Ramipril reduces albuminuria in diabetic rats fed a high protein diet

Clin Exp Pharmacol Physiol. 1989 Aug;16(8):675-80. doi: 10.1111/j.1440-1681.1989.tb01620.x.

Abstract

1. Streptozotocin diabetes was induced in Wistar-Kyoto rats fed a 50% protein diet. Animals were randomized to receive either the ACE inhibitor ramipril, 1 mg/L in drinking water (n = 7), or no treatment (n = 7) and were studied for 6 months. Blood glucose, body weight and glomerular filtration rate (GFR) were measured at 0, 1, 4, 8 and 16 weeks of diabetes and urinary albumin excretion was measured every 8 weeks. 2. In both groups, GFR increased significantly within 1 week of induction of diabetes (P less than 0.001) and thereafter remained stable. There was no difference in GFR between the treated and untreated groups. 3. Urinary albumin excretion increased progressively in both groups throughout the study. Ramipril treatment reduced albuminuria by approximately 50% at weeks 16 and 24 (P less than 0.01). 4. The amelioration of diabetic albuminuria by ACE inhibition, in the setting of high dietary protein intake, may have important implications for the treatment of human diabetic nephropathy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Albuminuria / drug therapy*
  • Albuminuria / etiology
  • Angiotensin-Converting Enzyme Inhibitors / pharmacology*
  • Animals
  • Blood Glucose / metabolism
  • Blood Pressure / drug effects
  • Body Weight / drug effects
  • Bridged Bicyclo Compounds / pharmacology*
  • Bridged-Ring Compounds / pharmacology*
  • Diabetes Mellitus, Experimental / complications
  • Diabetes Mellitus, Experimental / urine*
  • Diet
  • Dietary Proteins / pharmacology*
  • Glomerular Filtration Rate
  • Male
  • Ramipril
  • Rats
  • Rats, Inbred WKY
  • Time Factors

Substances

  • Angiotensin-Converting Enzyme Inhibitors
  • Blood Glucose
  • Bridged Bicyclo Compounds
  • Bridged-Ring Compounds
  • Dietary Proteins
  • Ramipril