High levels of tissue advanced glycation end products (AGEs) that result from the spontaneous modification of proteins by glucose occur In diabetes and aging. To address the potential pathogenic role of AGEs in the glomerulosclerosis of diabetes or nephrosclerosls of aging, doses of AGE-modified rat albumin (25 mg per kg per day, i.v.) sufficient to elevate circulating AGE levels to the range of diabetic serum were admired daily to healthy rats alone or in combination with the AGE inhibitor ae. After 5 months, the AGE content of renal tissues in AGE-treated rats rose to 50% above controls (P < 0.025), whereas serum contained 2.8-fold greater AGE levels (P < 0.025). Light and electron microscopy of kidneys from AGE-treated rats revealed a more than 50% increase in glomerular volume compared to controls (P < 0.001), I t periodic add/Schiff reagent-positive deposits, basement membrane widening, and mesanga extraceflular matrix increase and indicated significant glomerulosclerosis compared to untreated (P < 0.002) or albumin-treated controls (P < 0.002). These changes were associated with si nt loss of protein (P < 0.005) and albumin (P < 0.002) in the urine of AGE-treated rats compared to controls. Cotreatment with aminoguanidine markedly limited both the structural and fuctional defects. These in vivo data demonstrate that AGEs influence glomerular structure and function in a manner leading to glomerulosclerosis. (8), while in normal SJL mice AGEs enhance the expression of alIV collagen and laminin B1 mRNAs within the glomerulus (9). However, the long-term impact of cumulative AGE deposition on the structure and function of the kidney has remained obscure.In this report, we present evidence indicating that prolonged in vivo exposure of normal renal tissues to AGEmodified homologous serum albumin induces marked renal lesions and that certain aspects ofthis pathology are inhibited by the coadministration of aminoguanidine.
METHODSPreparation of Advanced Glycation Products. Rat serum albumin (RSA) (Sigma) was passed over an Affi-Gel Blue column (Bio-Rad), a heparin-Sepharose CL-6B column (Pharmacia), and an endotoxin-binding affinity column (Detoxigel, Pierce) to remove possible contaminants (8, 9). RSA modified by AGEs was prepared as described (8,9). AGE levels were measured by an AGE-specific ELISA (10) (AGE-rat albumin, 62 AGE units/mg of protein; unmodified rat albumin, 1.2 units/mg). Each reagent contained endotoxin (E-Toxate, Sigma) at <0.2 ng/ml. Animal Studies. Male Sprague-Dawley rats (150 g) aged 3 months (n = 50) (Charles River Breeding Laboratories) were used in these studies, which were conducted in accordance with The Picower Institute Laboratory Animal Center guidelines. After a 2-week adaptation period, rats were given tail vein injections with AGE-modified or native RSA (25 mg per kg per day) or with AGE-RSA followed by infusions of aminoguanidine hydrochloride (100 mg per kg per day, i.v.) for 5 months. Serum samples were collected at the end ofthe treatment period from all groups for seru...