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Beneficial effect of proteases on TGF-beta production in glomeruli from streptozotocin induced diabetes mellitus in rats

Paczek L.1, Gaciong Z.1, Bartlomiejczyk I.1, Czyzyk A.1, Heidland A.2. Beneficial effect of proteases on TGF-beta production in glomeruli from streptozotocin induced diabetes mellitus in rats. Inter. Journal of Tissue Reactions 1997, Vol. XIX, No. 1/2, pp 93, abstract 115, ISSN 0250-0868. 149K/245 (19-04-2)
1 Warsaw School of Medicine, Warsaw, Poland. 2 University of Wuerzburg, Germany.
7th Interscience World Conference on Inflammation, Antirheumatics, Analgesics, Immunomodulators, May 19-21, Geneva, Switzerland.


Diabetic nephropathy (DM) is characterised by an excessive accumulation of extracellular matrix (ECM). In turn, perturbation of the glomeruli by the accumulation of fibronectin (FN) with high biological activity may induce both proliferation of mesangial cells and expansion of mesangial matrix. Transforming growth factor beta (TGF-b) seems to be a key cytokine that inhibits and terminates tissue repair as well as the development of glomerulosclerosis within the kidney.
The purpose of this study was to assess TGF-b and FN accumulation in glomeruli obtained from streptozotocin induced diabetes mellitus in rats treated via intraperitoneal route daily for 21 days with 12 mg protease mixture (Phlogenzym®, Mucos Pharma, Germany). To prevent ketoacidosis, the rats were treated daily with subcutaneous injections of ultralente insulin in a dosage of 0.5 U. TGF-b and FN were measured with EIA.
The data indicate that in glomeruli from diabetic rats TGF-b production increased significantly and the treatment with Phlogenzym® restores the production to the normal level. Increased accumulation of FN observed in diabetic glomeruli was significantly reduced after enzyme treatment.