Skip to main content
Log in

Everolimus vs. rapamycin for treating diabetic nephropathy in diabetic mouse model

  • Published:
Journal of Huazhong University of Science and Technology [Medical Sciences] Aims and scope Submit manuscript

Summary

In order to evaluate the effectiveness of everolimus vs. rapamycin in the treatment of diabetic nephropathy, 8-week old diabetic (db/db) mice received everolimus (2 mg/kg every day) or rapamycin (2 mg/kg every day) for 4 weeks or 12 weeks respectively. Blood and 24-h urine samples were collected for biochemical tests. One kidney from each mouse was homogenized for protein analysis and the other was removed for histological analysis. The expression levels of transforming growth factor-β1 (TGF-β1)and phospho-p70s6k were detected by using ELISA and Western blot, respectively in the renal tissue as well as in mesengial cell culture samples. Everolimus was significantly more effective than rapamycin in improving indexes of renal function and glomerular hypertrophy, and in decreasing accumulation and expansion of the extracellular matrix. However, everolimus inhibited TGF-β1 secretion and p70s6k phosphorylation induced by high glucose in vitro less efficiently than rapamycin at the same dose. Everolimus was more effective than rapamycin in preventing diabetic nephropathy in vivo, which may be contributed to the fact that everolimus has better bioavailability and a higher oral absorption rate.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Remuzzi G, Schieppati A, Ruggenenti P. Clinical practice. Nephropathy in patients with type 2 diabetes. New Eng J Med, 2002,346(15):1145–1151

    Article  PubMed  Google Scholar 

  2. Cooper ME. Pathogenesis, prevention, and treatment of diabetic nephropathy. Lancet, 1998,352(9123):213–219

    Article  PubMed  CAS  Google Scholar 

  3. Awad AS, Huang L, Ye H, et al. Adenosine A2A receptor activation attenuates inflammation and injury in diabetic nephropathy. Am J Physiol, 2006,290(4):F828–837

    CAS  Google Scholar 

  4. Gross JL, de Azevedo MJ, Silveiro SP, et al. Diabetic nephropathy: diagnosis, prevention, and treatment. Diabetes Care, 2005,28(1):164–176

    Article  PubMed  Google Scholar 

  5. KDOQI Clinical Practice Guidelines and Clinical Practice Recommendations for Diabetes and Chronic Kidney Disease. Am J Kidney Dis, 2007,49(Suppl 2):S12–S154

    Google Scholar 

  6. Molitch ME, DeFronzo RA, Franz MJ, et al. Nephropathy in diabetes. Diabetes Care, 2004,27(Suppl 1): S79–S83

    PubMed  Google Scholar 

  7. Lloberas N, Cruzado JM, Franquesa M, et al. Mammalian target of rapamycin pathway blockade slows progression of diabetic kidney disease in rats. J Am Soc Nephrol, 2006,17(5):1395–1404

    Article  PubMed  CAS  Google Scholar 

  8. Sakaguchi M, Isono M, Isshiki K, et al. Inhibition of mTOR signaling with rapamycin attenuates renal hypertrophy in the early diabetic mice. Biochem Biophys Res Commun, 2006,340(1):296–301

    Article  PubMed  CAS  Google Scholar 

  9. Sataranatarajan K, Mariappan MM, Lee MJ, et al. Regulation of elongation phase of mRNA translation in diabetic nephropathy: amelioration by rapamycin. Am J Pathol, 2007,171(6):1733–1742

    Article  PubMed  CAS  Google Scholar 

  10. Mori H, Inoki K, Masutani K, et al. The mTOR pathway is highly activated in diabetic nephropathy and rapamycin has a strong therapeutic potential. Biochem Biophys Res Commun, 2009,10384(4):471–475

    Article  Google Scholar 

  11. Lee CH, Inoki K, Guan KL. mTOR pathway as a target in tissue hypertrophy. Annu Rev Pharmacol Toxicol, 2007,47:443–467

