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Am J Physiol Renal Physiol 278: F667-F675, 2000;
0363-6127/00 $5.00
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Vol. 278, Issue 4, F667-F675, April 2000

Etomoxir-induced PPARalpha -modulated enzymes protect during acute renal failure

Didier Portilla1, Gonghe Dai1, Jeffrey M. Peters3, Frank J. Gonzalez3, Mark D. Crew4, and Alan D. Proia2

1 Division of Nephrology, Department of Internal Medicine, University of Arkansas for Medical Sciences and John McClellan Memorial Veterans Hospital, Little Rock, Arkansas 72205; 2 Department of Pathology, Duke University Medical Center Durham, North Carolina 27710; 3 Laboratory of Metabolism, National Cancer Institute, Bethesda, Maryland 20892; and 4 Department of Geriatrics, University of Arkansas for Medical Sciences and John McClellan Memorial Veterans Hospital, Little Rock, Arkansas 72205

Regulation of fatty acid beta -oxidation (FAO) represents an important mechanism for a sustained balance of energy production/utilization in kidney tissue. To examine the role of stimulated FAO during ischemia, Etomoxir (Eto), clofibrate, and WY-14,643 compounds were given 5 days prior to the induction of ischemia/reperfusion (I/R) injury. Compared with rats administered vehicle, Eto-, clofibrate-, and WY-treated rats had lower blood urea nitrogen and serum creatinines following I/R injury. Histological analysis confirmed a significant amelioration of acute tubular necrosis. I/R injury led to a threefold reduction of mRNA and protein levels of acyl CoA oxidase (AOX) and cytochrome P4A1, as well as twofold inhibition of their enzymatic activities. Eto treatment prevented the reduction of mRNA and protein levels and the inhibition of the enzymatic activities of these two peroxisome proliferator-activated receptor-alpha (PPARalpha ) target genes during I/R injury. PPARalpha null mice subjected to I/R injury demonstrated significantly enhanced cortical necrosis and worse kidney function compared with wild-type controls. These results suggest that upregulation of PPARalpha -modulated FAO genes has an important role in the observed cytoprotection during I/R injury.

carnitine palmitoyltransferase; fatty acid oxidation; ischemia/reperfusion


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