The Effects of L-Arginine on Transforming Growth Factor Beta 1 (TGF-β1) Expression and Early Renal Alterations in Streptozotocin-Induced Diabetic Rats
Yıl 2026,
Cilt: 23 Sayı: 1
,
31
-
47
,
29.04.2026
Duygu Yaman Gram
,
Ayten Karabekir
,
Ayhan Atasever
Öz
Diabetic nephropathy (DN) is a prevalent microvascular complication of diabetes mellitus, occurring in more than 40% of affected individuals, with reactive oxygen species–induced endothelial dysfunction playing a central role in its development. L-arginine may exert protective effects by interacting with these oxygen metabolites. This study investigated the effects of L-arginine on early renal changes in streptozotocin-induced diabetic rats. Additionally, renal levels and localization of transforming growth factor beta 1 (TGF-β1), an important fibrogenic factor involved in DN and endothelial-mesenchymal transition, were evaluated by ELISA and immunohistochemistry. Forty-eight male Wistar albino rats (250-300 g) were divided into four groups (n=12); control (0.1 mol/L sodium citrate buffer i.p.); L-arginine (100 mg/kg by gavage); STZ (50 mg/kg, i.p.); STZ+L-arginine (50 mg/kg STZ i.p.+ 100 mg/kg L-arginine by gavage). STZ was administered as a single dose, and L-arginine was given for twenty-one days. Histopathological examination of diabetic kidneys revealed glomerular enlargement, erythrocyte congestion in glomerular and interstitial vessels, cytoplasmic vacuolization in tubular epithelium, and hyaline deposition in glomeruli and tubules. TGF-β1 expression was detected in proximal and distal tubular epithelial cells and in the vascular media of all groups. However, TGF-β1 immunoreactivity was very mild in the control and L-arginine groups compared with the diabetes-induced groups. ELISA results confirmed significantly elevated renal TGF-β1 levels in diabetic rats, while L-arginine administration markedly reduced these increases. In conclusion, diabetes induced notable morphologic kidney alterations accompanied by increased TGF-β1 levels. L-arginine treatment attenuated TGF-β1 elevation, suggesting potential protective effects against diabetes-related renal vascular damage.
Etik Beyan
This study was carried out after the animal experiment was approved Erciyes University Animal Experiments Local Ethics Committee (Decision date and number: 11.01.2018 and 18/017).
Destekleyen Kurum
This research was supported within the scope of the project numbered TYL-2018-8378 by the Erciyes University Scientific Research Projects Coordination Unit.
Proje Numarası
TYL-2018-8378
Teşekkür
We would like to thank the Erciyes University Scientific Research Projects Unit for their support of this thesis study under the project code TYL-2018-8378.
Kaynakça
-
Adeva-Andany MM, Adeva-Contreras L, Fernández-Fernández C, Carneiro-Freire N, Domínguez- Montero A. Histological manifestations of diabetic kidney disease and its relationship with insulin resistance. Cur Diabetes Rev 2023; 19(1): 50-70.
-
Ajiboye BO, Shonibare MT, Oyinloye BE. Antidiabetic activity of watermelon (Citrullus lanatus) juice in alloxan-induced diabetic rats. J Diabetes Metab Disord 2020; 19(1): 343-52.
-
Bancroft J, Cook H. Manual of Histological Techniques. Churchill Living-stone; 1984.
-
Cakir S, Eren M, Senturk M, Sarica ZS. The effect of boron on some biochemical parameters in experimental diabetic rats. Biol Trace Elem Res 2018; 184(2): 165-72.
-
Chen C, Mitchell KD, Navar LG. Role of endothelium-derived nitricoxide in the renal hemodynamic response to amino acid infusion. Am J Physiol Regul Integr Comp Physiol 1992; 263(3): 510-6.
-
Crossmon G. A modification of Mallory’s connective tissue stain with a discussion of the principles involved. Anat Rec 1937; 69: 33-8.
-
Dedoussis GVZ, Kaliora AC, Panagiotakos DB. Genes, diet and type 2 diabetes mellitus: a review. Rev Diabet Stud 2007; 4(1): 13.
