, GFR and fractional filtration were increased, suggesting a state of hyperfiltration. Hypertension was observed in groups D, CS, and DS from 2 months on and was more severe in DS. Our data suggest that diabetes during intrauterine development and salt overload beginning at an early age can cause hypertension and renal injury. When these conditions were associated, morphological and functional changes were much more intense, suggesting acceleration in the process of kidney injury.
Literature
1.
go back to reference Barker DJP, Bagby SP, Hanson MA (2006) Mechanisms of disease: in utero programming in the pathogenesis of hypertension. Nat Clin Pract Nephrol 2:700–707PubMed Barker DJP, Bagby SP, Hanson MA (2006) Mechanisms of disease: in utero programming in the pathogenesis of hypertension. Nat Clin Pract Nephrol 2:700–707PubMed
2.
go back to reference Merlet-Benichou C, Gilbert T, Muffat Joly M, Lelievre-Pegorier M, Leroy B (1994) Intrauterine growth retardation leads to a permanent nephron deficit in the rat. Pediatr Nephrol 8:175–180PubMed Merlet-Benichou C, Gilbert T, Muffat Joly M, Lelievre-Pegorier M, Leroy B (1994) Intrauterine growth retardation leads to a permanent nephron deficit in the rat. Pediatr Nephrol 8:175–180PubMed
3.
go back to reference Silverman BL, Rizzo TA, Cho NH, Metzger BE (1998) Long-term effects of the intrauterine environment. The Northwestern University Diabetes in Pregnancy Center. Diabetes Care 21:142–149 Silverman BL, Rizzo TA, Cho NH, Metzger BE (1998) Long-term effects of the intrauterine environment. The Northwestern University Diabetes in Pregnancy Center. Diabetes Care 21:142–149
4.
go back to reference Carrapato MR, Marcelino F (2001) The infant of the diabetic mother. The critical developmental windows. Early Pregnancy 5:57–58PubMed Carrapato MR, Marcelino F (2001) The infant of the diabetic mother. The critical developmental windows. Early Pregnancy 5:57–58PubMed
5.
go back to reference Lynch SA, Wright C (1997) Sirenomelia, limb reduction defects, cardiovascular malformation, renal agenesis in an infant born to a diabetic mother. Clin Dysmorphol 6:75–80PubMed Lynch SA, Wright C (1997) Sirenomelia, limb reduction defects, cardiovascular malformation, renal agenesis in an infant born to a diabetic mother. Clin Dysmorphol 6:75–80PubMed
6.
go back to reference Mills JL (1982) Malformations in infant of diabetic mothers. Teratology 25:385–394PubMed Mills JL (1982) Malformations in infant of diabetic mothers. Teratology 25:385–394PubMed
7.
go back to reference Manderson JG, Mullan B, Patterson CC, Hadden DR, Traub AI, McCance DR (2002) Cardiovascular and metabolic abnormalities in the offspring of diabetic pregnancy. Diabetologia 45:991–996PubMed Manderson JG, Mullan B, Patterson CC, Hadden DR, Traub AI, McCance DR (2002) Cardiovascular and metabolic abnormalities in the offspring of diabetic pregnancy. Diabetologia 45:991–996PubMed
8.
go back to reference Holemans K, Gerber RT Meurrens K, De Clerck F, Poston L, Van Assche FA (1999) Sreptozotocin diabetes in the pregnant rat induces cardiovascular dysfunction in adult offspring. Diabetologia 42:81–89PubMed Holemans K, Gerber RT Meurrens K, De Clerck F, Poston L, Van Assche FA (1999) Sreptozotocin diabetes in the pregnant rat induces cardiovascular dysfunction in adult offspring. Diabetologia 42:81–89PubMed
9.
go back to reference Wichi RB, Souza SB, Casarini DE, Morris M, Barreto-Chaves ML, Irigoyen MC (2005) Increased blood pressure in the offspring of diabetic mothers. Am J Physiol Regul Integr Comp Physiol 288:R1129–R1133PubMed Wichi RB, Souza SB, Casarini DE, Morris M, Barreto-Chaves ML, Irigoyen MC (2005) Increased blood pressure in the offspring of diabetic mothers. Am J Physiol Regul Integr Comp Physiol 288:R1129–R1133PubMed
10.
go back to reference Magaton A, Gil FZ, Casarini DE, Cavanal MF, Gomes GN (2007) Maternal diabetes mellitus-early consequences for the offspring. Pediatr Nephrol 22:37–43PubMed Magaton A, Gil FZ, Casarini DE, Cavanal MF, Gomes GN (2007) Maternal diabetes mellitus-early consequences for the offspring. Pediatr Nephrol 22:37–43PubMed
11.
