A B S T R A C T To study the effect of streptozotocin induced diabetes on glomerular basement membrane (GBM) synthesis, an isolated rat glomerular preparation has been developed, and its metabolic properties have been defined. The chemical composition of normal rat GBM isolated from this preparation closely resembles human GBM. Incubation with [U-'4C1 lysine leads to prompt incorporation of label into GBM and the subsequent appearance of labeled hydroxylysine. A 1-h lag before detection of labeled hydroxylysine in GBM suggests a delay in the release of GBM precursors. Significantly lower counts appeared in the nondialyzable fraction of the medium than in insoluble GBM during pulse-chase experiments, and labeled hydroxylysine accounted for a lower portion of the total counts in the medium (0.85%) than in the GBM (1.98%).Isolated glomeruli were prepared from streptozotocin diabetic rats of 4-6 wks duration. After incubation with [U-'4C] The chemical composition and morphology of the GBM was then studied in rats with long term streptozotocin diabetes (14 mo) to determine if the increase in hydroxylysine and glucosyl galactose and the decrease in lysine previously noted in the GBM in long-term human diabetes occurs in the rat. Except for minor changes in proline and arginine content, the chemical composition of diabetic rat GBM did not differ from age matched controls. while light microscopic studies of diabetic and control kidneys revealed equal degrees of mesangial and peripheral GBM changes.
INTRODUCTIONPathologic changes in the capillary wall characterized by thickening of the basement membrane have been recognize(l in multiple vascular beds of long-term diabetics (1, 2). Diabetic intercapillary glomerulosclerosis and restultant renal failure, however, continue to be the greatest single cause of mortality and morbidity in patients with the juvenile onset type of diabetes (3,4 In addition to the basement membrane thickening observed in patients with diabetes mellitus, a distinct chemical change has been described in the GBM of some patients with diabetes of long duration (14,15). The diabetic GBM shows an increase in hydroxylysine with a concomitant decrease in lysine residues as well as an increase in the disaccharide glucosyl-galactose covalently bound to hydroxylysine. In addition, significant increases in GBM hydroxyproline and glycine content and decreases in valine and tyrosine are also observed in diabetic GBM. Since a subunit rich in glucosyl-galactose, hydroxylysine, glycine, and hydroxyproline and poor in lysine, valine, and tyrosine has been described in bovine GBM (16), it is possible that the change in diabetic GBM could represent accumulation of a similar carbohydrate rich subunit. No information on the chemical composition of GBM in experimental animals with longterm diabetes is currently available.Our current information regarding the control of GBM biosynthesis is inadequate. Several studies which utilized experimental animals have suggested that the thickening of basement membrane in diabetes ...