Department of Pathophysiology, Medical Faculty, University of Belgrade, 11000 Belgrade, Serbia.
Institute for Medical Research, Department of Cardiovascular Physiology, University of Belgrade, 11129 Belgrade, Serbia.
Int J Mol Sci. 2021 Jan 30;22(3):1382. doi: 10.3390/ijms22031382.
Renal ischemia and reperfusion (I/R) injury is the most common cause of acute kidney injury (AKI). Pathogenesis of postischemic AKI involves hemodynamic changes, oxidative stress, inflammation process, calcium ion overloading, apoptosis and necrosis. Up to date, therapeutic approaches to treat AKI are extremely limited. Thus, the aim of this study was to evaluate the effects of hyperbaric oxygen (HBO) preconditioning on citoprotective enzyme, heme oxygenase-1 (HO-1), pro-apoptotic Bax and anti-apoptotic Bcl-2 proteins expression, in postischemic AKI induced in normotensive Wistar and spontaneously hypertensive rats (SHR). The animals were randomly divided into six experimental groups: SHAM-operated Wistar rats (W-SHAM), Wistar rats with induced postischemic AKI (W-AKI) and Wistar group with HBO preconditioning before AKI induction (W-AKI + HBO). On the other hand, SHR rats were also divided into same three groups: SHR-SHAM, SHR-AKI and SHR-AKI + HBO. We demonstrated that HBO preconditioning upregulated HO-1 and anti-apoptotic Bcl-2 protein expression, in both Wistar and SH rats. In addition, HBO preconditioning improved glomerular filtration rate, supporting by significant increase in creatinine, urea and phosphate clearances in both rat strains. Considering our results, we can also say that even in hypertensive conditions, we can expect protective effects of HBO preconditioning in experimental model of AKI.
肾缺血再灌注(I/R)损伤是急性肾损伤(AKI)最常见的原因。缺血后 AKI 的发病机制涉及血流动力学变化、氧化应激、炎症过程、钙离子超载、细胞凋亡和坏死。迄今为止,治疗 AKI 的方法极为有限。因此,本研究旨在评估高压氧(HBO)预处理对正常血压 Wistar 大鼠和自发性高血压大鼠(SHR)缺血后 AKI 中保护性酶、血红素加氧酶-1(HO-1)、促凋亡 Bax 和抗凋亡 Bcl-2 蛋白表达的影响。动物随机分为六组:假手术 Wistar 大鼠(W-SHAM)、诱导缺血后 AKI 的 Wistar 大鼠(W-AKI)和 AKI 诱导前接受 HBO 预处理的 Wistar 大鼠(W-AKI + HBO)。另一方面,SHR 大鼠也分为三组:SHR-SHAM、SHR-AKI 和 SHR-AKI + HBO。我们证明,HBO 预处理可上调 Wistar 和 SH 大鼠的 HO-1 和抗凋亡 Bcl-2 蛋白表达。此外,HBO 预处理可改善肾小球滤过率,在两种大鼠品系中均显著增加肌酐、尿素和磷酸盐清除率。考虑到我们的结果,我们还可以说,即使在高血压条件下,我们也可以期望 HBO 预处理对 AKI 实验模型具有保护作用。