go back to reference Cavanal Mde F, Gomes GN, Forti AL, Rocha SO, Franco Mdo C, Fortes ZB, Gil FZ (2007) The influence of L-arginine on blood pressure, vascular nitric oxide and renal morphometry in the offspring from diabetic mothers. Pediatr Res 62:145–150PubMed Cavanal Mde F, Gomes GN, Forti AL, Rocha SO, Franco Mdo C, Fortes ZB, Gil FZ (2007) The influence of L-arginine on blood pressure, vascular nitric oxide and renal morphometry in the offspring from diabetic mothers. Pediatr Res 62:145–150PubMed
12.
go back to reference Rocha SO, Gomes GN, Forti AL, do Carmo Pinho Franco M, Fortes ZB, de Fátima Cavanal M, Gil FZ (2005) Long-term effects of maternal diabetes on vascular reactivity and renal function in the rat male offspring. Pediatr Res 58:1274–1279PubMed Rocha SO, Gomes GN, Forti AL, do Carmo Pinho Franco M, Fortes ZB, de Fátima Cavanal M, Gil FZ (2005) Long-term effects of maternal diabetes on vascular reactivity and renal function in the rat male offspring. Pediatr Res 58:1274–1279PubMed
13.
go back to reference Lifton RP (1996) Molecular genetics of human blood pressure variation. Science 272:676–680PubMed Lifton RP (1996) Molecular genetics of human blood pressure variation. Science 272:676–680PubMed
14.
go back to reference Meneton P, Jeunemaitre X, Wardener HE, MacGregor GA (2005) Links between dietary salt intake, renal salt handling, blood pressure, and cardiovascular diseases. Physiol Rev 85:679–715PubMed Meneton P, Jeunemaitre X, Wardener HE, MacGregor GA (2005) Links between dietary salt intake, renal salt handling, blood pressure, and cardiovascular diseases. Physiol Rev 85:679–715PubMed
15.
go back to reference Boero R, Pignataro A, Quarello F (2002) Salt intake and kidney disease. J Nephrol 15:225–229PubMed Boero R, Pignataro A, Quarello F (2002) Salt intake and kidney disease. J Nephrol 15:225–229PubMed
16.
go back to reference Stamler J (1997) The intersalt study: background, methods, findings, and implications. Am J Clin Nutr 65:626S–642SPubMed Stamler J (1997) The intersalt study: background, methods, findings, and implications. Am J Clin Nutr 65:626S–642SPubMed
17.
go back to reference Rodríguez-Iturbe B, Quiroz Y, Herrera-Acosta J, Johnson RJ, Pons HA (2002) The role of immune cells infiltrating the kidney in the pathogenesis of salt-sensitive hypertension. J Hypertens 20:9–14 Rodríguez-Iturbe B, Quiroz Y, Herrera-Acosta J, Johnson RJ, Pons HA (2002) The role of immune cells infiltrating the kidney in the pathogenesis of salt-sensitive hypertension. J Hypertens 20:9–14
18.
go back to reference Flores Mendoza I, Mello Aires M, Malnic G (1979) Effect of furosemide on urinary acidification during alterations of acid-base equilibrium in the rat. J Bras Nephrol 1:51–58 Flores Mendoza I, Mello Aires M, Malnic G (1979) Effect of furosemide on urinary acidification during alterations of acid-base equilibrium in the rat. J Bras Nephrol 1:51–58
19.
go back to reference Smith HW, Finkelstein N, Aliminosa L, Crawford B, Graber M (1945) The renal clearances of substituted hippuric acid derivates and other aromatic acids in dog and man. J Clin Invest 24:388–404PubMedPubMedCentral Smith HW, Finkelstein N, Aliminosa L, Crawford B, Graber M (1945) The renal clearances of substituted hippuric acid derivates and other aromatic acids in dog and man. J Clin Invest 24:388–404PubMedPubMedCentral
20.
go back to reference Connerty VH, Angles MD, Briggs R, Eaton EH (1957) Determination of performed urinary ammonia (nitrogen) by means of direct nesslerization. Am J Clin Pathol 28:634–638PubMed Connerty VH, Angles MD, Briggs R, Eaton EH (1957) Determination of performed urinary ammonia (nitrogen) by means of direct nesslerization. Am J Clin Pathol 28:634–638PubMed
21.
go back to reference Magalhães JC, Silveira AB, Mota DL, Paixão AD (2006) Renal function in juvenile rats subjected to pre-natal malnutrition and chronic salt overload. Exp Physiol 91:611–619PubMed Magalhães JC, Silveira AB, Mota DL, Paixão AD (2006) Renal function in juvenile rats subjected to pre-natal malnutrition and chronic salt overload. Exp Physiol 91:611–619PubMed
22.
