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Chronic treatment with tempol does not significantly ameliorate renal tissue hypoxia or disease progression in a rodent model of polycystic kidney disease
Authors:Sharon D Ricardo  Amany Abdelkader  Paul K Witting  Brad RS Broughton  Hyun B Kim  Benjamin F Wyse  Roger G Evans
Affiliation:1. Department of Monash Immunology & Stem Cell Laboratories, Monash University, , Melbourne, Vic., Australia;2. Department of Physiology, Monash University, , Melbourne, Vic., Australia;3. Discipline of Pathology, The University of Sydney, , Sydney, NSW, Australia;4. Department of Pharmacology, Monash University, , Melbourne, Vic., Australia;5. The Australian School of Advanced Medicine, Macquarie University, , Sydney, NSW, Australia
Abstract:
  1. In the present study, we tested whether polycystic kidney disease (PKD) is associated with renal tissue hypoxia and oxidative stress, which, in turn, contribute to the progression of cystic disease and hypertension.
  2. Lewis polycystic kidney (LPK) rats and Lewis control (Lewis) rats were treated with tempol (1 mmol/L in drinking water) from 3 to 13 weeks of age or remained untreated.
  3. The LPK rats developed polyuria, uraemia and proteinuria. At 13 weeks of age, LPK rats had greater mean arterial pressure (1.5‐fold), kidney weight (sixfold) and plasma creatinine (3.5‐fold) than Lewis rats. Kidneys from LPK rats were cystic and fibrotic.
  4. Renal hypoxia was evidenced by staining for pimonidazole adducts and hypoxia‐inducible factor (HIF)‐1α in cells lining renal cysts and upregulation of HIF‐1α and its downstream targets vascular endothelial growth factor (VEGF), glucose transporter‐1 (Glut‐1) and heme oxygenase 1 (HO‐1). However, total HO activity did not differ greatly between kidney tissue from LPK compared with Lewis rats.
  5. Renal oxidative and/or nitrosative stress was evidenced by ninefold greater immunofluorescence for 3‐nitrotyrosine in kidney tissue from LPK compared with Lewis rats and a > 10‐fold upregulation of mRNA for p47phox and gp91phox. Total renal superoxide dismutase (SOD) activity was sevenfold less and expression of SOD1 mRNA was 70% less in kidney tissue from LPK compared with Lewis rats. In LPK rats, tempol treatment reduced immunofluorescence for 3‐nitrotyrosine and HIF1A mRNA while upregulating VEGF and p47phox mRNA expression, but otherwise had little impact on disease progression, renal tissue hypoxia or hypertension.
  6. Our findings do not support the hypothesis that oxidative stress drives hypoxia and disease progression in PKD.
Keywords:heme oxygenase  hypoxia  hypoxia inducible factors  nitrosative stress  nitrotyrosine  oxidative stress  polycystic kidney disease  superoxide dismutase
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