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Am J Physiol Renal Physiol 297: F461-F470, 2009. First published May 20, 2009; doi:10.1152/ajprenal.90735.2008
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Reactive oxygen species/oxidative stress contributes to progression of kidney fibrosis following transient ischemic injury in mice

Jinu Kim, Young Mi Seok, Kyong-Jin Jung, and Kwon Moo Park

Department of Anatomy and BK 21 Project, Kyungpook National University School of Medicine, Daegu, Republic of Korea

Submitted 8 December 2008 ; accepted in final form 15 May 2009

Recently, kidney fibrosis following transplantation has become recognized as a main contributor of chronic allograft nephropathy. In transplantation, transient ischemia is an inescapable event. Reactive oxygen species (ROS) play a critical role in ischemia and reperfusion (I/R)-induced acute kidney injury, as well as progression of fibrosis in various diseases such as hypertension, diabetes, and ureteral obstruction. However, a role of ROS/oxidative stress in chronic kidney fibrosis following I/R injury remains to be defined. In this study, we investigated the involvement of ROS/oxidative stress in kidney fibrosis following kidney I/R in mice. Mice were subjected to 30 min of bilateral kidney ischemia followed by reperfusion on day 0 and then administered with either manganese (III) tetrakis(1-methyl-4-pyridyl) porphyrin (MnTMPyP, 5 mg/kg body wt ip), a cell permeable superoxide dismutase (SOD) mimetic, or 0.9% saline (vehicle) beginning at 48 h after I/R for 14 days. I/R significantly increased interstitial extension, collagen deposition, apoptosis of tubular epithelial cells, nitrotyrosine expression, hydrogen peroxide production, and lipid peroxidation and decreased copper-zinc SOD, manganese SOD, and glucose 6-phosphate dehydrogenase activities in the kidneys 16 days after the procedure. MnTMPyP administration minimized these postischemic changes. In addition, MnTMPyP administration significantly attenuated the increases of {alpha}-smooth muscle actin, PCNA, S100A4, CD68, and heat shock protein 47 expression following I/R. We concluded that kidney fibrosis develops chronically following I/R injury, and this process is associated with the increase of ROS/oxidative stress.

interstitial fibrosis; ischemia-reperfusion; superoxide; {alpha}-smooth muscle actin; manganese(III) tetrakis(1-methyl-4-pyridyl) porphyrin



Address for reprint requests and other correspondence: K. M. Park, Dept. of Anatomy, Kyungpook National Univ. School of Medicine, 101 Dongindong-2ga, Junggu, Daegu, 700-422, Republic of Korea (e-mail: kmpark{at}knu.ac.kr)







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