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Am J Physiol Renal Physiol (December 10, 2002). doi:10.1152/ajprenal.00270.2002
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Articles in PresS, published online ahead of print December 10, 2002
Am J Physiol Renal Physiol, 10.1152/ajprenal.00270.2002
Submitted on July 24, 2002
Accepted on December 6, 2002

Arginase inhibition slows the progression of renal failure in rats with renal ablation

Massimo Sabbatini1*, Antonio Pisani1, Francesco Uccello1, Giorgio Fuiano2, Raffaele Alfieri3, Antonio Cesaro1, Bruno Cianciaruso1, and Vittorio E. Andreucci1

1 Department of Nephrology, University Federico II, Naples, Italy
2 Department of Nephrology, University of Catanzaro, Catanzaro, Italy
3 Department of Experimental Medicine, University Federico II, Naples, Italy

* To whom correspondence should be addressed. E-mail: sabbatin{at}unina.it.

Exogenous Arginine slows the progression of chronic renal failure in remnant rats through a nitric-oxide(NO)-dependent mechanism. We tested whether the inhibition of arginase could induce similar results through the increased availability of endogenous Arginine. Three Groups of remnant rats were studied for 8 weeks: 1) untreated rats (Group REM); 2) remnant rats +1% Arginine (Group ARG); 3) remnant rats administered a Mn++-free diet, to inhibit arginase (Group MNF). Normal rats were used as controls (Group NOR). Liver arginase activity was depressed in MNF-rats (-35% vs REM, p<0.01). No difference was detected in metabolic data throughout the study among the Groups; BP was significantly lower in Group MNF vs ARG and REM after 6 weeks (p<0.001). GFR was greatly depressed in REM rats (-47% vs NOR, p<0.03), but resulted higher in Group ARG and MNF (+40 and +43% vs REM, respectively, p<0.05), with comparable changes in renal hemodynamics. Despite the better GFR, proteinuria was decreased both in Group ARG and MNF (-42%, p<0.05, and -57%, p<0.01, respectively, vs Group REM). Arginine plasma levels, significantly reduced in Group REM (-41% vs Group NOR, p<0.01), were partially restored in Group MNF (+38% vs REM), and urinary nitrite excretion, greatly depressed in Group REM (-76% vs NOR, p<0.01), were significantly increased in Group MNF (+209% vs REM, p<0.05). At renal level, arginase activity was only slightly depressed in Group MNF (-18% vs REM), but intrarenal concentrations of Arginine resulted lower in this latter Group (p<0.05 vs other Groups). Beyond the hemodynamic modifications, rats of Group MNF showed a lower glomerular sclerosis index (p<0.05 vs Group REM and ARG). Inhibition of arginase slows the progression of CRF in remnant rats similarly as in arginine-treated rats; the better histological protection in MNF-rats, however, suggests that additional factors are involved in these modifications.




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