Department of Biochemistry, Hebei Medical University, Hebei Province, PR China.
J Nephrol. 2009 Nov-Dec;22(6):800-8.
Oxidative stress plays a crucial role in chronic complications of diabetes such as diabetic nephropathy (DN), the main cause of renal failure. In diabetes, whether peroxynitrite (ONOO(-)), generated from inducible nitric oxide synthase (iNOS) induced by tumor necrosis factor alpha (TNF-alpha), plays a primary role in the pathogenesis of glomerular lesion is not yet fully known. This study was designed to investigate the role of exaggerated ONOO(-) in glomerular lesions of diabetic rats.
Diabetes was induced in Sprague Dawley rats by an intraperitoneal injection of streptozocin, and aminoguanidine was used as selective inhibitor of iNOS. The iNOS transcription and protein distribution and content in rat glomeruli were detected. Nitrotyrosine (NT), a specific marker of ONOO(-), was measured to represent the distribution and content of ONOO(-) in rat glomeruli. TNF-alpha level and nitric oxide (NO) content were evaluated, and the pathological changes in the rat glomeruli were observed. Biochemical indicators of renal function were also measured.
TNF-alpha level and NO content, iNOS expression and its protein content, and NT content increased significantly, in accordance with the pathological changes of glomerulus and renal dysfunction in the diabetes group. Aminoguanidine was found to inhibit iNOS and then reduce ONOO(-) overformation, attenuating the pathological alterations.
This study clarified clearly that exaggerated ONOO(-) formation, generated from induced iNOS may play a key role in glomerular lesions in diabetic rats.
氧化应激在糖尿病的慢性并发症中起着至关重要的作用,如糖尿病肾病(DN),这是肾衰竭的主要原因。在糖尿病中,由肿瘤坏死因子-α(TNF-α)诱导的诱导型一氧化氮合酶(iNOS)产生的过氧亚硝酸盐(ONOO(-))是否在肾小球病变的发病机制中起主要作用尚不完全清楚。本研究旨在探讨过氧亚硝酸盐(ONOO(-))在糖尿病大鼠肾小球病变中的作用。
通过腹腔注射链脲佐菌素诱导 Sprague Dawley 大鼠糖尿病,并用氨基胍作为 iNOS 的选择性抑制剂。检测大鼠肾小球中 iNOS 的转录和蛋白分布及含量。硝基酪氨酸(NT)是 ONOO(-)的特异性标志物,用于代表大鼠肾小球中 ONOO(-)的分布和含量。评估 TNF-α水平和一氧化氮(NO)含量,并观察大鼠肾小球的病理变化。还测量了肾功能的生化指标。
糖尿病组 TNF-α水平和 NO 含量、iNOS 表达及其蛋白含量、NT 含量均显著升高,与肾小球病理变化和肾功能障碍一致。发现氨基胍能抑制 iNOS,从而减少 ONOO(-)的形成,减轻病理改变。
本研究明确表明,诱导型 iNOS 产生的过氧亚硝酸盐(ONOO(-))的过度形成可能在糖尿病大鼠肾小球病变中起关键作用。