-
Ejrnaes M, Von Herrath MG, Christen U. Cure of chronic viral infection and virus-induced type 1 diabetes by neutralizing antibodies. Clin Exp Immunol 2006; 13(2-4): 337-47.
-
El-Missiry MA, Othman AI, Amer MA. L-Arginine ameliorates oxidative stress in alloxan induced experimental diabetes mellitus. J Appl Toxicol 2004; 24(2): 93-7.
-
Gram A, Grazul-Bilska AT, Boos A, Rahman NA, Kowalewski MP. Lipopolysaccharide disrupts gap junctional intercellular communication in an immortalized ovine luteal endothelial cell line. Toxicol in Vito 2019; 60(5): 437-49.
-
Heydarpour F, Sajadimajd S, Mirzarazi E, Haratipour P, Joshi T, Farzaei MH, Khan H, Echeverría J. Involvement of TGF-β and autophagy pathways in pathogenesis of diabetes: a comprehensive review on biological and pharmacological insights. Front Pharmacol 2020; 11: 498758.
-
Hill C, Flyvbjerg A, Gronbaek H, Petrik J, Hill DJ, Thomas CR, Sheppard MC, Logan A. The renal expression of transforming growth factor-β isoforms and their receptors in acute and chronic experimental diabetes in rats. Endocrinol 2000; 141(3): 1196-208.
-
Hoogeveen EK. The epidemiology of diabetic kidney disease. Kidney Dial 2022; 2(3): 433-42.
-
IDF Diabetes Atlas-11th Edition 2025. https://diabetesatlas.org/atlas/tenth-edition/; Accessed Date:11.09.2025.
-
Kato M, Yuan H, Xu ZG, Lanting L, Li SL, Wang M, Hu MCT, Reddy MA, Natarajan R. Role of the Akt/FoxO3a pathway in TGF-β1 mediated mesangial cell dysfunction: a novel mechanism related to diabetic kidney disease. J Am Soc Nephrol 2006; 17(12): 3325-35.
-
Katoh T, Takahashi K, Klahr S, Reyes AA, Badr KF. Dietary supplementation with L-arginine ameliorates glomerular hypertension in rats with subtotal nephrectomy. J Am Soc Nephrol 1994; 4(9): 1690-4.
-
Kawano H, Motoyama T, Hirai N, Kugiyama K, Yasue H, Ogawa H. Endothelial dysfunction in hypercholesterolemia is improved by L-arginine administration: possible role of oxidative stress. Atherosclerosis 2002; 161(2): 375-80.
-
Kaya NK, Eren M, Şentürk M, Soyer Sarıca Z. The effects of magnesium and L-carnitine on some biochemical parameters in experimental diabetic rats. Appl Biol Res 2022; 16(3): 456-70.
-
Klahr S, Morrissey J. L-arginine as a therapeutic tool in kidney disease. Semin Nephrol 2004; 24(4): 389-94.
-
Koszegi S, Molnar A, Lenart L, Hodrea J, Balogh DB, Lakat T, Szkibinszkij E, Hosszu A, Sparding N, Genovese F, Wagner L, Vannay A, Szabo AJ, Fekete A. RAAS inhibitors directly reduce diabetes-induced renal fibrosis via growth factor inhibition. J Physiol 2019; 597(1): 193-209.
-
Küçük M, Çevik A, Emre A. Deneysel Pankreas Transplantasyonu. Experimental Pancreas Transplantation. Deneysel Tıp araştırma Enstitüsü Dergisi. 2012; 2(3): 3-10.
-
Ito K, Chen J, Seshan SV, Khodadadian JJ, Gallagher R, Chaar ME, Felsen D. Dietary arginine supplementation attenuates renal damage after relief of unilateral ureteral obstruction in rats. Kidney Int 2005; 68(2): 515-28.
-
Lenzen S. The mechanisms of alloxan-and streptozotocin-induced diabetes. Diabetologia 2008; 51(2): 216-26.
-
Luna LG. Manual of Histologic Staining Methods of the Armed Forces Institute of Pathology. Third Edition. New York: Blakiston Division,1968; p.34-75.
-
Mistry J, Biswas M, Sarkar S, Ghosh S. Antidiabetic activity of mango peel extract and mangiferin in alloxan-induced diabetic rats. Future J Pharm Sci 2023; 9(1): 22.
