PMID- 22773754 OWN - NLM STAT- MEDLINE DCOM- 20130107 LR - 20240214 IS - 1754-8411 (Electronic) IS - 1754-8403 (Print) IS - 1754-8403 (Linking) VI - 5 IP - 5 DP - 2012 Sep TI - Accelerated renal disease is associated with the development of metabolic syndrome in a glucolipotoxic mouse model. PG - 636-48 LID - 10.1242/dmm.009266 [doi] AB - Individuals with metabolic syndrome are at high risk of developing chronic kidney disease (CKD) through unclear pathogenic mechanisms. Obesity and diabetes are known to induce glucolipotoxic effects in metabolically relevant organs. However, the pathogenic role of glucolipotoxicity in the aetiology of diabetic nephropathy is debated. We generated a murine model, the POKO mouse, obtained by crossing the peroxisome proliferator-activated receptor gamma 2 (PPARgamma2) knockout (KO) mouse into a genetically obese ob/ob background. We have previously shown that the POKO mice showed: hyperphagia, insulin resistance, hyperglycaemia and dyslipidaemia as early as 4 weeks of age, and developed a complete loss of normal beta-cell function by 16 weeks of age. Metabolic phenotyping of the POKO model has led to investigation of the structural and functional changes in the kidney and changes in blood pressure in these mice. Here we demonstrate that the POKO mouse is a model of renal disease that is accelerated by high levels of glucose and lipid accumulation. Similar to ob/ob mice, at 4 weeks of age these animals exhibited an increased urinary albumin:creatinine ratio and significantly increased blood pressure, but in contrast showed a significant increase in the renal hypertrophy index and an associated increase in p27(Kip1) expression compared with their obese littermates. Moreover, at 4 weeks of age POKO mice showed insulin resistance, an alteration of lipid metabolism and glomeruli damage associated with increased transforming growth factor beta (TGFbeta) and parathyroid hormone-related protein (PTHrP) expression. At this age, levels of proinflammatory molecules, such as monocyte chemoattractant protein-1 (MCP-1), and fibrotic factors were also increased at the glomerular level compared with levels in ob/ob mice. At 12 weeks of age, renal damage was fully established. These data suggest an accelerated lesion through glucolipotoxic effects in the renal pathogenesis in POKO mice. FAU - Martinez-Garcia, Cristina AU - Martinez-Garcia C AD - Universidad Rey Juan Carlos, Dpto. de Bioquimica, Fisiologia y Genetica Molecular, Avda. de Atenas s/n. 28922, Alcorcon, Madrid, Spain. FAU - Izquierdo, Adriana AU - Izquierdo A FAU - Velagapudi, Vidya AU - Velagapudi V FAU - Vivas, Yurena AU - Vivas Y FAU - Velasco, Ismael AU - Velasco I FAU - Campbell, Mark AU - Campbell M FAU - Burling, Keith AU - Burling K FAU - Cava, Fernando AU - Cava F FAU - Ros, Manuel AU - Ros M FAU - Oresic, Matej AU - Oresic M FAU - Vidal-Puig, Antonio AU - Vidal-Puig A FAU - Medina-Gomez, Gema AU - Medina-Gomez G LA - eng GR - G0600717/MRC_/Medical Research Council/United Kingdom GR - G0802051/MRC_/Medical Research Council/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120705 PL - England TA - Dis Model Mech JT - Disease models & mechanisms JID - 101483332 RN - 0 (Biomarkers) RN - 0 (Ceramides) RN - 0 (Diglycerides) RN - 0 (Extracellular Matrix Proteins) RN - 0 (Lipids) RN - 0 (PPAR gamma) RN - 0 (Triglycerides) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Aging/drug effects/pathology MH - Animals MH - Biomarkers/metabolism MH - Ceramides/metabolism MH - Diglycerides/metabolism MH - Disease Models, Animal MH - *Disease Progression MH - Extracellular Matrix Proteins/metabolism MH - Fibrosis MH - Genotype MH - Glucose/metabolism/*toxicity MH - Hypertrophy MH - Inflammation/complications/pathology MH - Insulin Resistance MH - Kidney Diseases/*complications/*pathology MH - Kidney Glomerulus/drug effects/pathology/ultrastructure MH - Lipid Metabolism/drug effects MH - Lipids/*toxicity MH - Metabolic Syndrome/*complications/*pathology MH - Metabolomics MH - Mice MH - Mice, Knockout MH - PPAR gamma/metabolism MH - Triglycerides/metabolism PMC - PMC3424461 EDAT- 2012/07/10 06:00 MHDA- 2013/01/08 06:00 PMCR- 2012/09/01 CRDT- 2012/07/10 06:00 PHST- 2012/07/10 06:00 [entrez] PHST- 2012/07/10 06:00 [pubmed] PHST- 2013/01/08 06:00 [medline] PHST- 2012/09/01 00:00 [pmc-release] AID - dmm.009266 [pii] AID - 0050636 [pii] AID - 10.1242/dmm.009266 [doi] PST - ppublish SO - Dis Model Mech. 2012 Sep;5(5):636-48. doi: 10.1242/dmm.009266. Epub 2012 Jul 5.