PMID- 23859838 OWN - NLM STAT- MEDLINE DCOM- 20140324 LR - 20130830 IS - 1095-9319 (Electronic) IS - 0026-2862 (Linking) VI - 89 DP - 2013 Sep TI - Folic acid attenuates hyperhomocysteinemia-induced glomerular damage in rats. PG - 146-52 LID - S0026-2862(13)00103-9 [pii] LID - 10.1016/j.mvr.2013.07.002 [doi] AB - The present study investigated whether lowering plasma homocysteine (Hcy) with folic acid (FA) could attenuate hyperhomocysteinemia (HHcy)-associated glomerular damage and possible mechanisms. The HHcy animal model was established by intragastric administration with l-methionine in rats. FA was also given intragastrically. Plasma Hcy and creatinine and urinary albumin were measured. Histological and ultrastructural changes were observed by light and electron microscopes. The expression of alpha-smooth muscle actin (alpha-SMA), proliferating cell nuclear antigen (PCNA) and transforming growth factor-beta1 (TGF-beta1) in the kidney was examined by immunohistochemical staining and western blot analysis. The administration of l-methionine induced HHcy in rats. The HHcy rats developed glomerulosclerosis and fibrosis. Plasma creatinine concentration and urinary albumin excretion were also significantly increased in HHcy rats. Effacement and extensively fusion of podocyte foot process was observed in HHcy rats, which was associated with decreased expression of nephrin protein in renal cortex of HHcy rats. Supplementation with FA lowered plasma Hcy significantly. Plasma creatinine concentration and urinary albumin excretion were also significantly attenuated by FA. Morphologically, HHcy-associated glomerulosclerosis, fibrosis, podocyte foot process effacement and loss of podocyte nephrin, were significantly improved by FA. The expressions of alpha-SMA, PCNA and TGF-beta1 were increased in renal cortex of HHcy rats, and which were also partially reversed by FA. These data suggest that elevated plasma Hcy is an important pathogenic factor for glomerular damage. Lowering plasma Hcy by FA can inhibit TGF-beta1 expression and attenuate HHcy-induced glomerular damage. CI - (c) 2013. FAU - Cao, Lu AU - Cao L AD - Department of Pathophysiology, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou 510080, PR China. FAU - Lou, Xiaoying AU - Lou X FAU - Zou, Zhaoxia AU - Zou Z FAU - Mou, Nana AU - Mou N FAU - Wu, Weikang AU - Wu W FAU - Huang, Xiongqing AU - Huang X FAU - Tan, Hongmei AU - Tan H LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130713 PL - United States TA - Microvasc Res JT - Microvascular research JID - 0165035 RN - 0 (Transforming Growth Factor beta1) RN - 0LVT1QZ0BA (Homocysteine) RN - 9007-34-5 (Collagen) RN - 935E97BOY8 (Folic Acid) RN - AYI8EX34EU (Creatinine) SB - IM MH - Albuminuria/metabolism MH - Animals MH - Cell Proliferation MH - Collagen/chemistry MH - Creatinine/metabolism MH - Folic Acid/*pharmacology MH - Gene Expression Regulation MH - Homocysteine/metabolism MH - Hyperhomocysteinemia/*drug therapy/*metabolism MH - Immunohistochemistry MH - Kidney/*drug effects MH - Kidney Cortex/metabolism MH - Kidney Diseases/metabolism/pathology MH - Kidney Glomerulus/*metabolism MH - Podocytes/cytology MH - Random Allocation MH - Rats MH - Rats, Sprague-Dawley MH - Transforming Growth Factor beta1/metabolism MH - Up-Regulation EDAT- 2013/07/19 06:00 MHDA- 2014/03/25 06:00 CRDT- 2013/07/18 06:00 PHST- 2013/05/31 00:00 [received] PHST- 2013/07/03 00:00 [revised] PHST- 2013/07/06 00:00 [accepted] PHST- 2013/07/18 06:00 [entrez] PHST- 2013/07/19 06:00 [pubmed] PHST- 2014/03/25 06:00 [medline] AID - S0026-2862(13)00103-9 [pii] AID - 10.1016/j.mvr.2013.07.002 [doi] PST - ppublish SO - Microvasc Res. 2013 Sep;89:146-52. doi: 10.1016/j.mvr.2013.07.002. Epub 2013 Jul 13.