-
Müller G. Methods to induce experimental diabetes mellitus. Hock F. eds. In: Drug Discovery and Evaluation: Pharmacological Assays. Springer Cham 2016; pp.2569-81.
-
Noris M, Remuzzi G. Physiology and pathophysiology of nitric oxide in chronic renal disease. Proc Assoc Am Physicians 1999; 111(6): 602-10.
-
Palsamy P, Subramanian S. Resveratrol protects diabetic kidney by attenuating hyperglycemia-mediated oxidative stress and renal inflammatory cytokines via Nrf2-Keap1 signaling. Biochim Biophys Acta Mol Basis Dis 2011; 1812(7): 719-31.
-
Pieper GM, Peltier BA. Amelioration by L-arginine of dysfunctional arginine/nitric oxide pathway in diabetic endothelium. J Cardiovasc Pharmacol 1995; 25(3): 397-403.
-
Rees DA, Alcolado JC. Animal models of diabetes mellitus. Diabet Med 2005; 22(4): 359-70.
-
Reeves WB, Andreoli TE. Transforming growth factor β contributes to progressive diabetic nephropathy. Proc Natl Acad Sci USA 2000; 97(14): 7667-9.
-
Reyes AA, Porras BH, Chasalow FI, Klahr S. L-arginine decreases the infiltration of the kidney by macrophages in obstructive nephropathy and puromycin-induced nephrosis. Kidney Int 1994; 45(5): 1346-54.
-
Roy S, Ahmed F, Banerjee S, Saha U. Naringenin ameliorates streptozotocin-induced diabetic rat renal impairment by downregulation of TGF-β1 and IL-1 via modulation of oxidative stress correlates with decreased apoptotic events. Pharm Biol 2016; 54(9): 1616-27.
-
Sadik NA. L-arginine attenuates diabetic nephropathy in streptozotocin-induced diabetic rats. Egypt Jl Biochem Mol Biol 2008; 26(1): 1-22.
-
Saleh S, El-Demerdash E. Protective effects of L-arginine against cisplatin-induced renal oxidative stress and toxicity: Role of nitric oxide. Basic Clin Pharmacol Toxicol 2005; 97(2): 91-7.
-
Sayed MM, Abd el-Rady NM, Gomaa WM, Hosny A, Gomaa AM. Antioxidant, antiapoptotic, and antifibrotic abilities of L-Arginine ameliorate the testicular dysfunction in diabetic rats. Tissue Cell 2023; 82: 102036.
-
Schneider CA, Rasband WS, Eliceiri KW. NIH Image to ImageJ: 25 years of image analysis. Nat Methods 2012; 9(7): 671-5.
-
Sharma K, Ziyadeh FN. Renal hypertrophy is associated with upregulation of TGF-beta 1 gene expression in diabetic BB rat and NOD mouse. Am J Physiol Renal Physiol 1994; 267(6): 1094-101.
-
Szhudelski T. The mechanism of alloksan and STZ action in β cells of rat pancreas. Physiol Res 2001; 50(6): 536-46.
-
Szlas A, Kurek JM, Krejpcio Z. The potential of L-arginine in prevention and treatment of disturbed carbohydrate and lipid metabolism-a review. Nutrients 2022; 14(5): 961.
-
Talakatta G, Sarikhani M, Muhamed J, Dhanya K, Somashekar BS, Mahesh PA, Sundaresan N, Ravindra PV. Diabetes induces fibrotic changes in the lung through the activation of TGF-β signaling pathways. Sci Rep 2018; 8(1): 11920.
-
Tarladacalisir YT, Kanter M, Uygun M. Protective effects of vitamin C on cisplatin-induced renal damage: a light and electron microscopic study. Ren Fail 2008; 30(1): 1-8.
-
Wang CH, Li F, Hiller S, Kim HS, Maeda N, Smithies O, Takahashi N. A modest decrease in endothelial NOS in mice comparable to that associated with human NOS3 variants exacerbates diabetic nephropathy. Proc Natl Acad Sci USA 2011; 108(5): 2070-5.
