Abstract
Ischemia-reperfusion injury in rat kidneys most probably comes from oxidative stress, but the possible preventive effect of alpha-tocopherol (AT) treatment on this injury has not yet been established. Forty male Wistar rats were randomly divided into four groups. The left renal arteries of all rats except the controls were clamped to induce renal ischemia. The left kidneys of the rats in the ischemia group were removed following 40 min ischemia. The rats in the ischemia-reperfusion and ischemia-reperfusion-AT groups were treated similarly, but in these groups the renal arteries were re-perfused for 1 h following ischemia. The rats in the ischemia-reperfusion-AT group also received 10 mg/kg AT 3 h prior to ischemia. The specimens were examined histopathologically and ultrastructurally, and the tissue calcium levels were measured. Light microscope and ultrastructural examination showed that the greatest damage occurred in the ischemia-reperfusion group. The highest level of tissue calcium was also found in this group. In the ischemia-reperfusion-AT-treated group, less tissue damage and a lower tissue calcium concentration was found compared to both the ischemia and ischemia-reperfusion groups. Our results indicate that AT can reduce tissue damage after ischemia-reperfusion injury.
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Avunduk AM, Yardimci S, Avunduk MC, Kurnaz L (1999) Cadmium and iron accumulation in rat lens after cigarette smoke exposure and the effect of vitamin E (alpha-tocopherol) treatment. Curr Eye Res 18: 403
Avunduk AM, Yardimci S, Avunduk MC, Kurnaz L, Aydin A, Kockar MC, Delibasi T, Dayanir V (1999) Prevention of lens damage associated with cigarette smoke exposure in rats by alpha-tocopherol (vitamin E) treatment. Invest Ophthalmol Vis Sci 40: 537
Bird JE, Milhoan K, Wilson CB, Young SG, Mundy CA, Parthasarathy S, Blantz RC (1988) Ischemic acute renal failure and antioxidant therapy in the rat. The relation between glomerular and tubular dysfunction. J Clin Invest 81: 1630
Brady HR, Brenner BM, Liebarthus W (1996) Acute renal failure. In: Brenner BM (ed) The kidney. WB Saunders, Philadelphia, p 1200
Brezis M, Shina A, Kidroni G, Epstein FH, Rosen S (1988) Calcium and hypoxic injury in the renal medulla of the perfused rat kidney. Kidney Int 34: 186
Bulkley GB (1978) Free radical-mediated reperfusion injury: a selective review. Br J Cancer 8:66
Cheeseman KH, Slater TF (1993) An introduction to free radical biochemistry, Br Med Bull 49: 481
Cotran RS, Kumar V, Robins SL (1994) Robins pathologic basis of diseases. WB Saunders, Philadelphia, p 1
Dieber-Rotheneder M, Puhl H, Waeg G, Striegl G, Esterbauer H (1991) Effect of oral supplementation with D-alpha-tocopherol on the vitamin E content of human low density lipoproteins and resistance to oxidation. J Lipid Res 32: 1325
Elz JS, Nayler WG (1988) Calcium gain during postischemic reperfusion. The effect of 2,4 dinitrophenol, Am J Pathol 131: 137
Esterbauer H, Dieber-Rotheneder M, Striegl G, Waeg G (1991) Role of vitamin E in preventing the oxidation of low-density lipoprotein. Am J Clin Nutr 53: 314
Fedoruk AS, Gozhenko AI, Rogovyi IE (1998) The protective action of alpha-tocopherol on kidney function and lipid peroxidation in acute hemic hypoxia. Patol Fiziol Eksp Ter 4: 35
Fleck C, Haubold D, Hillmann T, Braunlich H (1997) Influence of vitamin E treatment on glutathione system after renal ischemia in immature and adult rats. Exp Toxicol Pathol 49: 81
Freeman BA, Crapo JD (1982) Biology of disease: free radicals and tissue injury. Lab Invest 47: 412
Fukuhara T (1985) Histochemical, ultrastructural and cytochemical study of reperfusion effect on ischemic myocardial injury. Jpn Circ J 49: 432
Gey KF (1990) The antioxidant hypothesis of cardiovascular disease: epidemiology and mechanisms. Biochem Soc Trans 18: 1041
Green CJ, Healing G, Lunec J, Fuller BJ, Simpkin S (1986) Evidence of free-radical-induced damage in rabbit kidneys after simple hypothermic preservation and autotransplantation. Transplantation 41: 161
Hoshino T, Maley WR, Bulkley GB, Williams GM (1988) Ablation of free radical-mediated reperfusion injury for the salvage of kidneys taken from non-heartbeating donors. A quantitative evaluation of the proportion of injury caused by reperfusion following periods of warm, cold, and combined warm and cold ischemia. Transplantation 45: 284
Novick AC, Streem SB (1998) Surgery of the kidney. In: Walsh PC, Retik AB, Vaughan ED. et al. (eds) Campbell's urology WB Saunders, Philadelphia, p 2973