    Article  PubMed  CAS  Google Scholar 

  12. Chen JK, Chen J, Neilson EG, et al. Role of mammalian target of rapamycin signaling in compensatory renal hypertrophy. J Am Soc Nephrol, 2005,16(5):1384–1391

    Article  PubMed  CAS  Google Scholar 

  13. Fraenkel M, Ketzinel-Gilad M, Ariav Y, et al. mTOR inhibition by rapamycin prevents beta-cell adaptation to hyperglycemia and exacerbates the metabolic state in type 2 diabetes. Diabetes, 2008,57(4):945–957

    Article  PubMed  CAS  Google Scholar 

  14. Chung J, Kuo CJ, Crabtree GR, et al. Rapamycin-FKBP specifically blocks growth-dependent activation of and signaling by the 70 kd S6 protein kinases. Cell, 1992,69(7):1227–1236

    Article  PubMed  CAS  Google Scholar 

  15. Cohen MP, Sharma K, Guo J, et al. The renal TGF-beta system in the db/db mouse model of diabetic nephropathy. Exp Nephrol, 1998,6(3):226–233

    Article  PubMed  CAS  Google Scholar 

  16. Fingar DC, Blenis J. Target of rapamycin (TOR): an integrator of nutrient and growth factor signals and coordinator of cell growth and cell cycle progression. Oncogene, 2004,23(18):3151–3171

    Article  PubMed  CAS  Google Scholar 

  17. Yang Y, Wang J, Qin L, et al. Rapamycin prevents early steps of the development of diabetic nephropathy in rats. Am J Nephrol, 2007,27(5):495–502

    Article  PubMed  Google Scholar 

  18. Wolf G. Molecular mechanisms of diabetic renal hypertrophy: role of p27Kip1. Kidney Int, 1999,56(4):1262–1265

    Article  PubMed  CAS  Google Scholar 

  19. Shankland SJ, Scholey JW, Ly H, et al. Expression of transforming growth factor-beta 1 during diabetic renal hypertrophy. Kidney Int, 1994,46(2):430–442

    Article  PubMed  CAS  Google Scholar 

  20. Ziyadeh FN, Sharma K, Ericksen M, et al. Stimulation of collagen gene expression and protein synthesis in murine mesangial cells by high glucose is mediated by autocrine activation of transforming growth factor-beta. J Clin Invest, 1994,93(2):536–542

    Article  PubMed  CAS  Google Scholar 

  21. Benigni A, Zoja C, Corna D, et al. Add-on anti-TGF-beta antibody to ACE inhibitor arrests progressive diabetic nephropathy in the rat. J Am Soc Nephrol, 2003,14(7): 1816–1824

    Article  PubMed  CAS  Google Scholar 

  22. Schuler W, Sedrani R, Cottens S, et al. SDZ RAD, a new rapamycin derivative: pharmacological properties in vitro and in vivo. Transplantation, 1997,64(1):36–42

    Article  PubMed  CAS  Google Scholar 

  23. Crowe A, Bruelisauer A, Duerr L, et al. Absorption and intestinal metabolism of SDZ-RAD and rapamycin in rats. Drug Metab Dispos, 1999,27(5):627–632

    PubMed  CAS  Google Scholar 

  24. Kovarik JM, Hartmann S, Figueiredo J, et al. Effect of rifampin on apparent clearance of everolimus. Ann Pharmacother, 2002,36(6):981–985

    Article  PubMed  CAS  Google Scholar 

  25. Kirchner GI, Meier-Wiedenbach I, Manns MP. Clinical pharmacokinetics of everolimus. Clin pharmacokinet, 2004,43(2):83–95

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lan Cheng  (程 澜).

Rights and permissions

Reprints and permissions

About this article

Cite this article

Cheng, L., Chen, J. & Mao, X. Everolimus vs. rapamycin for treating diabetic nephropathy in diabetic mouse model. J. Huazhong Univ. Sci. Technol. [Med. Sci.] 31, 457–462 (2011). https://doi.org/10.1007/s11596-011-0473-5

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11596-011-0473-5

Key words

Navigation