Related Experiment Video
Updated: Aug 15, 2026

5/6th Nephrectomy in Combination with High Salt Diet and Nitric Oxide Synthase Inhibition to Induce Chronic Kidney Disease in the Lewis Rat
Published on: July 3, 2013
Oxidative and nitrosative stress in kidney disease: a case for cyclosporine A
1Centro de Investigaciones Biologicas (CIB, CSIC), Instituto "Reina Sofia" de Investigaciones Nefrologicas (IRSIN) and Fundacion Centro Nacional de Investigaciones Cardiovasculares Carlos III (CNIC), Madrid - Spain.
Abstract:
The immunosuppresor cyclosporine A (CsA) has been associated to human endothelial dysfunction and accelerated atherosclerosis. Sympathetic overactivity, relative deficiency of nitric oxide, TGFb-1, endothelin-1, reactive oxygen (ROS) and nitrogen species (RNS) and vasoconstrictor eicosanoids are mediators of vascular dysfunction associated to cyclosporine A. In CsA-treated cells (BAEC) an increase in reactive oxygen and nitrogen intermediates may lead to the intracellular formation of peroxynitrite. This agent could be one important mediator by which CsA produces an antioxidant-sensitive nitration of tyrosine, a marker for endothelial damage by nitrosative stress. Superoxide anion is the limiting factor in the formation of peroxynitrite in CsA-treated endothelial cells. Treatment with CsA may lead to the nitration of specific proteins such as manganese superoxide dismutase (MnSOD). We propose that peroxynitrite and tyrosine nitration may represent mechanisms of damage in pathophysiological situations where superoxide anion generation is increased.
Insights
Cyclosporine A (CsA) causes endothelial damage via increased reactive oxygen and nitrogen species, leading to peroxynitrite formation and protein nitration. This highlights CsA
Area of Science:
- Vascular Biology
- Immunopharmacology
- Oxidative Stress
Background:
- Cyclosporine A (CsA) is linked to endothelial dysfunction and atherosclerosis.
- Vascular dysfunction mediators include nitric oxide deficiency, TGFb-1, endothelin-1, reactive oxygen species (ROS), reactive nitrogen species (RNS), and vasoconstrictor eicosanoids.
Purpose of the Study:
- To investigate the mechanisms of CsA-induced endothelial damage.
- To explore the role of peroxynitrite and tyrosine nitration in CsA-mediated vascular dysfunction.
Main Methods:
- Treatment of Bovine Aortic Endothelial Cells (BAEC) with CsA.
- Measurement of reactive oxygen and nitrogen species.
- Assessment of peroxynitrite formation and tyrosine nitration.
- Identification of nitrated proteins, including manganese superoxide dismutase (MnSOD).
Main Results:
- CsA treatment increased intracellular reactive oxygen and nitrogen intermediates in BAEC.
- This increase led to peroxynitrite formation, mediating tyrosine nitration.
- Superoxide anion was identified as the limiting factor for peroxynitrite generation.
- CsA treatment resulted in the nitration of specific proteins like MnSOD.
Conclusions:
- Peroxynitrite formation and subsequent tyrosine nitration are key mechanisms of CsA-induced endothelial damage.
- Increased superoxide anion generation contributes to peroxynitrite formation in CsA-treated cells.
- These findings suggest potential therapeutic targets for mitigating CsA-associated vascular complications.
Related Concept Videos
Acute Kidney Injury IV: Diagnostic Studies and Prevention
Renal Failure: Dose Adjustments
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Chronic Kidney Disease III: Interprofessional Care
Kidney Transplant III: Nursing Management
Nephrotic Syndrome III : Nursing Management
Acute Kidney Injury V: Interprofessional Care
