Previous studies have demonstrated that renoprotective effects of
C-peptide in experimental models of diabetes-induced renal disease may be mediated via lowering
blood glucose. The present study examined the renoprotective effects of
C-peptide in a model of nondiabetic renal disease, the Dahl
salt-sensitive (SS/jr) rat. SS/jr rats were placed on a 2% NaCl diet for 2 wk (HS2, resulting in mild to moderate renal injury) or 4 wk (HS4, resulting in advanced renal injury) and then received either vehicle (veh) or
C-peptide (
Cpep) for additional 4 wk. Urine
albumin (UAE) and
protein (UPE) excretion rates were measured at baseline (i.e., before initiation of veh or
Cpep treatment) and 4 wk later (i.e., at the time of death). Glomerular permeability, indexes of glomerulosclerosis and tubulointerstitial
fibrosis, the presence of inflammatory cells, and
protein expression of
transforming growth factor-β (TGF-β) and
podocin were measured at the time of death. In HS2 + veh rats, UAE and UPE increased by 74 and 92%, respectively, from baseline and the time of death. While HS2 +
Cpep attenuated this increase in UAE and UPE, HS4 +
Cpep had no effect on these parameters. Similarly, HS2 +
Cpep reduced glomerular permeability, tubulointerstitial
fibrosis, renal
inflammation, TGF-β, and
podocin protein expression, while HS4 +
Cpep had no effect. These studies indicate that
C-peptide is renoprotective in nondiabetic experimental models with mild to moderate renal injury.