go back to reference Denton KM, Anderson WP (1994) Intrarenal hemodynamic and glomerular responses to inhibition of nitric oxide formation in rabbits. J Physiol 475:159–167PubMedPubMedCentral Denton KM, Anderson WP (1994) Intrarenal hemodynamic and glomerular responses to inhibition of nitric oxide formation in rabbits. J Physiol 475:159–167PubMedPubMedCentral
23.
go back to reference Garvey W (1991) A modified Verhoff Elastic Van Geison Stain. J Histotechnol 14:113–114 Garvey W (1991) A modified Verhoff Elastic Van Geison Stain. J Histotechnol 14:113–114
24.
go back to reference van Paassen P, de Zeeuw D, Navis G, de Jong PE (1996) Does the renin-angiotensin system determine the renal and systemic hemodynamic response to sodium in patients with essential hypertension? Hypertension 27:202–208PubMed van Paassen P, de Zeeuw D, Navis G, de Jong PE (1996) Does the renin-angiotensin system determine the renal and systemic hemodynamic response to sodium in patients with essential hypertension? Hypertension 27:202–208PubMed
25.
go back to reference Williams GH, Hollenberg NK (1985) Are non-modulating patients with essential hypertension a distinct subgroup? Am J Med 79:3–9PubMed Williams GH, Hollenberg NK (1985) Are non-modulating patients with essential hypertension a distinct subgroup? Am J Med 79:3–9PubMed
26.
go back to reference Strazzullo P, Barbato A, Vuotto P, Galletti F (2001) Relationships between salt sensitivity of blood pressure and sympathetic nervous system activity: a short review of evidence. Clin Exp Hypertens 23:25–33PubMed Strazzullo P, Barbato A, Vuotto P, Galletti F (2001) Relationships between salt sensitivity of blood pressure and sympathetic nervous system activity: a short review of evidence. Clin Exp Hypertens 23:25–33PubMed
27.
go back to reference Aperia AC (2000) Intrarenal dopamine: a key signal in the interactive regulation of sodium metabolism. Annu Rev Physiol 62:621–647PubMed Aperia AC (2000) Intrarenal dopamine: a key signal in the interactive regulation of sodium metabolism. Annu Rev Physiol 62:621–647PubMed
28.
go back to reference Katori M, Majima M, Hayashi I (1998) Crucial suppressive role of renal kallikrein-kinin system in development of salt-sensitive hypertension. Biol Res 31:143–149PubMed Katori M, Majima M, Hayashi I (1998) Crucial suppressive role of renal kallikrein-kinin system in development of salt-sensitive hypertension. Biol Res 31:143–149PubMed
29.
go back to reference Manning RD Jr, Hu L, Tan DY, Meng S (2001) Role of abnormal nitric oxide systems in salt-sensitive hypertension. Am J Hypertens 14:68–73 Manning RD Jr, Hu L, Tan DY, Meng S (2001) Role of abnormal nitric oxide systems in salt-sensitive hypertension. Am J Hypertens 14:68–73
30.
go back to reference Klag MJ, Whelton PK, Randall BL, Neaton JD, Brancati FL, Ford CE, Shulman NB, Stamler J (1996) Blood pressure and end-stage renal disease in men. N Engl J Med 334:13–18PubMed Klag MJ, Whelton PK, Randall BL, Neaton JD, Brancati FL, Ford CE, Shulman NB, Stamler J (1996) Blood pressure and end-stage renal disease in men. N Engl J Med 334:13–18PubMed
31.
go back to reference Marcantoni C, Jafar TH, Oldrizzi L, Levey AS, Maschio G (2000) The role of systemic hypertension in the progression of nondiabetic renal disease. Kidney Int 75:S44–S48 Marcantoni C, Jafar TH, Oldrizzi L, Levey AS, Maschio G (2000) The role of systemic hypertension in the progression of nondiabetic renal disease. Kidney Int 75:S44–S48
32.
go back to reference Yoshida Y, Fogo A, Ichikawa I (1988) Glomerular hypertrophy has a greater impact on glomerular sclerosis than the adaptive hyperfunction in remnant nephrons. Kidney Int 33:327 Yoshida Y, Fogo A, Ichikawa I (1988) Glomerular hypertrophy has a greater impact on glomerular sclerosis than the adaptive hyperfunction in remnant nephrons. Kidney Int 33:327
33.
