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在大鼠缺血性急性肾衰竭中,通过上调肾小管CAT-2 mRNA增强L-精氨酸转运。

L-Arginine transport is augmented through up-regulation of tubular CAT-2 mRNA in ischemic acute renal failure in rats.

作者信息

Schwartz Idit F, Schwartz Doron, Traskonov Marina, Chernichovsky Tamara, Wollman Yoram, Gnessin Ehud, Topilsky Ian, Levo Yoram, Iaina Adrian

机构信息

The Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.

出版信息

Kidney Int. 2002 Nov;62(5):1700-6. doi: 10.1046/j.1523-1755.2002.t01-1-00622.x.

Abstract

BACKGROUND

Ischemic acute renal failure (iARF) is associated with increased nitric oxide (NO) production during the reperfusion period, as endothelial nitric oxide synthase (eNOS) is maximally activated, and renal tubular inducible NOS (iNOS) is stimulated. Increased NO production leads to augmented tubular injury, probably through the formation of peroxynitrite. l-Arginine (l-Arg), the only precursor for NO, is transported into cells by cationic amino acid transporters, CAT-1 and CAT-2. We hypothesized that the increased NO production observed in iARF may result from increased l-Arg uptake, which would be reflected in the augmented expression of l-Arg transporter(s).

METHODS

Ischemic acute renal failure was induced in rats by right nephrectomy + left renal artery clamping for 60 minutes. l-Arg uptake was examined in freshly harvested glomeruli and tubuli from control, sham operated, and animals subjected to 15, 30, and 60 minutes, and 24 hours of reperfusion, following 60 minutes of ischemia. Using RT-PCR, renal tissues were examined further for the expression of iNOS, CAT-1, CAT-2, arginase I and arginase II.

RESULTS

Tubular expression of iNOS mRNA was initiated by ischemia, continued to increase after 60 minutes of reperfusion, and decreased after 24 hours. l-Arg transport into glomeruli was similar in all experimental groups. l-Arg uptake into tubuli was markedly augmented following the 60-minute reperfusion, while it moderately increased after 24 hours of reperfusion. This was accompanied by a parallel, preferential increase in tubular CAT-2 mRNA expression at 60 minutes of reperfusion. CAT-1 mRNA expression was unchanged, as detected by RT-PCR. In addition, the expression of arginase II and arginase I mRNA was attenuated by 30 minutes and one hour of reperfusion, and returned to baseline values after 24 hours of reperfusion.

CONCLUSIONS

Ischemic ARF is associated with augmented tubular CAT-2 mRNA expression, which leads to enhanced l-Arg transport and increased NO production. This may contribute to the renal injury exhibited in iARF.

摘要

背景

缺血性急性肾衰竭(iARF)与再灌注期一氧化氮(NO)生成增加有关,因为内皮型一氧化氮合酶(eNOS)被最大程度激活,且肾小管诱导型一氧化氮合酶(iNOS)受到刺激。NO生成增加可能通过过氧亚硝酸盐的形成导致肾小管损伤加剧。L-精氨酸(L-Arg)是NO的唯一前体,通过阳离子氨基酸转运体CAT-1和CAT-2转运进入细胞。我们推测iARF中观察到的NO生成增加可能是由于L-Arg摄取增加所致,这将反映在L-Arg转运体表达增强上。

方法

通过右肾切除+左肾动脉夹闭60分钟诱导大鼠缺血性急性肾衰竭。在缺血60分钟后,对来自对照组、假手术组以及经历15、30和60分钟及24小时再灌注的动物的新鲜收获的肾小球和肾小管进行L-Arg摄取检测。使用逆转录聚合酶链反应(RT-PCR)进一步检测肾组织中iNOS、CAT-1、CAT-2、精氨酸酶I和精氨酸酶II的表达。

结果

iNOS mRNA的肾小管表达在缺血时开始,再灌注60分钟后持续增加,24小时后下降。所有实验组中L-Arg向肾小球的转运相似。再灌注60分钟后,L-Arg向肾小管的摄取显著增加,而在再灌注24小时后适度增加。这伴随着再灌注60分钟时肾小管CAT-2 mRNA表达平行且优先增加。RT-PCR检测显示CAT-1 mRNA表达未改变。此外,再灌注30分钟和1小时后精氨酸酶II和精氨酸酶I mRNA的表达减弱,再灌注24小时后恢复到基线值。

结论

缺血性急性肾衰竭与肾小管CAT-2 mRNA表达增加有关,这导致L-Arg转运增强和NO生成增加。这可能是iARF中肾损伤的原因之一。

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