Jain S, Bicknell GR, Nicholson ML (2000) Molecular changes in extracellular matrix turnover after renal ischaemia-reperfusion injury. Br J Surg 87: 1188
Jain S, Bicknell GR, Nicholson ML (2000) Tacrolimus has less fibrogenic potential than cyclosporin A in a model of renal ischaemia-reperfusion injury. Br J Surg 87: 1563
Jennings RB, Schaper J, Hill ML, Steenbergen CJr, Reimer KA (1985) Effect of reperfusion late in the phase of reversible ischemic injury. Changes in cell volume, electrolytes, metabolites, and ultrastructure. Circ Res 56: 262
Lee SM, Clemens MG (1992) Effect of alpha-tocopherol on hepatic mixed function oxidases in hepatic ischemia/reperfusion. Hepatology 15: 276
Maddaford TG, Hurtado C, Sobrattee S, Czubryt MP, Pierce GN (1999) A model of low-flow ischemia and reperfusion in single, beating adult cardiomyocytes. Am J Physiol Heart Circ Physiol 277: 788
Marubayashi S, Dohi K, Ochi K, Kawasaki T (1986) Role of free radicals in ischemic rat liver cell injury: prevention of damage by alpha-tocopherol administration. Surgery 99: 184
McCord JM (1985) Oxygen-derived free radicals in postischemic tissue injury. N Engl J Med 312: 159
McCord JM, Fridovich I (1978) The biology and pathology of oxygen radicals. Ann Intern Med 89: 122
McCoy CE, Selvaggio AM, Alexander EA, Schwartz JH (1988) Adenosine triphosphate depletion induces a rise in cytosolic free calcium in canine renal epithelial cells. J Clin Invest 82: 1326
Nakamura TY, Goda K, Okamoto T, Kishi T, Nakamura T, Goshima K (1993) Contractile and morphological impairment of cultured fetal mouse myocytes induced by oxygen radicals and oxidants. Correlation with intracellular Ca2+ concentration. Circ Res 73: 758
Nayler WG, Panagiotopoulos S, Elz JS, Daly MJ (1988) Calcium-mediated damage during post-ischaemic-reperfusion. J Mol Cell Cardiol 2: 41
Ouriel K, Smedira NG, Ricotta JJ (1985) Protection of the kidney after temporary ischemia: free radical scavengers. J Vasc Surg 2: 49
Packer L (1991) Protective role of vitamin E in biological systems. Am J Clin Nutr 53: 1050
Paller MS, Hedlund BE (1988) Role of iron in postischemic renal injury in the rat. Kidney Int 34: 474
Paller MS, Neumann TV (1991) Reactive oxygen species and rat renal epithelial cells during hypoxia and reoxygenation. Kidney Int 40: 1041
Paller MS, Hoidal JR, Ferris TF (1984) Oxygen free radicals in ischemic acute renal failure in the rat. J Clin Invest 74: 1156
Paller MS, Nath KA, Rosenberg ME (1993) Heme oxygenase is not expressed as a stress protein after renal ischemia. J Lab Clin Med 122: 341
Paranich AV, Iukhnik OS (1993) Protective effect of vitamin E in total ischemia of isolated organs in rats. Fiziol Zh 39: 97
Rhoden EL Pereira-Lima L, Teloken C, Lucas ML, Bello-Klein A, Rhoden CR (2001) Beneficial effect of alpha-tocopherol in renal ischemia-reperfusion in rats. Jpn J Pharmacol 87: 164
Snowdowne KW, Freudenrich CC, Borle AB (1985) The effects of anoxia on cytosolic free calcium, calcium fluxes, and cellular ATP levels in cultured kidney cells. J Biol Chem 260: 11619
Takenaka M, Tatsukawa Y, Dohi K, Ezaki H, Matsukawa K, Kawasaki T (1981) Protective effects of alpha-tocopherol and coenzyme Q10 on warm ischemic damages of the rat kidney. Transplantation 32: 137
Trump BF, Berezesky IK, Laiho KU, Osornio AR, Mergner WJ, Smith MW (1980) The role of calcium in cell injury. A review. Scanning Electron Microsc 2: 437
Uysal F, Girgin FK, Tuzun S, Aldemir S, Sozmen EY (1988) Effect of vitamin E on antioxidant enzymes and nitric oxide in ischemia-reperfused kidney injury. Biochem Mol Biol Int 44: 1255
Vannucchi H, Jordao Junior AA, Iglesias AC, Morandi MV, Chiarello PG (1997) Effect of different dietary levels of vitamin E on lipid peroxidation in rats. Arch Latinoam Nutr 47: 34
Wilson DR, Arnold PE, Burke TJ, Schrier RW (1984) Mitochondrial calcium accumulation and respiration in ischemic acute renal failure in the rat. Kidney 25: 519
Zurovsky Y, Eligal Z, Grossman S (1995) Unilateral renal ischemia reperfusion in the rat: effect of blood volume trapped in the kidney, sucrose infusion, and antioxidant treatments. Exp Toxicol Pathol 47: 471
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Avunduk, M.C., Yurdakul, T., Erdemli, E. et al. Prevention of renal damage by alpha tocopherol in ischemia and reperfusion models of rats. Urol Res 31, 280–285 (2003). https://doi.org/10.1007/s00240-003-0329-y
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DOI: https://doi.org/10.1007/s00240-003-0329-y