-
Yaman Gram D, Şentürk M, Özocak GK, Doğan ND, Ekebaş G, Atasever A, Eren M. Effect of dietary L-arginine supplementation on the expression of vascular endothelial growth factor A, its receptors, and nitric oxide system components in the pancreas of streptozotocin-induced diabetic rats. Tissue Cell 2025; 103072.
-
Yang Y, Xu G. Update on pathogenesis of glomerular hyperfiltration in early diabetic kidney disease. Front Endocrinol 2022; 13, 872-918.
-
Yılmaz MT. Tip 1 diabetes mellitus. İmamoğlu Ş. eds. In: Diabetes Mellitus. İstanbul: Deomed Medikal Yayıncılık, 2006; pp:55-66.
-
You H, Gao T, Cooper TK, Morris Jr SM, Awad AS. Diabetic nephropathy is resistant to oral L-arginine or L-citrulline supplementation. Am J Physiol Renal Physiol 2014; 307(11): 1292-301.
-
Zhang C, Xue S, Ren P, Han S, Zhou Y, Si Y, Shang L. Advances in the epigenetic mechanisms of diabeticnephropathy pathogenesis. Diabetes Metab Syndr Obes 2025; 2629-39.
-
Ziyadeh FN, Han DC, Cohen JA, Guo J, Cohen MP. Glycated albümin stimulates fibronectin gene expression in glomerular mesangial cells: Involvement of the transforming growth factor-β system. Kidney Int 1998; 53(3): 631-8.
-
Ziyadeh FN. The extracellular matrix in diabetic nephropathy. Am J Kidney Dis 1993; 22(5): 736-44.
Streptozotosin ile Diyabet Oluşturulmuş Ratlarda L-Arjinin’in Dönüştürücü Büyüme Faktör Beta 1 (TGF-β1) Ekspresyonu ve Erken Böbrek Değişiklikleri Üzerine Etkileri
Yıl 2026,
Cilt: 23 Sayı: 1
,
31
-
47
,
29.04.2026
Duygu Yaman Gram
,
Ayten Karabekir
,
Ayhan Atasever
Öz
Diyabetik nefropati (DN), diabetes mellitusun yaygın bir mikrovasküler komplikasyonudur ve etkilenen bireylerin %40'ından fazlasında görülür; gelişiminde reaktif oksijen türlerinin neden olduğu endotel disfonksiyonu merkezi bir rol oynar. L-arjinin, bu oksijen metabolitleri ile etkileşime girerek koruyucu etkiler gösterebilir. Bu çalışmada, streptozotosin (STZ) ile indüklenen tip 1 diyabetli sıçanlarda L-arjininin böbrek histopatolojisi üzerindeki etkileri araştırılmıştır. Ayrıca, DN ve endotel-mezenkimal geçişte rol oynayan önemli bir faktör olan transformasyon büyüme faktörü beta 1'in (TGF-β1) böbrek düzeyleri ve lokalizasyonu ELISA ve immünohistokimyasal yöntemlerle değerlendirilmiştir. Kırk sekiz erkek Wistar albino sıçan (250-300 g) dört gruba ayrılmıştır (n:12); kontrol (0,1 mol/L sodyum sitrat tamponu i.p.); L-arjinin (100 mg/kg gavaj yoluyla); STZ (50 mg/kg, i.p.); STZ+L-arjinin (50 mg/kg STZ i.p.+ 100 mg/kg L-arjinin gavaj yoluyla). STZ tek doz olarak, L-arjinin ise yirmi bir gün boyunca verildi. Diyabetik böbreklerin histopatolojik incelemesinde, glomerüler genişleme, glomerüler ve interstisyel damarlarda eritrosit birikimi, tübüler epitelde sitoplazmik vakuolizasyon ve glomerüllerde ve tübüllerde hiyalin birikimi görüldü. TGF-β1 ekspresyonu, tüm grupların proksimal ve distal tübüler epitel hücrelerinde ve vasküler medialarında tespit edildi. Bununla birlikte, TGF-β1 immünoreaktivitesi, diyabetli gruplara kıyasla kontrol ve L-arjinin gruplarında çok hafifti. ELISA ile diyabetik sıçanlarda böbrek TGF-β1 düzeylerinin önemli ölçüde yükseldiği, L-arjinin uygulamasının ise bu artışları belirgin şekilde azalttığı gözlendi. Sonuç olarak, STZ uygulaması, TGF-β1 düzeylerini arttırarak belirgin morfolojik böbrek değişikliklerine neden oldu. L-arjinin tedavisi, artmış olan TGF-β1 düzeylerini azaltarak diyabetle ilişkili böbrek damar hasarına karşı olası koruyucu etkilerini düşündürdü.
