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Am J Physiol Renal Physiol (May 27, 2009). doi:10.1152/ajprenal.00145.2009
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Submitted on March 11, 2009
Revised on April 28, 2009
Accepted on May 19, 2009

Hydrogen sulfide ameliorates hyperhomocysteinemia associated chronic renal failure

Utpal Sen1*, Poulami Basu1, Oluwasegun A. Abe1, Srikanth Givvimani1, Neetu Tyagi1, Naira Metreveli1, Karan S. Shah1, John C. Passmore1, and Suresh C. Tyagi2

1 University of Louisville
2 University of Louisville Health Sciences Center

* To whom correspondence should be addressed. E-mail: u0sen001{at}gwise.louisville.edu.

Elevated level of homocysteine (Hcy), known as hyperhomocysteinemia (HHcy), is associated with end-stage renal diseases. Hcy metabolizes in the body to produce hydrogen sulfide (H2S), and studies have demonstrated a protective role of H2S in end-stage organ failure. However, the role of H2S in HHcy associated renal diseases is unclear. The present study was aimed to determine the role of H2S in HHcy associated renal damage. Cystathionine-{beta}-synthase heterozygous {CBS(+/- )} and wild type (WT, C57BL/6J) mice with 2-kidney (2-K) were used in this study and supplemented with or without NaHS (30 µmole/L, H2S donor) in the drinking water. To expedite the HHcy associated glomerular damage uninephrectomized (1-K) CBS(+/- ) and 1-K WT mice were also used with or without NaHS supplementation. Plasma Hcy levels were elevated in CBS(+/-) 2-K, 1-K and WT 1-K mice along with increased proteinuria; whereas, plasma levels of H2S were attenuated in these groups compared to WT 2-K mice. Interestingly, H2S supplementation increased plasma H2S level and normalized the urinary protein secretion in the similar groups of animals as above. Increased activity of MMP-2 and -9, and apoptotic cells were observed in the renal cortical tissues of CBS(+/-) 2-K, 1-K and WT 1-K mice; however, H2S prevented apoptotic cell death and normalized increased MMPs activities. Increased expression of desmin and down regulation of nephrin in the cortical tissue of CBS(+/-) 2-K, 1-K and WT 1-K mice were ameliorated with H2S supplementation. Additionally, in the kidney tissues of CBS(+/-) 2-K, 1-K and WT 1-K mice increased superoxide (O2•-) production and reduced glutathione (GSH)-to-oxidized glutathione (GSSH) ratio were normalized with exogenous H2S supplementation. These results demonstrate that HHcy associated renal damage is related to decreased endogenous H2S generation in the body. Additionally, here we demonstrate with evidence that H2S supplementation prevents HHcy-associated renal damage, in part, through its antioxidant properties.







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