PMID- 18945921 OWN - NLM STAT- MEDLINE DCOM- 20130103 LR - 20181113 IS - 1935-5548 (Electronic) IS - 0149-5992 (Print) IS - 0149-5992 (Linking) VI - 32 IP - 1 DP - 2009 Jan TI - Effect of protein kinase Cbeta inhibition on renal hemodynamic function and urinary biomarkers in humans with type 1 diabetes: a pilot study. PG - 91-3 LID - 10.2337/dc08-1609 [doi] AB - OBJECTIVE: The aim of this study was to examine the effect of protein kinase Cbeta inhibition with ruboxistaurin on renal hemodynamic function and urinary biomarkers (monocyte chemoattractant protein-1 [MCP-1] and epidermal growth factor) in renin angiotensin system blockade-treated type 1 diabetic subjects. RESEARCH DESIGN AND METHODS: Albuminuric subjects were randomized (2:1) to ruboxistaurin (32 mg daily; n = 13) or placebo (n = 7) for 8 weeks. Renal hemodynamic function was measured during clamped euglycemia or hyperglycemia and before and after ruboxistaurin or placebo. RESULTS: Ruboxistaurin was not associated with between-group differences during clamped euglycemia or hyperglycemia. In a post hoc analysis comparing hyperfilterers with normofilterers during euglycemia, glomerular filtration rate and MCP-1 decreased, whereas the epidermal growth factor-to-MCP-1 ratio increased in hyperfilterers versus normofilterers (all P < 0.05). CONCLUSIONS: The effect of ruboxistaurin is modest and dependent, at least in part, on the level of ambient glycemia and baseline glomerular filtration rate. FAU - Cherney, David Z I AU - Cherney DZ AD - Division of Medicine, University Health Network, Toronto, Canada. david.cherney@utoronto.ca FAU - Konvalinka, Ana AU - Konvalinka A FAU - Zinman, Bernard AU - Zinman B FAU - Diamandis, Eleftherios P AU - Diamandis EP FAU - Soosaipillai, Anton AU - Soosaipillai A FAU - Reich, Heather AU - Reich H FAU - Lorraine, Joanne AU - Lorraine J FAU - Lai, Vesta AU - Lai V FAU - Scholey, James W AU - Scholey JW FAU - Miller, Judith A AU - Miller JA LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20081022 PL - United States TA - Diabetes Care JT - Diabetes care JID - 7805975 RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (Enzyme Inhibitors) RN - 0 (Indoles) RN - 0 (Maleimides) RN - 62229-50-9 (Epidermal Growth Factor) RN - 721809WQCP (ruboxistaurin) RN - EC 2.7.11.13 (Protein Kinase C) RN - EC 2.7.11.13 (Protein Kinase C beta) SB - IM MH - Albuminuria/drug therapy MH - Blood Pressure/drug effects MH - Chemokine CCL2/drug effects/urine MH - Diabetes Mellitus, Type 1/drug therapy/*physiopathology MH - Diabetic Nephropathies/drug therapy/urine MH - Enzyme Inhibitors/*therapeutic use MH - Epidermal Growth Factor/urine MH - Glomerular Filtration Rate/*drug effects MH - Hemodynamics MH - Humans MH - Indoles/*therapeutic use MH - Kidney/drug effects/*physiopathology MH - Maleimides/*therapeutic use MH - Protein Kinase C/*antagonists & inhibitors MH - Protein Kinase C beta PMC - PMC2606837 EDAT- 2008/10/24 09:00 MHDA- 2013/01/04 06:00 PMCR- 2010/01/01 CRDT- 2008/10/24 09:00 PHST- 2008/10/24 09:00 [pubmed] PHST- 2013/01/04 06:00 [medline] PHST- 2008/10/24 09:00 [entrez] PHST- 2010/01/01 00:00 [pmc-release] AID - dc08-1609 [pii] AID - 32191 [pii] AID - 10.2337/dc08-1609 [doi] PST - ppublish SO - Diabetes Care. 2009 Jan;32(1):91-3. doi: 10.2337/dc08-1609. Epub 2008 Oct 22.