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Effects of captopril,telmisartan and bardoxolone methyl (CDDO‐Me) in ischemia‐reperfusion‐induced acute kidney injury in rats: an experimental comparative study
Authors:Cengiz Kocak  Fatma Emel Kocak  Raziye Akcilar  Zeynep Bayat  Bekir Aras  Mehmet Huseyin Metineren  Mehmet Yucel  Hasan Simsek
Affiliation:1. Department of Pathology, Faculty of Medicine, Dumlupinar University, Kutahya, Turkey;2. Department of Medical Biochemistry, Faculty of Medicine, Dumlupinar University, Kutahya, Turkey;3. Department of Physiology, Faculty of Medicine, Dumlupinar University, Kutahya, Turkey;4. Department of Biochemistry, Faculty of Art and Science, Dumlupinar University, Kutahya, Turkey;5. Department of Urology, Faculty of Medicine, Dumlupinar University, Kutahya, Turkey
Abstract:Renal ischemia‐reperfusion (IR) injury is one of the most common causes of acute kidney injury. This study investigated the effects of captopril (CAP), telmisartan (TEL) and bardoxolone methyl (BM) in animals with renal IR injury. Adult male Wistar–Albino rats were divided into six groups: control, vehicle, IR, IR with CAP, IR with TEL and IR with BM. Before IR was induced, drugs were administered by oral gavage. After a 60‐min ischemia and a 120‐min reperfusion period, bilateral nephrectomies were performed. Serum urea, creatinine, neutrophil gelatinase‐associated lipocalin (NGAL) levels, tissue total oxidant status (TOS), total antioxidant status (TAS), total thiol (TT), asymmetric dimethylarginine (ADMA) levels, superoxide dismutase (SOD) activity and glutathione peroxidase (GSH‐Px) activity were measured. Tissue mRNA expression levels of peroxisome proliferator‐activated receptor‐? (PPAR‐?), nuclear factor erythroid 2‐related factor 2 (Nrf2) and nuclear factor kappa‐light‐chain‐enhancer of activated B cells (NF‐κB) were analyzed. In addition, renal tissues were evaluated histopathologically and immunohistochemically. All tested drugs reduced renal damage, apoptosis, urea, creatinine, NGAL, TOS, nitric oxide (NO) and ADMA levels, NF‐κB, inducible nitric oxide synthase (iNOS) and endothelin‐1 (ET‐1) expressions (P < 0.001). All tested drugs increased SOD activity, GSH‐Px activity, TAS levels, TT levels, endothelial nitric oxide synthase (eNOS) expression, dimethylarginine dimethylaminohydrolases (DDAHs) expression, Nrf2 expression and PPAR‐? expression (< 0.001, < 0.003). These results suggest that CAP, TEL and BM pretreatment could reduce renal IR injury via anti‐inflammatory, antioxidant and anti‐apoptotic effects.
Keywords:acute kidney injury  bardoxolone methyl  captopril  CDDO methyl ester  ischemia‐reperfusion  kidney  telmisartan
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