) and the possibility of reverse causation.[106] On the other hand, both generation and DDAH-mediated metabolism of ADMA as well as

inhibition of NOs activity by ADMA are intracellular processes. Most studies report on plasma ADMA levels, based on the underlying assumption that these levels accurately reflect intracellular ADMA levels. It is tempting to speculate that there may be (patho) physiological conditions in which intracellular and circulatory ADMA are inversely associated. A situation like this may occur if CAT expression or activity is diminished, resulting in a slow cellular egress of ADMA, thereby increasing intracellular, but decreasing extracellular ADMA levels.[108, 109] Still lowering plasma ADMA concentrations may represent a novel therapeutic target for prevention of progressive renal damage. Angiotensin converting enzyme inhibitors find more (ACEIs), angiotensin AT1 receptor blockers (ARBs) have been shown to decrease plasma ADMA in many studies.[96, 110-112] Agents affecting ADMA more specifically (e.g. PRMTs inhibitors or DDAH inducers) await investigation. Non-pharmacological therapy, such as DDAH gene transfer, may be the future.[68, 113] Also it is possible to identify the genetic polymorphisms of DDAH-1 that are correlated with reduced transcriptional activity in vitro and reductions of DDAH-1 m-RNA levels in vivo that have as a result increased ADMA levels.[69] This might

lead us to a certain population of patients with CKD stage 1 with or without Idasanutlin arterial hypertension or diabetes mellitus that are in greater risk the for renal deterioration. “
“Heparin, a highly sulfated glycosaminoglycan,

has been shown to have a renoprotective effect on renal diseases, but its mechanisms remain to be elucidated. In this study, we examined the effect of heparin on podocytes by using primary cultured podocytes positive for podocyte-specific markers including podocin and podocalyxin. Podocytes were cultured from highly purified glomeruli isolated by the method with renal perfusion with magnetic beads and digestion of collagenase. Podocyte-specific gene expressions and proteins were examined by real-time polymerase chain reaction (PCR), Western blotting and immunofluorescence microscopy. Real-time PCR showed that addition of heparin to the culture media significantly upregulated most of the podocyte-specific genes in a dose-dependent and time-dependent manner. Western blotting showed a marked increase in protein levels of nephrin and podocin. Podocin localization at cell–cell contact sites became conspicuous in the presence of heparin. The effect of heparin was observed even in culture media deprived of bovine foetal serum. Heparan sulfate, less sulfated than heparin, and hyaluronan did not show such effects, but sulfated dextran did markedly. Heparin acts on cultured podocytes to increase podocyte-specific gene expressions. A high degree of sulfation is crucial for the effect of heparin.