l-Homoarginine supplementation prevents diabetic kidney damage

Michael D. Wetzel, Ting Gao, Manjeri Venkatachalam, Sidney M. Morris, Alaa S. Awad

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


l-homoarginine is an endogenous, non-proteinogenic amino acid that has emerged as a new player in health and disease. Specifically, low l-homoarginine levels are associated with cardiovascular diseases, stroke, and reduced kidney function. However, the role of l-homoarginine in the pathogenesis of diabetic nephropathy (DN) is not known. Experiments were conducted in 6-week-old Ins2Akita mice supplemented with l-homoarginine via drinking water or mini osmotic pump for 12 weeks. Both plasma and kidney l-homoarginine levels were significantly reduced in diabetic mice compared to nondiabetic controls. Untreated Ins2Akita mice showed significant increases in urinary albumin excretion, histological changes, glomerular macrophage recruitment, the inflammatory cytokine KC-GRO/CXCL1, and urinary thiobarbituric acid reactive substances (TBARS) excretion as an indicator of oxidative stress, along with a significant reduction in kidney nitrate + nitrite levels compared to control mice at 18 weeks of age. In contrast, l-homoarginine supplementation for 12 weeks in Ins2Akita mice, via either drinking water or mini osmotic pump, significantly reduced albuminuria, renal histological changes, glomerular macrophage recruitment, KC-GRO/CXCL1 levels, urinary TBARS excretion, and largely restored kidney nitrate + nitrite levels. These data demonstrate that l-homoarginine supplementation attenuates specific features of DN in mice and could be a potential new therapeutic tool for treating diabetic patients.

Original languageEnglish (US)
Article numbere14235
JournalPhysiological Reports
Issue number18
StatePublished - Sep 1 2019


  • Diabetic nephropathy
  • l-homoarginine
  • nitric oxide

ASJC Scopus subject areas

  • Physiology (medical)
  • Physiology


Dive into the research topics of 'l-Homoarginine supplementation prevents diabetic kidney damage'. Together they form a unique fingerprint.

Cite this