Changes in the
estrogen/
testosterone balance at menopause may negatively influence the development of
diabetic kidney disease. Furthermore, recent studies suggest that changes in
hormone levels during perimenopause may influence disease development. Injection of
4-vinylcyclohexene diepoxide (VCD) in B(6)C(3)F(1) mice induces gradual ovarian failure, preserving both the perimenopausal (peri-ovarian failure) and menopausal (post-ovarian failure) periods. To address the impact of the transition into menopause on the development of diabetes and diabetic kidney damage, we used
streptozotocin (STZ)-induced diabetes in the VCD model of menopause. After 6 wk of STZ-induced diabetes,
blood glucose was significantly increased in post-ovarian failure (post-OF) diabetic mice compared with cycling diabetic mice. In peri-ovarian failure (peri-OF) diabetic mice,
blood glucose levels trended higher but were not significantly different from cycling diabetic mice, suggesting a continuum of worsening
blood glucose across the menopausal transition. Cell proliferation, an early marker of damage in the kidney, was increased in post-OF diabetic mice compared with cycling diabetic mice, as measured by
PCNA immunohistochemistry. In post-OF diabetic mice,
mRNA abundance of early growth response-1 (Egr-1), collagen-4alpha1, and
matrix metalloproteinase-9 were increased and 3beta-hydroxysteroid
dehydrogenase 4 (3beta-HSD4) and transforming growth factor-beta(2) (TGF-beta(2)) were decreased compared with cycling diabetic mice. In peri-OF diabetic mice,
mRNA abundance of Egr-1 and 3beta-HSD4 were increased, and TGF-beta(2) was decreased compared with cycling diabetic mice. This study highlights the importance and utility of the VCD model of menopause, as it provides a physiologically relevant system for determining the impact of the menopausal transition on diabetes and diabetic kidney damage.