PMID- 27119088 OWN - NLM STAT- MEDLINE DCOM- 20161213 LR - 20190723 IS - 2314-6753 (Electronic) IS - 2314-6745 (Print) VI - 2016 DP - 2016 TI - Combined Microencapsulated Islet Transplantation and Revascularization of Aortorenal Bypass in a Diabetic Nephropathy Rat Model. PG - 9706321 LID - 10.1155/2016/9706321 [doi] LID - 9706321 AB - OBJECTIVE: Revascularization of aortorenal bypass is a preferred technique for renal artery stenosis (RAS) in diabetic nephropathy (DN) patients. Restenosis of graft vessels also should be considered in patients lacking good control of blood glucose. In this study, we explored a combined strategy to prevent the recurrence of RAS in the DN rat model. METHODS: A model of DN was established by intraperitoneal injection of streptozotocin. Rats were divided into 4 groups: SR group, MIT group, Com group, and the untreated group. The levels of blood glucose and urine protein were measured, and changes in renal pathology were observed. The expression of monocyte chemoattractant protein-1 (MCP-1) in graft vessels was assessed by immunohistochemical staining. Histopathological staining was performed to assess the pathological changes of glomeruli and tubules. RESULTS: The levels of urine protein and the expression of MCP-1 in graft vessels were decreased after islet transplantation. The injury of glomerular basement membrane and podocytes was significantly ameliorated. CONCLUSIONS: The combined strategy of revascularization and microencapsulated islet transplantation had multiple protective effects on diabetic nephropathy, including preventing atherosclerosis in the graft vessels and alleviating injury to the glomerular filtration barrier. This combined strategy may be helpful for DN patients with RAS. FAU - He, Yunqiang AU - He Y AD - Zhejiang Provincial Top Key Discipline in Surgery, Wenzhou Key Laboratory of Surgery, Department of Surgery, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, Zhejiang 325000, China. FAU - Xu, Ziqiang AU - Xu Z AD - Department of Transplantation, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, Zhejiang 325000, China. FAU - Fu, Hongxing AU - Fu H AD - School of Pharmacy, Wenzhou Medical University, Wenzhou, Zhejiang 325000, China. FAU - Chen, Bin AU - Chen B AD - Department of B-Mode Ultrasound, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, Zhejiang 325000, China. FAU - Wang, Silu AU - Wang S AD - Zhejiang Provincial Top Key Discipline in Surgery, Wenzhou Key Laboratory of Surgery, Department of Surgery, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, Zhejiang 325000, China. FAU - Chen, Bicheng AU - Chen B AD - Zhejiang Provincial Top Key Discipline in Surgery, Wenzhou Key Laboratory of Surgery, Department of Surgery, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, Zhejiang 325000, China. FAU - Zhou, Mengtao AU - Zhou M AD - Zhejiang Provincial Top Key Discipline in Surgery, Wenzhou Key Laboratory of Surgery, Department of Surgery, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, Zhejiang 325000, China. FAU - Cai, Yong AU - Cai Y AD - Department of Transplantation, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou, Zhejiang 325000, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20160328 PL - England TA - J Diabetes Res JT - Journal of diabetes research JID - 101605237 RN - 0 (Biomarkers) RN - 0 (Blood Glucose) RN - 0 (Ccl2 protein, rat) RN - 0 (Chemokine CCL2) SB - IM MH - Anastomosis, Surgical MH - Animals MH - Aorta, Abdominal/metabolism/pathology/*surgery MH - Biomarkers/blood MH - Blood Glucose/metabolism MH - Chemokine CCL2/metabolism MH - Diabetes Mellitus, Experimental/complications MH - Diabetic Angiopathies/blood/etiology/*prevention & control MH - Diabetic Nephropathies/blood/etiology/*surgery MH - Glomerular Filtration Barrier/physiopathology MH - Glomerular Filtration Rate MH - *Islets of Langerhans Transplantation MH - Male MH - Proteinuria/etiology/physiopathology/surgery MH - Rats, Sprague-Dawley MH - Renal Artery/metabolism/pathology/*surgery MH - Renal Artery Obstruction/blood/etiology/*prevention & control MH - Time Factors MH - *Vascular Surgical Procedures PMC - PMC4826923 EDAT- 2016/04/28 06:00 MHDA- 2016/12/15 06:00 PMCR- 2016/03/28 CRDT- 2016/04/28 06:00 PHST- 2015/11/18 00:00 [received] PHST- 2016/03/08 00:00 [accepted] PHST- 2016/04/28 06:00 [entrez] PHST- 2016/04/28 06:00 [pubmed] PHST- 2016/12/15 06:00 [medline] PHST- 2016/03/28 00:00 [pmc-release] AID - 10.1155/2016/9706321 [doi] PST - ppublish SO - J Diabetes Res. 2016;2016:9706321. doi: 10.1155/2016/9706321. Epub 2016 Mar 28.