The protective role of N-acetylcysteine in an experimental renal ischemia-reperfusion model on…

The protective role of N-acetylcysteine in an experimental renal ischemia-reperfusion model on…

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Article_Title: The protective role of N-acetylcysteine in an experimental renal ischemia-reperfusion model on Wistar rats
Authors: Melania AIRIZER*, Remus MOLDOVAN, Nicoleta DECEA, Adriana MURESAN, Mirela GHERMAN CAPRIOARA
Affiliation: University of Medicine and Pharmacy ”Iuliu Hatieganu”, Cluj-Napoca, Romania
Abstract: Many studies have demonstrated that oxidative stress plays an important role in ischemic acute renal failure. The aim of the present study was to investigate the effects of N Acetyl-cystein (ACC) on renal function and the oxidative stress in a rat model of renal ischemia-reperfusion (IR) injury. Histological analysis of kidney tissue was performed. Renal IR was performed by clamping the unilateral renal artery for 20 min followed by 24 h of reperfusion. ACC was administered 72, 24 and 3h prior to IR and the same dose was given 3 h, 24 and 72 h after IR. Treatment groups were: control group, IR group and IR-ACC group. Renal function was assessed by measuring plasma creatinine on days 1, 3 and 7 after IR. Malondialdehyde (MDA) was measured on days 1, 3, 7 after IR. Superoxide dismutase (SOD), catalase and gluthatione were measured as antioxidative markers. IR produced elevated levels of MDA and increased creatinine compared with control group (p<0.05). SOD and catalase levels were lower in IR compared with control group. ACC reduced elevated levels of MDA, increased SOD, catalase and gluthatione levels (P<0.05) and attenuated renal dysfunction. These results demonstrate the antioxidant effect of ACC in attenuating renal IR injury.
Keywords: ischemia reperfusion model, acetylcystein, oxidative stress, creatinine, histological analysis
References: Birck R, Krzossok S, Markowetz F et al. Acetylcysteine for prevention of contrast nephropathy: meta-analysis. Lancet 2003; 362: pp. 598–603
DiMari J, Megyesi J, Udvarhelyi N, Price P, Davis R, Safirstein R. N-acetyl cysteine ameliorates ischemic renal failure. Am J Physiol Renal Physiol 1997; p. 272: F292–F298
Himmelfarb J, McMonagle E, Freedman S et al. Oxidative stress is increased in critically ill patients with acute renal failure. J Am Soc Nephrol 2004; 15: pp. 2449–2456
Hoffmann U, Fischereder M, Kruger B, Drobnik W, Kramer BK. The value of N-acetylcysteine in the prevention of radiocontrast agent-induced nephropathy seems questionable. J Am Soc Nephrol 2004
Jan Galle. Oxidative stress in chronic renal failure Nephrol. Dial. Transplant., Nov 2001; 16: pp. 2135 – 2137.
Nath KA, Norby SM. Reactive oxygen species and acute renal failure. Am J Med 2000; 109: pp. 665–678
Nicoletta Nitescu, Elisabeth Grimberg , Sven-Erik Ricksten , Gregor Guron .Effects Of N-Acetyl-L-Cysteine on renal haemodynamics and function in early ischaemia–reperfusion injury in rats. Clinical And Experimental Pharmacology And Physiology, Volume 33 Issue 1-2, pp. 53-57
Schrier RW, Wang W, Poole B, Mitra A. Acute renal failure: definitions, diagnosis, pathogenesis, and therapy. J Clin Invest 2004; 114: pp. 5–14
Slusser SO, Grotyohann LW, Martin LF, Scaduto RC Jr. Glutathione catabolism by the ischaemic rat kidney. Am J Physiol Renal Physiol 1990
Victor Paromov, Min Qui, Hongsong Yang, Milton Smith, and William L Stone. The influence of N-acetyl-L-cysteine on oxidative stress and nitric oxide synthesis in stimulated macrophages treated with a mustard gas analogue. BMC Cell Biol. 2008; 9: p. 33.
Zhu J, Yin R, Shao H, Dong G, Luo L, Jing H.N-acetylcysteine to ameliorate acute renal injury in a rat cardiopulmonary bypass model. J Thorac Cardiovasc Surg. 2007 Mar;133(3): pp. 696-703.
Read_full_article: pdf/20-2010/20-1-2010/SU20-1-10Airizer.pdf
Correspondence: Melania Airizer, University of Medicine” Iuliu Hatieganu”,Nephrology Clinic, Cluj Napoca, no. 3-5 Clinicilor St., Fax+40-264-592202, email: melania_airizer@yahoo.com

