Pharmacological Research 65 (2012) 465–471
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Pharmacological Research
jo ur n al hom epage: www.elsevier.com/locate/yphrs
The protective effect of losartan in the nephropathy of the diabetic rat includes
the control of monoamine oxidase type A activity
Maria Elena Manni
1
, Elisabetta Bigagli
1
, Maura Lodovici, Marina Zazzeri, Laura Raimondi
∗
Department of Pharmacology, University of Florence, Viale G. Pieraccini, 6, 50139 Florence, Italy
a r t i c l e i n f o
Article history:
Received 19 September 2011
Received in revised form
14 November 2011
Accepted 14 November 2011
Keywords:
Rat diabetic nephropathy
Monoamine oxidase activity type A
Superoxide dysmuthase
Oxidative stress
Catalase
Losartan
a b s t r a c t
Monoamine oxidase activity (MAO-A and B) levels, as intracellular source of reactive oxygen species,
might increase in diabetic nephropathy (DN) contributing to reduce dopamine levels and to unbalance
kidney redox state. We explored the hypothesis that beneficial effects of losartan, an angiotensin-II type
1 receptor (AT1) blocker, in DN included the control of MAO activity levels.
In kidneys of normoglycemic and diabetic, streptozotocin-injected (55 mg/kg) rats, treated or untreated
with losartan, an AT1 antagonist (20 mg/kg/day in the drinking water), we investigated MAO activity
radiochemically and antioxidant enzymes including catalase, aldehyde dehydrogenase and superoxide
dysmuthase spectrophotometrically. In addition, we also evaluated malondialdehyde and carbonylated
protein levels spectrophotometrically as indexes of oxidative attack to lipids and proteins.
Diabetic rats showed signs of nephropathy, including renal hypertrophy, proteinuria, high acethyl-
glucosaminidase and -glutamyltranspeptidase urinary levels. In diabetic kidneys, MAO-A and catalase
activities as well as malondialdehyde levels, were found significantly higher than in normoglycemic
ones. Interestingly, in diabetic kidneys, MAO-A activity correlated not only with catalase but also with
-glutamyltranspeptidase urinary levels.
Our results indicate that the control of MAO-A activity is to be included amongst the mechanisms of
protection afforded by losartan in DN. In fact, the prevention of MAO-A raise might increase dopamine
availability and, as suggested by the correlation with -GGT, reduce oxidative attack to tubular cells.
© 2011 Elsevier Ltd. All rights reserved.
1. Introduction
Monoamine oxidases (MAO; EC 1.4.3.4) are ubiquitously
expressed FAD-dependent enzymes, localized at the outer mito-
chondrial membrane of which two isoforms, MAO-A and B, with
peculiar tissue distribution, substrate selectivity and inhibitor
specificity are known [1]. Amongst MAO-A endogenous substrates
are noradrenaline and serotonin while dopamine is a common
MAO-A and B substrate. The oxidative deamination of these amines
does cause the production of hydrogen peroxide (H
2
O
2
), the amine
corresponding aldehyde and ammonia. Because of this, MAO activ-
ity has recently been growingly studied as a new endogenous
source of reactive oxygen (ROS) and carbonyl species which may
participate in unbalancing cell redox state. In this respect, evi-
dence demonstrated that, in the kidney and in the heart of rodents,
MAO-A activity does play a determinant role in ROS-dependent
ischemia reperfusion injuries and in tissue hypertrophy [2–4].
This evidence suggests that MAO activity might have a role in
∗
Corresponding author. Tel.: +39 5 5427 1210; fax: +39 5 5427 1288.
E-mail address: laura.raimondi@unifi.it (L. Raimondi).
1
These authors contributed equally to this work.
many other chronic pathological conditions, characterized by tis-
sue redox unbalance, with concurrence of diabetic nephropathy
(DN), a long-term microvascular complication and leading cause of
morbidity and mortality of diabetic patients [5]. DN is character-
ized by glomerular hypertrophy and fibrosis, mesangial expansion,
podocyte loss and vascular endothelial dysfunction progressively
leading to glomerulosclerosis, tubulointerstitial fibrosis and pro-
teinuria which does represent the early clinical manifestation of
the disease recognized as a new cardiovascular risk factor [6].
The balance between natriuretic and anti-natriuretic hormones
plays a critical role in the regulation of renal sodium transport and
excretion [7]. In the adult kidney, through the stimulation of AT1
receptors, angiotensin-II performs actions which are opposed to
those elicited by dopamine (DA). While DA stimulates natriure-
sis, angiotensin-II diminishes diuresis and natriuresis and increases
blood pressure [8] so that the interplay between these two hor-
mones represents an important mechanism for the regulation of
renal sodium and water excretion.
Experimental evidence has shown that, in the central nervous
system [9], as well as in the kidney of rodents, angiotensin-
II, by activating AT1, increases MAO activity thus enhancing
DA metabolism [10]. These results designate MAO activity as a
crossover of an intriguing relationship between dopamine and
1043-6618/$ – see front matter © 2011 Elsevier Ltd. All rights reserved.
doi:10.1016/j.phrs.2011.11.010