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SHR Neuro Cancer Cardio Lipid Metab Microb

Sucher, R; Gehwolf, P; Oberhuber, R; Hermann, M; Margreiter, C; Werner, ER; Obrist, P; Schneeberger, S; Ollinger, R; Margreiter, R; Brandacher, G.
Tetrahydrobiopterin protects the kidney from ischemia-reperfusion injury.
Kidney Int. 2010; 77(8):681-9 Doi: 10.1038/ki.2010.7
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Leading authors Med Uni Graz
Sucher Robert
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Abstract:
Tetrahydrobiopterin (BH4) is an essential cofactor for the nitric oxide (NO) synthases and represents a critical determinant of NO production. BH4 depletion during ischemia leads to the uncoupling of the synthases, thus contributing to reperfusion injury due to increased superoxide formation. To examine whether BH4 supplementation attenuates ischemia-reperfusion injury, we clamped the left renal arteries of male Lewis rats immediately following right-side nephrectomy. BH4 tissue levels significantly decreased after 45 min of warm ischemia compared with levels in non-ischemic controls. Histopathology demonstrated significant tubular damage and increased peroxynitrite formation. Intravital fluorescent microscopy found perfusion deficits in the microvasculature and leakage of the capillary mesh. Supplemental BH4 treatment before ischemia significantly reduced ischemia-induced renal dysfunction, and decreased tubular histologic injury scores and peroxynitrite generation. BH4 also significantly improved microcirculatory parameters such as functional capillary density and diameter. These protective effects of BH4 on microvasculature were significantly correlated with its ability to abolish peroxynitrite formation. We suggest that BH4 significantly protects against acute renal failure following ischemia reperfusion. Whether BH4 has a therapeutic potential will require more direct testing in humans.
Find related publications in this database (using NLM MeSH Indexing)
Acute Kidney Injury - pathology
Animals - administration & dosage
Biopterin - analogs & derivatives, pharmacology
Ischemia - pathology, physiopathology
Kidney - drug effects, pathology, physiopathology
Male - administration & dosage
Nephrectomy - administration & dosage
Nitric Oxide Synthase - pharmacology
Peroxynitrous Acid - pharmacology
Rats - administration & dosage
Rats, Inbred Lew - administration & dosage
Renal Artery - drug effects, pathology, physiopathology
Reperfusion Injury - pathology
Superoxides - pharmacology

Find related publications in this database (Keywords)
ischemia reperfusion
ischemic renal failure
kidney transplantation
nitric oxide
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