Diabetic nephropathy is a serious complication for patients with diabetes mellitus. Increasing evidence from both experimental and clinical studies suggests that there is a close link between this condition and hyperglycemia and oxidative stress induced inflammatory cascade. Therefore investigations into antioxidant and anti-inflammatory strategies may offer new effective approaches in its treatment. This chapter is an account of the effect of one dietary polyphenolic antioxidant, tocotrienol, on renal function and the renoinflammatory cascade in streptozotocin (STZ)-induced diabetes. Significant alterations in renal function, increased oxidative-nitrosative stress, TNF-α, TGF-β1, caspase-3 activity and NF-κB were observed in these experiments. Tocotrienol was seen to prevent the biochemical and molecular changes associated with diabetes. Moreover, diabetic rats treated with an insulin-tocotrienol combination produced a more pronounced effect on molecular parameters than their respective control groups. The data reveal that tocotrienol modulates the release of profibrotic cytokines, oxidative stress, ongoing chronic inflammation and apoptosis, and thus exerts a marked renoprotective effect.
Diabetic nephropathy is a serious complication for patients with diabetes mellitus. Increasing evidence from both experimental and clinical studies suggests that there is a close link between this condition and hyperglycemia and oxidative stress induced inflammatory cascade. Therefore investigations into antioxidant and anti-inflammatory strategies may offer new effective approaches in its treatment. This chapter is an account of the effect of one dietary polyphenolic antioxidant, tocotrienol, on renal function and the renoinflammatory cascade in streptozotocin (STZ)-induced diabetes. Significant alterations in renal function, increased oxidative-nitrosative stress, TNF-α, TGF-β1, caspase-3 activity and NF-κB were observed in these experiments. Tocotrienol was seen to prevent the biochemical and molecular changes associated with diabetes. Moreover, diabetic rats treated with an insulin-tocotrienol combination produced a more pronounced effect on molecular parameters than their respective control groups. The data reveal that tocotrienol modulates the release of profibrotic cytokines, oxidative stress, ongoing chronic inflammation and apoptosis, and thus exerts a marked renoprotective effect.
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