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Cited by 206

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Macrophages in streptozotocin-induced diabetic nephropathy: potential role in renal fibrosis

Chow, F. Y., Nikolic-Paterson, D. J., Atkins, R. C., Tesch, G. H.·2004·Nephrology Dialysis Transplantation

Abstract

BACKGROUND: Renal fibrosis is central to the progression of diabetic nephropathy; however, the mechanisms responsible for fibroblast and matrix accumulation in this disease are only partially understood. Macrophages accumulate in diabetic kidneys, but it is unknown whether macrophages contribute to renal fibrosis. Therefore, we examined whether macrophage accumulation is associated with the progression of renal injury and fibrosis in type 1 diabetic nephropathy and whether macrophages exposed to the diabetic milieu could promote fibroblast proliferation. METHODS: Kidney macrophages, renal injury and fibrosis were analysed in diabetic C57BL/6J mice at 2, 8, 12 and 18 weeks after streptozotocin injection. Isolated rat bone marrow macrophages were stimulated with diabetic rat serum or carboxymethyllysine (CML)-bovine serum albumin (BSA) to determine whether macrophage-conditioned medium could promote the proliferation of rat renal (NRK-49F) fibroblasts. RESULTS: Progressive injury and fibrosis in diabetic nephropathy was associated with increased numbers of kidney macrophages. Macrophage accumulation in diabetic mice correlated with hyperglycaemia (blood glucose, HbA1c levels), renal injury (albuminuria, plasma creatinine), histological damage and renal fibrosis (myofibroblasts, collagen IV). Culture supernatant derived from bone marrow macrophages incubated with diabetic rat serum or CML-BSA induced proliferation of fibroblasts, which was inhibited by pre-treating fibroblasts with interleukin-1 (IL-1) receptor antagonist or the platelet-derived growth factor (PDGF) receptor kinase inhibitor, STI-571. CONCLUSION: Kidney macrophage accumulation is associated with the progression of renal injury and fibrosis in streptozotocin-induced mouse diabetic nephropathy. Elements of the diabetic milieu can stimulate macrophages to promote fibroblast proliferation via IL-1- and PDGF-dependent pathways which may enhance renal fibrosis.

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Metadata

Authors
Chow, F. Y., Nikolic-Paterson, D. J., Atkins, R. C., & Tesch, G. H.
Venue
Nephrology Dialysis Transplantation
Published
2004-12-01
Volume
19
Issue
12
Pages
2987-2996
ISSN
  • 0931-0509 (ISSN-L)
  • 1460-2385
OpenAlex
W2103813608
Cited by
206
References
1
FWCI
3.06
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Macrophages in streptozotocin-induced diabetic nephropathy: potential role in renal fibrosis. https://app.cochat.ai/papers/10.1093/ndt/gfh441
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Chow, F. Y., Nikolic-Paterson, D. J., Atkins, R. C., & Tesch, G. H. (2004). Macrophages in streptozotocin-induced diabetic nephropathy: potential role in renal fibrosis. Nephrology Dialysis Transplantation. https://doi.org/10.1093/ndt/gfh441

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