J Korean Surg Soc.  2004 Mar;66(3):169-176.

The Effect of Nitric Oxide Donor on the Endogenous Endothelin-1 Expression in Renal Ischemia-Reperfusion Injury

• Jeong GY
• Sung SH
• Kim SY
• Sohn JE
• Lee WJ
• Kim YS
• Chung KY

Abstract

PURPOSE
The balance between nitric oxide (NO) and endothelin-1 (ET-1) production is essential to vascular function in controlling organ perfusion, and an elevated ET-1 in the peritubular capillary network, following renal transplantation, can be associated with renal allograft rejection. The administration of a nitric oxide donor during the preischemic period has been shown to protect the kidneys against an ischemia-reperfusion injury, but the mechanism underlying this therapeutic benefit remains to be completely understood. Our hypothesis is that the early administration of the NO donor, sodium nitroprusside (SNP), may suppress ET-1, and thereby improve the renal function in an ischemia-reperfusion injury. METHODS: Sprague Dawley rats were subjected to 60 minutes of renal warm ischemia, followed by a contralateral nephrectomy. Renal biopsies were performed prior to ischemia and reperfusion, and at 1 and 48 hours after the reperfusion. The animals were divided into 4 groups: a sham group, without warm ischemia, an early SNP group (SNP given before ischemia), a late SNP group (SNP given before reperfusion) and an ischemic control group. The ET-1 expression was assessed by a semiquantitative analysis by immunohistochemical staining with the ET-1 monoclonal antibody and Hematoxylin-Eosin stain. The serum creatinine was measured at 48 hours after the reperfusion. RESULTS: There were significant improvements in all parameters of the early SNP group compared with those in the late SNP and ischemic control groups, but there was no difference between the late SNP and ischemic control groups. CONCLUSION: These data suggest that the early administration of SNP in renal ischemia-reperfusion improves the renal function by suppressing the expression of ET-1.

Keyword

Endothelin-1; Nitric oxide; Renal ischemia-reperfusion

MeSH Terms

Allografts
Animals
Biopsy
Capillaries
Creatinine
Endothelin-1*
Humans
Ischemia
Kidney
Kidney Transplantation
Nephrectomy
Nitric Oxide*
Nitroprusside
Perfusion
Rats, Sprague-Dawley
Reperfusion
Reperfusion Injury*
Tissue Donors*
Warm Ischemia
Creatinine
Endothelin-1
Nitric Oxide
Nitroprusside