Etik Beyan
Çalışma için Erciyes Üniversitesi Hayvan Deneyleri Yerel Etik Kurulundan onay alındı ve çalışma etik kurul yönergesine uygun bir şekilde yapıldı (Karar Tarih ve No: 11.01.2018 ve 18/017).
Destekleyen Kurum
Bu araştırma, Erciyes Üniversitesi Bilimsel Araştırma Projeleri Koordinasyon Birimi tarafından TYL-2018-8378 numaralı proje kapsamında desteklenmiştir.
Proje Numarası
TYL-2018-8378
Teşekkür
TYL-2018-8378 kodlu proje ile bu tez çalışmasının yapılmasındaki katkılarından dolayı Erciyes Üniversitesi Bilimsel Araştırma Projeleri Birimi’ne teşekkür ederiz.
Kaynakça
-
Adeva-Andany MM, Adeva-Contreras L, Fernández-Fernández C, Carneiro-Freire N, Domínguez- Montero A. Histological manifestations of diabetic kidney disease and its relationship with insulin resistance. Cur Diabetes Rev 2023; 19(1): 50-70.
-
Ajiboye BO, Shonibare MT, Oyinloye BE. Antidiabetic activity of watermelon (Citrullus lanatus) juice in alloxan-induced diabetic rats. J Diabetes Metab Disord 2020; 19(1): 343-52.
-
Bancroft J, Cook H. Manual of Histological Techniques. Churchill Living-stone; 1984.
-
Cakir S, Eren M, Senturk M, Sarica ZS. The effect of boron on some biochemical parameters in experimental diabetic rats. Biol Trace Elem Res 2018; 184(2): 165-72.
-
Chen C, Mitchell KD, Navar LG. Role of endothelium-derived nitricoxide in the renal hemodynamic response to amino acid infusion. Am J Physiol Regul Integr Comp Physiol 1992; 263(3): 510-6.
-
Crossmon G. A modification of Mallory’s connective tissue stain with a discussion of the principles involved. Anat Rec 1937; 69: 33-8.
-
Dedoussis GVZ, Kaliora AC, Panagiotakos DB. Genes, diet and type 2 diabetes mellitus: a review. Rev Diabet Stud 2007; 4(1): 13.
-
Ejrnaes M, Von Herrath MG, Christen U. Cure of chronic viral infection and virus-induced type 1 diabetes by neutralizing antibodies. Clin Exp Immunol 2006; 13(2-4): 337-47.
-
El-Missiry MA, Othman AI, Amer MA. L-Arginine ameliorates oxidative stress in alloxan induced experimental diabetes mellitus. J Appl Toxicol 2004; 24(2): 93-7.
-
Gram A, Grazul-Bilska AT, Boos A, Rahman NA, Kowalewski MP. Lipopolysaccharide disrupts gap junctional intercellular communication in an immortalized ovine luteal endothelial cell line. Toxicol in Vito 2019; 60(5): 437-49.
-
Heydarpour F, Sajadimajd S, Mirzarazi E, Haratipour P, Joshi T, Farzaei MH, Khan H, Echeverría J. Involvement of TGF-β and autophagy pathways in pathogenesis of diabetes: a comprehensive review on biological and pharmacological insights. Front Pharmacol 2020; 11: 498758.
-
Hill C, Flyvbjerg A, Gronbaek H, Petrik J, Hill DJ, Thomas CR, Sheppard MC, Logan A. The renal expression of transforming growth factor-β isoforms and their receptors in acute and chronic experimental diabetes in rats. Endocrinol 2000; 141(3): 1196-208.
-
Hoogeveen EK. The epidemiology of diabetic kidney disease. Kidney Dial 2022; 2(3): 433-42.
-
IDF Diabetes Atlas-11th Edition 2025. https://diabetesatlas.org/atlas/tenth-edition/; Accessed Date:11.09.2025.
