Academic Journal

Pretreatment of sildenafil attenuates ischemia-reperfusion renal injury in rats.

Bibliographic Details
Title: Pretreatment of sildenafil attenuates ischemia-reperfusion renal injury in rats.
Authors: Dae Eun Choi, Jin Young Jeong, Beom Jin Lim, Chung, Sarah, Yoon Kyung Chang, Sang Ju Lee, Xi Ryang Na, Seok Young Kim, Young Tai Shin, Kang Wook Lee
Superior Title: American Journal of Physiology: Renal Physiology; Aug2009, Vol. 297, pF362-F370, 9p, 7 Graphs
Subject Terms: SILDENAFIL, ISCHEMIA treatment, TREATMENT of reperfusion injuries, KIDNEY disease treatments, SPRAGUE Dawley rats, NITRIC oxide, PHOSPHORYLATION, THERAPEUTICS
Abstract: Sildenafil was the first selective inhibitor of phosphodiesterase-5 (PDE5) to be widely used for treating erectile dysfunction. Many recent studies have investigated the cardioprotective role of sildenafil in animal models. We evaluated the protective effects of sildenafil in experimental renal ischemia-reperfusion (IR) injury in two studies. In study 1, male Sprague-Dawley rats were divided into four groups: sham, sildenafil-treated sham, vehicle-treated IR, and sildenafil-treated JR groups. In study 2, we divided the rats into two groups: sildenafil-treated JR rats and PD98059 (ERK inhibitor)+sildenafil-treated JR rats. Functional parameters of the kidney were evaluated at the molecular and structural levels. Blood urea nitrogen (BUN) and serum creatinine levels were lower in sildenafil-treated IR rats than in vehicle-treated JR rats. The expression of inducible (iNOS) and endothelial nitric oxide synthase (eNOS) proteins in sildenafil-treated JR rats was significantly higher than in vehicle-treated JR rats. Pretreatment with sildenafil in JR rats increased ERK phosphorylation and reduced the renal Bax/BcI-2 ratio, renal caspase-3 activity, and terminal dUTP nick end-labelingpositive apoptotic cells. In contrast, PD98059 treatment increased BUN and serum creatinine levels and attenuated the sildenafil-induced expression of pERK, iNOS, eNOS, and Bcl-2. PD98059 also increased caspase-3 activity but did not decrease the sildenafil-induced accumulation of cGMP. In conclusion, this study suggests that sildenafil has antiapoptotic effects in experimental JR renal injury via ERK phosphorylation, induction of iNOS and eNOS production, and a decrease in the BaxlBcl-2 ratio. [ABSTRACT FROM AUTHOR]
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Database: Complementary Index
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