AT2R Agonist, Compound 21, Is Reno-Protective Against Type 1 Diabetic Nephropathy

Christine Koulis, Bryna S. M. Chow, Maria McKelvey, Ulrike M. Steckelings, Thomas Unger, Vicki Thallas-Bonke, Merlin C. Thomas, Mark E. Cooper, Karin A. Jandeleit-Dahm, Terri J. Allen*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


The hemodynamic and nonhemodynamic effects of angiotensin lion diabetic complications are considered to be primarily mediated by the angiotensin II type 1 receptor subtype. However, its biological and functional effect mediated through the angiotensin II type 2 receptor subtype is still unclear. Activation of the angiotensin II type 2 receptors has been postulated to oppose angiotensin II type 1 receptor mediated actions and thus attenuate fibrosis. This study aimed to elucidate the reno-protective role of the novel selective angiotensin II type 2 receptor agonist. Compound 21, in an experimental model of type 1 diabetic nephropathy. Compound 21 treatment significantly attenuated diabetes mellitus induced elevated levels of cystatin C. albuminuria, mesangial expansion, and glounerulosclerosis in diabetic mice. Moreover, Compound 21 markedly inhibited the expression of various proteins implicated in oxidative stress, inflammation, and fibrosis, in association with decreased extracellular matrix production. These findings demonstrate that monotherapy of Compound 21 is protective against the progression of experimental diabetic nephropathy by inhibiting renal oxidative stress, inflammation, and fibrosis.
Original languageEnglish
Pages (from-to)1073-U749
Issue number5
Publication statusPublished - May 2015


  • angiotensin II
  • AT2 receptor
  • compound 21
  • diabetic nephropathy
  • kidney

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