Role of increased oxygen free radical activity in the pathogenesis of uremic hypertension
Autor: | Nosratola D. Vaziri, Fariba Oveisi, Yaoxian Ding |
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Rok vydání: | 1998 |
Předmět: |
Male
medicine.medical_specialty hypertension Antioxidant medicine.medical_treatment Blood Pressure medicine.disease_cause Nitric oxide Rats Sprague-Dawley Superoxide dismutase Excretion chemistry.chemical_compound chronic renal failure nitric oxide Malondialdehyde lazaroid Internal medicine medicine Animals Pregnatrienes Nitrites Uremia arteriosclerosis biology Superoxide Dismutase Superoxide Thiourea Free Radical Scavengers Rats antioxidants Endocrinology chemistry Nephrology Catalase biology.protein Kidney Failure Chronic oxygen free radicals Reactive Oxygen Species Oxidative stress |
Zdroj: | Kidney International. 53:1748-1754 |
ISSN: | 0085-2538 |
DOI: | 10.1046/j.1523-1755.1998.00947.x |
Popis: | Role of increased oxygen free radical activity in the pathogenesis of uremic hypertension. Earlier studies have demonstrated increased oxygen free radical (OFR) activity, diminished antioxidant capacity and reduced OFR-inactivating enzymes in chronic renal failure (CRF). Via inactivation of nitric oxide (NO), oxidation of arachidonic acid and a direct vasoconstrictive action, OFR can potentially raise blood pressure (BP). This study was designed to test the hypothesis that increased OFR activity may contribute to CRF hypertension. Four weeks after 5/6 nephrectomy rats were treated for two weeks with either lazaroid, a potent antioxidant and lipid peroxidation inhibitor (CRF-LZ group), or vehicle alone (CRF group) by daily gastric gavage. The control group was sham operated and placebo treated. The CRF group exhibited significant increases in BP and plasma lipid peroxidation product, malondialdehyde (MDA), indicating enhanced OFR activity. This was accompanied by decreased urinary nitrate/nitrite (NOx) excretion suggesting depressed NO production. LZ therapy normalized plasma MDA and significantly ameliorated CRF-induced hypertension. Both MDA and blood pressure (BP) rose to values seen in the untreated CRF group within two weeks after termination of LZ therapy. Intravenous administration of the hydroxyl radical scavenger, dimethylthiourea (DMTU), significantly lowered BP and raised urinary NOx excretion. However, no discernible effects were found with either superoxide dismutase or catalase (superoxide and H 2 O 2 quenchers). The results suggest that increased OFR activity is, in part, responsible for CRF-associated HTN. The study further points to hydroxyl radicals as the major source of OFR in CRF animals. If substantiated in humans, antioxidant therapy becomes a logical adjunct in the management of CRF. |
Databáze: | OpenAIRE |
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