go back to reference Yoshida Y, Fogo A, Ichikawa I (1989) Glomerular hemodynamic changes vs hypertrophy. Kidney Int 35:654–660PubMed Yoshida Y, Fogo A, Ichikawa I (1989) Glomerular hemodynamic changes vs hypertrophy. Kidney Int 35:654–660PubMed
34.
go back to reference Anderson S, Meyer TW, Rennke H, Brenner BM (1985) Control of Glomerular hypertension limits glomerular injury in rats with reduced renal mass. J Clin Invest 76:612–619PubMedPubMedCentral Anderson S, Meyer TW, Rennke H, Brenner BM (1985) Control of Glomerular hypertension limits glomerular injury in rats with reduced renal mass. J Clin Invest 76:612–619PubMedPubMedCentral
35.
go back to reference Hostetter T (2003) Hyperfiltration and glomerulosclerosis. Semin Nephrol 23:194–199PubMed Hostetter T (2003) Hyperfiltration and glomerulosclerosis. Semin Nephrol 23:194–199PubMed
36.
go back to reference Amazonas RB, Faria JBL (2006) Effects of tight blood pressure control on glomerular hypertrophy in a model of genetic hypertension and experimental diabetes mellitus. Life Sci 79:2135–2143PubMed Amazonas RB, Faria JBL (2006) Effects of tight blood pressure control on glomerular hypertrophy in a model of genetic hypertension and experimental diabetes mellitus. Life Sci 79:2135–2143PubMed
37.
go back to reference Kluth DC, Erwig LP, Rees AJ (2004) Multiple facets of macrophages in renal injury. Kidney Int 66:542–557PubMed Kluth DC, Erwig LP, Rees AJ (2004) Multiple facets of macrophages in renal injury. Kidney Int 66:542–557PubMed
38.
go back to reference Wilson HM, Walbaum D, Rees AJ (2004) Macrophages and the kidney. Curr Opin Nephrol Hypertens 13:285–290PubMed Wilson HM, Walbaum D, Rees AJ (2004) Macrophages and the kidney. Curr Opin Nephrol Hypertens 13:285–290PubMed
39.
go back to reference Mount PF, Power DA (2006) Nitric oxide in the kidney: functions and regulation of synthesis. Acta Physiol 187:433–446 Mount PF, Power DA (2006) Nitric oxide in the kidney: functions and regulation of synthesis. Acta Physiol 187:433–446
40.
go back to reference Rodríguez-Iturbe B, Vaziri ND, Herrera-Acosta J, Johnson RJ (2004) Oxidative stress, renal infiltration of immune cells, and salt-sensitive hypertension: all for one and one for all. Am J Physiol Renal Physiol 286:606–616 Rodríguez-Iturbe B, Vaziri ND, Herrera-Acosta J, Johnson RJ (2004) Oxidative stress, renal infiltration of immune cells, and salt-sensitive hypertension: all for one and one for all. Am J Physiol Renal Physiol 286:606–616
41.
go back to reference Herrera M, Silva G, Garvin JL (2006) A high-salt diet dissociates NO synthase-3 expression and NO production by the thick ascending limb. Hypertension 47:95–101PubMed Herrera M, Silva G, Garvin JL (2006) A high-salt diet dissociates NO synthase-3 expression and NO production by the thick ascending limb. Hypertension 47:95–101PubMed
42.
go back to reference Kim JS, Choi KC, Jeong MH, Kim SW, Oh YW, Lee JU (2006) Increased expression of sodium transporters in rats chronically inhibited of nitric oxide synthesis. J Korean Med Sci 21:1–4PubMedPubMedCentral Kim JS, Choi KC, Jeong MH, Kim SW, Oh YW, Lee JU (2006) Increased expression of sodium transporters in rats chronically inhibited of nitric oxide synthesis. J Korean Med Sci 21:1–4PubMedPubMedCentral
43.
go back to reference Han J, Xu SL, Long SY, Epstein PN, Liu YQ (2007) Rat maternal diabetes impairs pancreatic β-cell function in the offspring. Am J Physiol Endocrinol Metab 293:E228–236PubMed Han J, Xu SL, Long SY, Epstein PN, Liu YQ (2007) Rat maternal diabetes impairs pancreatic β-cell function in the offspring. Am J Physiol Endocrinol Metab 293:E228–236PubMed
Metadata
Title
Effect of sodium overload on renal function of offspring from diabetic mothers
Authors
Luigi Rocco
Frida Zaladek Gil
Thaís Maria da Fonseca Pletiskaitz
Maria de Fátima Cavanal
Guiomar Nascimento Gomes
Publication date
01-11-2008
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Nephrology / Issue 11/2008
Print ISSN: 0931-041X
Electronic ISSN: 1432-198X
DOI
https://doi.org/10.1007/s00467-008-0884-0

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