Introduction:The renin–angiotensin system and epithelial–mesenchymal transition play
crucial roles in the development of kidney fibrosis. The connection between
the renin–angiotensin system and transforming growth factor-β in
epithelial–mesenchymal transition remains largely unknown.Materials and methods:We assessed oxidative stress, cytokine levels, renal morphology, profibrotic
growth factor and renin–angiotensin system component expression, and
cell-specific E- and N-cadherin expression in the kidneys of gerbils with
streptozotocin-induced diabetes mellitus.Results:Animals in the experimental group received an intraperitoneal injection of
streptozotocin to induce diabetes. The diabetic gerbil kidneys presented
kidney injury, which was manifested as distorted glomeruli, necrosis of
tubular cells, dilated tubular lumen, and brush border loss. Additionally,
the diabetic gerbil kidneys exhibited significantly higher expressions of
8-hydroxy-2′-deoxyguanosine, nuclear factor-kB, toll-like receptor 4, tumor
necrosis factor-α, transforming growth factor-β, connective tissue growth
factor, α-smooth muscle actin, and N-cadherin and higher collagen deposition
than did the control gerbil kidneys. Compared with the control kidneys, the
diabetic gerbil kidneys exhibited significantly lower E-cadherin expression.
These epithelial–mesenchymal transition characteristics were associated with
an increase in renin–angiotensin system expression in the diabetic
gerbils.Conclusions:We demonstrate that hyperglycemia activated the renin–angiotensin system,
induced epithelial–mesenchymal transition, and contributed to kidney
fibrosis in an experimental diabetes mellitus model.