-
Kato M, Yuan H, Xu ZG, Lanting L, Li SL, Wang M, Hu MCT, Reddy MA, Natarajan R. Role of the Akt/FoxO3a pathway in TGF-β1 mediated mesangial cell dysfunction: a novel mechanism related to diabetic kidney disease. J Am Soc Nephrol 2006; 17(12): 3325-35.
-
Katoh T, Takahashi K, Klahr S, Reyes AA, Badr KF. Dietary supplementation with L-arginine ameliorates glomerular hypertension in rats with subtotal nephrectomy. J Am Soc Nephrol 1994; 4(9): 1690-4.
-
Kawano H, Motoyama T, Hirai N, Kugiyama K, Yasue H, Ogawa H. Endothelial dysfunction in hypercholesterolemia is improved by L-arginine administration: possible role of oxidative stress. Atherosclerosis 2002; 161(2): 375-80.
-
Kaya NK, Eren M, Şentürk M, Soyer Sarıca Z. The effects of magnesium and L-carnitine on some biochemical parameters in experimental diabetic rats. Appl Biol Res 2022; 16(3): 456-70.
-
Klahr S, Morrissey J. L-arginine as a therapeutic tool in kidney disease. Semin Nephrol 2004; 24(4): 389-94.
-
Koszegi S, Molnar A, Lenart L, Hodrea J, Balogh DB, Lakat T, Szkibinszkij E, Hosszu A, Sparding N, Genovese F, Wagner L, Vannay A, Szabo AJ, Fekete A. RAAS inhibitors directly reduce diabetes-induced renal fibrosis via growth factor inhibition. J Physiol 2019; 597(1): 193-209.
-
Küçük M, Çevik A, Emre A. Deneysel Pankreas Transplantasyonu. Experimental Pancreas Transplantation. Deneysel Tıp araştırma Enstitüsü Dergisi. 2012; 2(3): 3-10.
-
Ito K, Chen J, Seshan SV, Khodadadian JJ, Gallagher R, Chaar ME, Felsen D. Dietary arginine supplementation attenuates renal damage after relief of unilateral ureteral obstruction in rats. Kidney Int 2005; 68(2): 515-28.
-
Lenzen S. The mechanisms of alloxan-and streptozotocin-induced diabetes. Diabetologia 2008; 51(2): 216-26.
-
Luna LG. Manual of Histologic Staining Methods of the Armed Forces Institute of Pathology. Third Edition. New York: Blakiston Division,1968; p.34-75.
-
Mistry J, Biswas M, Sarkar S, Ghosh S. Antidiabetic activity of mango peel extract and mangiferin in alloxan-induced diabetic rats. Future J Pharm Sci 2023; 9(1): 22.
-
Müller G. Methods to induce experimental diabetes mellitus. Hock F. eds. In: Drug Discovery and Evaluation: Pharmacological Assays. Springer Cham 2016; pp.2569-81.
-
Noris M, Remuzzi G. Physiology and pathophysiology of nitric oxide in chronic renal disease. Proc Assoc Am Physicians 1999; 111(6): 602-10.
-
Palsamy P, Subramanian S. Resveratrol protects diabetic kidney by attenuating hyperglycemia-mediated oxidative stress and renal inflammatory cytokines via Nrf2-Keap1 signaling. Biochim Biophys Acta Mol Basis Dis 2011; 1812(7): 719-31.
-
Pieper GM, Peltier BA. Amelioration by L-arginine of dysfunctional arginine/nitric oxide pathway in diabetic endothelium. J Cardiovasc Pharmacol 1995; 25(3): 397-403.
-
Rees DA, Alcolado JC. Animal models of diabetes mellitus. Diabet Med 2005; 22(4): 359-70.
-
Reeves WB, Andreoli TE. Transforming growth factor β contributes to progressive diabetic nephropathy. Proc Natl Acad Sci USA 2000; 97(14): 7667-9.
-
Reyes AA, Porras BH, Chasalow FI, Klahr S. L-arginine decreases the infiltration of the kidney by macrophages in obstructive nephropathy and puromycin-induced nephrosis. Kidney Int 1994; 45(5): 1346-54.
