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* The William Harvey Research Institute, St. Bartholomews and the Royal London School of Medicine and Dentistry, London, EC1M 6BQ, U.K.;
Institute of Pharmacology, University of Messina, Messina 98123, Italy; and
Institute of Pathology, University of Mainz, D-55101 Mainz, Germany
1Correspondence: The William Harvey Research Institute, St. Bartholomews and the Royal London School of Medicine and Dentistry, Charterhouse Square, London, EC1M 6BQ, U.K. E-mail: p.k.chatterjee{at}mds.qmw.ac.uk
The activation of poly (ADP-ribose) synthetase (PARS) subsequent to DNA damage caused by reactive oxygen or nitrogen species has been implicated in several pathophysiological conditions, including ischemia-reperfusion injury and shock. The aim of this study was to investigate whether PARS inhibitors could provide protection against renal ischemia-reperfusion injury in the rat in vivo. Male Wistar rats were subjected to 45 min bilateral clamping of the renal pedicles, followed by 6 h reperfusion (control animals). Animals were administered the PARS inhibitors 3-aminobenzamide, 1,5-dihydroxyisoquinoline, or nicotinamide during the reperfusion period. Ischemia, followed by reperfusion, produced significant increases in plasma concentrations of urea, creatinine, and fractional excretion of Na+ (FENa) and produced a significant reduction in glomerular filtration rate (GFR). However, administration of the PARS inhibitors significantly reduced urea and creatinine concentrations, suggesting improved renal function. The PARS inhibitors also significantly increased GFR and reduced FENa, suggesting the recovery of both glomerular and tubular function, respectively, with a more pronounced recovery of tubular function. In kidneys from control animals, histological examination revealed severe renal damage and immunohistochemical localization demonstrated PARS activation in the proximal tubule. Both renal damage and PARS activation were attenuated by administration of PARS inhibitors during reperfusion. Therefore, we propose that PARS activation contributes to renal reperfusion injury and that PARS inhibitors may be beneficial in renal disorders associated with oxidative stress-mediated injury.Chatterjee, P. K., Zacharowski, K., Cuzzocrea, S., Otto, M., Thiemermann, C. Inhibitors of poly (ADP-ribose) synthetase reduce renal ischemia-reperfusion injury in the anesthetized rat in vivo.
Key Words: kidney proximal tubule reactive oxygen species reperfusion injury poly (ADP-ribose) synthetase inhibitors
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