Kidney Research Center, 48432Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Urology, Sina Hospital, 48432Tabriz University of Medical Sciences, Tabriz, Iran.
Hum Exp Toxicol. 2021 Aug;40(8):1263-1273. doi: 10.1177/0960327121993224. Epub 2021 Feb 9.
Renal ischemia-reperfusion (IR) injury is one of the main leading causes of acute kidney injury associated with inflammation, oxidative stress and cell apoptosis. We studied the effects of prazosin, as a specific blocker of α1-AR, on renal IR injury.
Rats were divided into normal control; untreated IR and prazosin-treated IR (1 mg/kg body weight). Prazosin was administered by intraperitoneal injection 30 min prior to IR induction. The level of urea/creatinine and oxidative factors were detected by colorimetric methods. Apoptosis-associated factors, inflammatory, and signaling proteins were analyzed in renal tissue. The abnormalities of renal histopathology were detected by immunohistochemistry.
Administration of prazosin to IR rats ameliorated serum urea and creatinine and IR-induced histopathological damages. Lipid peroxidation was significantly improved after treatment by prazosin in IR injury rats, however, antioxidant status was not affected. Rats subjected to IR injury activated Bax protein and NF-κB mediated inflammatory response. Moreover, treatment with prazosin inhibited renal NF-κB activation, resulting in a significant decline in pro-inflammatory cytokine of IL-6.
These findings suggest that prazosin could be a good candidate to attenuate renal IR injury due to its ability to modulate renal function, apoptosis and inflammation.
肾缺血再灌注(IR)损伤是与炎症、氧化应激和细胞凋亡相关的急性肾损伤的主要原因之一。我们研究了哌唑嗪作为α1-AR 特异性阻滞剂对肾 IR 损伤的作用。
大鼠分为正常对照组、未治疗的 IR 组和哌唑嗪治疗的 IR 组(1mg/kg 体重)。哌唑嗪在 IR 诱导前 30 分钟通过腹腔注射给药。通过比色法检测尿素/肌酐和氧化因子的水平。分析肾组织中与细胞凋亡相关的因子、炎症和信号蛋白。通过免疫组织化学检测肾组织病理异常。
给予 IR 大鼠哌唑嗪可改善血清尿素和肌酐水平,并减轻 IR 引起的组织病理学损伤。哌唑嗪治疗可显著改善 IR 损伤大鼠的脂质过氧化,但对抗氧化状态无影响。IR 损伤大鼠激活 Bax 蛋白和 NF-κB 介导的炎症反应。此外,哌唑嗪治疗抑制了肾 NF-κB 的激活,导致促炎细胞因子 IL-6 的显著下降。
这些发现表明,哌唑嗪可能是一种通过调节肾功能、细胞凋亡和炎症来减轻肾 IR 损伤的候选药物。