scholarly journals Normoglycemic Diabetic Nephropathy: The Role of Insulin Resistance

2014 ◽  
Vol 4 (2) ◽  
pp. 137-143 ◽  
Author(s):  
Edward J. Filippone ◽  
Astha Gupta ◽  
John L. Farber
2011 ◽  
Vol 55 (9) ◽  
pp. 677-685 ◽  
Author(s):  
Denise Alves Sortica ◽  
Daisy Crispim ◽  
Guilherme Pozueco Zaffari ◽  
Rogério Friedman ◽  
Luis Henrique Canani

The increased prevalence of diabetes mellitus has caused a rise in the occurrence of its chronic complications, such as diabetic nephropathy (DN), which is associated with elevated morbidity and mortality. Familial aggregation studies have demonstrated that besides the known environmental risk factors, DN has a major genetic component. Therefore, it is necessary to identify genes associated with risk for or protection against DN. Ecto-nucleotide pyrophosphatase/phosphodiesterase 1 (ENPP1) is expressed in several tissues, including the kidneys. Increased levels of ENPP1 expression inhibit tyrosine-kinase activity of the insulin receptor in several cell types, leading to insulin resistance. K121Q polymorphism of the ENPP1 gene seems to be associated with insulin resistance and DN development. The elucidation of genetic factors and their associations will provide better understanding of the pathogenesis of DN and, may consequently, lead to a more effective approach to prevention and treatment.


Diabetes ◽  
2011 ◽  
Vol 60 (11) ◽  
pp. 2954-2962 ◽  
Author(s):  
Kathrin Eller ◽  
Alexander Kirsch ◽  
Anna M. Wolf ◽  
Sieghart Sopper ◽  
Andrea Tagwerker ◽  
...  

PeerJ ◽  
2016 ◽  
Vol 4 ◽  
pp. e1888 ◽  
Author(s):  
Ying Xu ◽  
Qi Zhou ◽  
Wei Xin ◽  
Zhaoping Li ◽  
Liyong Chen ◽  
...  

It is unknown whether autophagy activity is altered in insulin resistant podocytes and whether autophagy could be a therapeutic target for diabetic nephropathy (DN). Here we used shRNA transfection to knockdown the insulin receptor (IR) gene in cultured human immortalized podocytes as anin vitroinsulin resistant model. Autophagy related proteins LC3, Beclin, and p62 as well as nephrin, a podocyte injury marker, were assessed using western blot and immunofluorescence staining. Our results show that autophagy is suppressed when podocytes lose insulin sensitivity and that treatment of rapamycin, an mTOR specific inhibitor, could attenuate insulin resistance induced podocytes injury via autophagy activation. The present study deepens our understanding of the role of autophagy in the pathogenesis of DN.


2016 ◽  
Author(s):  
Ann-Kristin Picke ◽  
Lykke Sylow ◽  
Lisbeth L V Moller ◽  
Rasmus Kjobsted ◽  
Erik Richter ◽  
...  

2015 ◽  
Author(s):  
Michael O'Reilly ◽  
Jeremy Tomlinson ◽  
Robert Semple ◽  
Wiebke Arlt
Keyword(s):  

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