Diabetic nephropathy (DN), a microvascular complication of diabetes, has emerged as an important health problem worldwide. There is strong evidence to suggest that oxidative stress,
inflammation, and
fibrosis play a pivotal role in the progression of DN.
Apigenin has been shown to possess
antioxidant, anti-inflammatory, antiapoptotic, antifibrotic, as well as
antidiabetic properties. Hence, we evaluated whether
apigenin halts the development and progression of DN in
streptozotocin (STZ)-induced diabetic rats. Male albino Wistar rats were divided into control, diabetic control, and
apigenin treatment groups (5-20 mg/kg po, respectively),
apigenin per se (20 mg/kg po), and
ramipril treatment group (2 mg/kg po). A single injection of STZ (55 mg/kg ip) was administered to all of the groups except control and per se groups to induce
type 1 diabetes mellitus. Rats with fasting
blood glucose >250 mg/dl were included in the study and randomized to different groups. Thereafter, the protocol was continued for 8 mo in all of the groups.
Apigenin (20 mg/kg) treatment attenuated renal dysfunction, oxidative stress, and
fibrosis (decreased
transforming growth factor-β1,
fibronectin, and
type IV collagen) in the diabetic rats. It also significantly prevented MAPK activation, which inhibited
inflammation (reduced TNF-α, IL-6, and NF-κB expression) and apoptosis (increased expression of Bcl-2 and decreased Bax and
caspase-3). Furthermore, histopathological examination demonstrated reduced
inflammation,
collagen deposition, and glomerulosclerosis in the renal tissue. In addition, all of these changes were comparable with those produced by
ramipril. Hence,
apigenin ameliorated renal damage due to DN by suppressing oxidative stress and
fibrosis and by inhibiting MAPK pathway.