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1 Yeungnam University
2 University of California, Irvine
3 Investigaciones Biomedicas
4 University of California, Irvine Medical Center
* To whom correspondence should be addressed. E-mail: ndvaziri{at}uci.edu.
Significant reduction of renal mass causes progressive deterioration of renal function and structure which is mediated by systemic and glomerular hypertension, hyperfiltration, oxidative stress, inflammation and dyslipidemia. Niacin is known to improve lipid metabolism and exert antioxidant/anti-inflammatory actions. Therefore, we considered that niacin supplementation may attenuate oxidative stress, inflammation and tissue injury in the remnant kidney. To this end, 5/6 nephrectomized (CKD), rats were randomly assigned to niacin-treated (50 mg/Kg/day in drinking water for 12 weeks) and untreated groups. Sham-operated rats served as controls. The untreated CKD rats exhibited azotemia, hypertension, hypertriglyceridemia, proteinuria, glomerulosclerosis, tubulo-interstitial damage, up-regulations of MCP-1, PAI-1, TGF
, COX-1, COX-2 and NAD(P)H oxidase (NOX-4, gp91phox, p47phox and p22phox subunits) and activation of NF
B (IKB phosphorylation). Niacin administration reduced MCP-1, PAI-1, TGF
, p47phox, p22phox , COX-1, and NF
B activation, ameliorated hypertension, proteinuria, glomerulosclerosis and tubulo-interstitial injury. Although niacin lowered serum creatinine and raised creatinine clearance, the differences did not reach statistical significance. Thus, niacin supplementation helps to attenuate histological injury and mitigate up-regulation of oxidative and inflammatory systems in the remnant kidney.
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W. S. An, H. J. Kim, K.-H. Cho, and N. D. Vaziri Omega-3 fatty acid supplementation attenuates oxidative stress, inflammation, and tubulointerstitial fibrosis in the remnant kidney Am J Physiol Renal Physiol, October 1, 2009; 297(4): F895 - F903. [Abstract] [Full Text] [PDF] |
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