Read full article
Article Title: The protective role of N-acetylcysteine in an experimental renal ischemia-reperfusion model on Wistar rats
Authors: Melania AIRIZER*, Remus MOLDOVAN, Nicoleta DECEA, Adriana MURESAN, Mirela GHERMAN CAPRIOARA
Affiliation: University of Medicine and Pharmacy ”Iuliu Hatieganu”, Cluj-Napoca, Romania
Abstract: Many studies have demonstrated that oxidative stress plays an important role in ischemic acute renal failure. The aim of the present study was to investigate the effects of N Acetyl-cystein (ACC) on renal function and the oxidative stress in a rat model of renal ischemia-reperfusion (IR) injury. Histological analysis of kidney tissue was performed. Renal IR was performed by clamping the unilateral renal artery for 20 min followed by 24 h of reperfusion. ACC was administered 72, 24 and 3h prior to IR and the same dose was given 3 h, 24 and 72 h after IR. Treatment groups were: control group, IR group and IR-ACC group. Renal function was assessed by measuring plasma creatinine on days 1, 3 and 7 after IR. Malondialdehyde (MDA) was measured on days 1, 3, 7 after IR. Superoxide dismutase (SOD), catalase and gluthatione were measured as antioxidative markers. IR produced elevated levels of MDA and increased creatinine compared with control group (p<0.05). SOD and catalase levels were lower in IR compared with control group. ACC reduced elevated levels of MDA, increased SOD, catalase and gluthatione levels (P<0.05) and attenuated renal dysfunction. These results demonstrate the antioxidant effect of ACC in attenuating renal IR injury.
Keywords: ischemia reperfusion model, acetylcystein, oxidative stress, creatinine, histological analysis
References: Birck R, Krzossok S, Markowetz F et al. Acetylcysteine for prevention of contrast nephropathy: meta-analysis. Lancet 2003; 362: pp. 598–603
DiMari J, Megyesi J, Udvarhelyi N, Price P, Davis R, Safirstein R. N-acetyl cysteine ameliorates ischemic renal failure. Am J Physiol Renal Physiol 1997; p. 272: F292–F298
Himmelfarb J, McMonagle E, Freedman S et al. Oxidative stress is increased in critically ill patients with acute renal failure. J Am Soc Nephrol 2004; 15: pp. 2449–2456
Hoffmann U, Fischereder M, Kruger B, Drobnik W, Kramer BK. The value of N-acetylcysteine in the prevention of radiocontrast agent-induced nephropathy seems questionable. J Am Soc Nephrol 2004
Jan Galle. Oxidative stress in chronic renal failure Nephrol. Dial. Transplant., Nov 2001; 16: pp. 2135 – 2137.
Nath KA, Norby SM. Reactive oxygen species and acute renal failure. Am J Med 2000; 109: pp. 665–678
Nicoletta Nitescu, Elisabeth Grimberg , Sven-Erik Ricksten , Gregor Guron .Effects Of N-Acetyl-L-Cysteine on renal haemodynamics and function in early ischaemia–reperfusion injury in rats. Clinical And Experimental Pharmacology And Physiology, Volume 33 Issue 1-2, pp. 53-57
Schrier RW, Wang W, Poole B, Mitra A. Acute renal failure: definitions, diagnosis, pathogenesis, and therapy. J Clin Invest 2004; 114: pp. 5–14
Slusser SO, Grotyohann LW, Martin LF, Scaduto RC Jr. Glutathione catabolism by the ischaemic rat kidney. Am J Physiol Renal Physiol 1990
Victor Paromov, Min Qui, Hongsong Yang, Milton Smith, and William L Stone. The influence of N-acetyl-L-cysteine on oxidative stress and nitric oxide synthesis in stimulated macrophages treated with a mustard gas analogue. BMC Cell Biol. 2008; 9: p. 33.
Zhu J, Yin R, Shao H, Dong G, Luo L, Jing H.N-acetylcysteine to ameliorate acute renal injury in a rat cardiopulmonary bypass model. J Thorac Cardiovasc Surg. 2007 Mar;133(3): pp. 696-703.
*Correspondence: Melania Airizer, University of Medicine” Iuliu Hatieganu”,Nephrology Clinic, Cluj Napoca, no. 3-5 Clinicilor St., Fax+40-264-592202, email: melania_airizer@yahoo.com