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Abstract Diabetes mellitus is pandemic syndrome which is the major cause of many morbidity and mortality worldwide. Diabetic nephropathy is a progressive and irreversible renal disease characterized by the accumulation of extracellular matrix in glomerular basement membrane (glomerulosclerosis) and kidney interstitial tissue that eventually leads to renal failure. The pathogenesis of DN can be attributed to several mechanisms among which is the oxidative stress. Hyperglycemia stimulates reactive oxygen species formation from different sources. Billirubin is the end product of heme catabolism. It has been recognized as a substance with potent antioxidant properties by protecting lipids from oxidation and down-regulating NADPH oxidase. The aim of the present investigation was to study the changes in serum billirubin level in diabetic nephropathy and see wheather there is correlation between its level and the stages of nephropathy in diabetic rats. To achieve this goal sixty male albino rats were used and divided into the following groups: I: Non-Diabetic group (10 rats). II: Diabetic group (10rats). III: Diabetic nephropathy group (20rats). This group was subdivided into: III .a) Microalbuminuric diabetic nephropathy. III .b) Macroalbuminuric diabetic nephropathy. IV: Insulin-treated diabetic nephropathy group (20 rats). This group was subdivided into: IV.a) Microalbuminuric insulin-treated diabetic nephropathy. |