Erdely Aaron, Wagner Laszlo, Muller Veronica, Szabo Attila, Baylis Chris
Department of Physiology, West Virginia University, Morgantown, West Virginia 26506-9229, USA.
J Am Soc Nephrol. 2003 Oct;14(10):2526-33. doi: 10.1097/01.asn.0000086476.48686.7d.
Wistar Furth (WF) rats do not develop renal injury after severe reduction of renal mass. Because clinical and animal studies suggested that nitric oxide (NO) deficiency occurs and may contribute to chronic renal disease (CRD), the status of the NO system in WF versus Sprague Dawley (SD) rats was examined with the 5/6 renal ablation/infarction (A/I) model of CRD. Eleven weeks after A/I, SD rats developed proteinuria, severe kidney damage, decreased renal function, and marked decreases in total and renal NO synthase (NOS), specifically neuronal NOS. In contrast, WF rats exhibited elevated baseline and maintained post-A/I total NO production, with no decrease in renal cortex NOS activity despite a decrease in remnant neuronal NOS abundance. When low-dose chronic Nomega-nitro-L-arginine methyl ester treatment was added for WF A/I-treated rats, rapid progression of CRD was observed. In conclusion, elevated NO production in WF rats was associated with protection from the progression of CRD after renal mass reduction. The protection might be attributable to greater total and renal NO-generating capacity and increased nephron number, compared with SD rats. NOS inhibition rendered WF rats susceptible to progression, suggesting a possible critical threshold for NO production, below which renal injury occurs.
Wistar Furth(WF)大鼠在肾脏质量严重减少后不会发生肾损伤。由于临床和动物研究表明一氧化氮(NO)缺乏会发生且可能导致慢性肾病(CRD),因此采用CRD的5/6肾切除/梗死(A/I)模型研究了WF大鼠与Sprague Dawley(SD)大鼠中NO系统的状态。A/I后11周,SD大鼠出现蛋白尿、严重肾损伤、肾功能下降,总一氧化氮合酶(NOS)和肾NOS显著降低,特别是神经元型NOS。相比之下,WF大鼠的基线水平升高,A/I后总NO生成量维持不变,尽管残余神经元型NOS丰度降低,但肾皮质NOS活性并未降低。当对接受A/I治疗的WF大鼠添加低剂量慢性Nω-硝基-L-精氨酸甲酯治疗时,观察到CRD迅速进展。总之,WF大鼠中NO生成量增加与肾质量减少后CRD进展的保护作用相关。与SD大鼠相比,这种保护作用可能归因于更高的总NO生成能力和肾NO生成能力以及肾单位数量增加。NOS抑制使WF大鼠易发生疾病进展,提示NO生成可能存在一个关键阈值,低于该阈值会发生肾损伤。