-
Roy S, Ahmed F, Banerjee S, Saha U. Naringenin ameliorates streptozotocin-induced diabetic rat renal impairment by downregulation of TGF-β1 and IL-1 via modulation of oxidative stress correlates with decreased apoptotic events. Pharm Biol 2016; 54(9): 1616-27.
-
Sadik NA. L-arginine attenuates diabetic nephropathy in streptozotocin-induced diabetic rats. Egypt Jl Biochem Mol Biol 2008; 26(1): 1-22.
-
Saleh S, El-Demerdash E. Protective effects of L-arginine against cisplatin-induced renal oxidative stress and toxicity: Role of nitric oxide. Basic Clin Pharmacol Toxicol 2005; 97(2): 91-7.
-
Sayed MM, Abd el-Rady NM, Gomaa WM, Hosny A, Gomaa AM. Antioxidant, antiapoptotic, and antifibrotic abilities of L-Arginine ameliorate the testicular dysfunction in diabetic rats. Tissue Cell 2023; 82: 102036.
-
Schneider CA, Rasband WS, Eliceiri KW. NIH Image to ImageJ: 25 years of image analysis. Nat Methods 2012; 9(7): 671-5.
-
Sharma K, Ziyadeh FN. Renal hypertrophy is associated with upregulation of TGF-beta 1 gene expression in diabetic BB rat and NOD mouse. Am J Physiol Renal Physiol 1994; 267(6): 1094-101.
-
Szhudelski T. The mechanism of alloksan and STZ action in β cells of rat pancreas. Physiol Res 2001; 50(6): 536-46.
-
Szlas A, Kurek JM, Krejpcio Z. The potential of L-arginine in prevention and treatment of disturbed carbohydrate and lipid metabolism-a review. Nutrients 2022; 14(5): 961.
-
Talakatta G, Sarikhani M, Muhamed J, Dhanya K, Somashekar BS, Mahesh PA, Sundaresan N, Ravindra PV. Diabetes induces fibrotic changes in the lung through the activation of TGF-β signaling pathways. Sci Rep 2018; 8(1): 11920.
-
Tarladacalisir YT, Kanter M, Uygun M. Protective effects of vitamin C on cisplatin-induced renal damage: a light and electron microscopic study. Ren Fail 2008; 30(1): 1-8.
-
Wang CH, Li F, Hiller S, Kim HS, Maeda N, Smithies O, Takahashi N. A modest decrease in endothelial NOS in mice comparable to that associated with human NOS3 variants exacerbates diabetic nephropathy. Proc Natl Acad Sci USA 2011; 108(5): 2070-5.
-
Yaman Gram D, Şentürk M, Özocak GK, Doğan ND, Ekebaş G, Atasever A, Eren M. Effect of dietary L-arginine supplementation on the expression of vascular endothelial growth factor A, its receptors, and nitric oxide system components in the pancreas of streptozotocin-induced diabetic rats. Tissue Cell 2025; 103072.
-
Yang Y, Xu G. Update on pathogenesis of glomerular hyperfiltration in early diabetic kidney disease. Front Endocrinol 2022; 13, 872-918.
-
Yılmaz MT. Tip 1 diabetes mellitus. İmamoğlu Ş. eds. In: Diabetes Mellitus. İstanbul: Deomed Medikal Yayıncılık, 2006; pp:55-66.
-
You H, Gao T, Cooper TK, Morris Jr SM, Awad AS. Diabetic nephropathy is resistant to oral L-arginine or L-citrulline supplementation. Am J Physiol Renal Physiol 2014; 307(11): 1292-301.
-
Zhang C, Xue S, Ren P, Han S, Zhou Y, Si Y, Shang L. Advances in the epigenetic mechanisms of diabeticnephropathy pathogenesis. Diabetes Metab Syndr Obes 2025; 2629-39.
-
Ziyadeh FN, Han DC, Cohen JA, Guo J, Cohen MP. Glycated albümin stimulates fibronectin gene expression in glomerular mesangial cells: Involvement of the transforming growth factor-β system. Kidney Int 1998; 53(3): 631-8.
-
Ziyadeh FN. The extracellular matrix in diabetic nephropathy. Am J Kidney Dis 1993; 22(5): 736-44.