The beneficial effect of 2'-deoxycoformycin in renal ischemia-reperfusion is mediated both by preservation of tissue ATP and inhibition of lipid peroxidation.

M V Bor, O Durmuş, A Bilgihan, C Cevik, N Türközkan
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引用次数: 20

Abstract

Renal ischemia injures the renal tubular cell by disrupting the vital cellular metabolic machinery. Further cell damage is caused when the blood flow is restored by oxygen free radicals that are generated from xanthine oxidase. Oxygen radicals cause lipid peroxidation of cell and organelle membranes, disrupting the structural integrity and capacity for cell transport and energy metabolism. In the present study, the possible therapeutic usefulness of the adenosine deaminase inhibitor, 2'-deoxycoformycin (DCF), during renal ischemia and reperfusion injury was investigated. The effects of DCF on renal malondialdehyde (MDA) and ATP levels were studied after 45 min ischemia and 15 min subsequent reperfusion in rat kidneys. MDA levels remained unchanged during ischemia, but increased after the subsequent reperfusion. DCF pretreatment (2.0 mg/kg i.m.) decreased MDA and increased ATP levels during the ischemia-reperfusion period. DCF exerts a dual protective action by facilitating purine salvage for ATP synthesis and inhibiting oxygen radical-induced lipid peroxidation. These results suggest that DCF therapy could be beneficial in the treatment of ischemia-reperfusion renal injuries.

2'-脱氧仿甲霉素在肾缺血再灌注中的有益作用是通过保存组织ATP和抑制脂质过氧化作用介导的。
肾缺血通过破坏重要的细胞代谢机制来损伤肾小管细胞。当黄嘌呤氧化酶产生的氧自由基恢复血流时,进一步的细胞损伤就会引起。氧自由基引起细胞和细胞器膜脂质过氧化,破坏结构完整性和细胞运输和能量代谢的能力。在本研究中,研究了腺苷脱氨酶抑制剂2'-脱氧科福霉素(DCF)在肾缺血再灌注损伤中的治疗作用。研究了DCF对大鼠肾脏缺血45 min和再灌注15 min后丙二醛(MDA)和ATP水平的影响。缺血时MDA水平保持不变,再灌注后升高。DCF预处理(2.0 mg/kg i.m)在缺血-再灌注期间降低MDA水平,增加ATP水平。DCF发挥双重保护作用,促进嘌呤的ATP合成和抑制氧自由基诱导的脂质过氧化。这些结果提示DCF治疗可能有利于肾缺血再灌注损伤的治疗。
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