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Hyperglycemia induces oxidative and nitrosative stress and increases renal functional impairment in Nrf2-deficient

Keigyou Yoh1, Aki Hirayama, Kazusa Ishizaki

  • 1Pathophysiology of Renal Diseases, Doctoral Program in Clinical Sciences, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba 305-8575, Japan.

Insights

Nuclear factor erythroid 2-related factor 2 (Nrf2) protects against diabetic kidney injury. Nrf2 knockout mice showed accelerated renal damage and increased oxidative stress, highlighting Nrf2

Area of Science:

  • Nephrology
  • Metabolic diseases
  • Molecular biology

Background:

  • Diabetes mellitus is characterized by hyperglycemia, leading to oxidative stress and kidney complications.
  • The role of the transcription factor Nrf2, a regulator of antioxidant genes, in diabetic nephropathy is not fully understood.

Purpose of the Study:

  • To investigate the protective role of Nrf2 in the development of diabetic kidney disease.
  • To elucidate the impact of Nrf2 deficiency on hyperglycemia-induced renal dysfunction and oxidative stress.

Main Methods:

  • Streptozotocin (STZ)-induced diabetes model in Nrf2 knockout (Nrf2 KO) and wild-type (WT) mice.
  • Assessment of renal function, including hyperfiltration and glomerular filtration rate.
  • Measurement of urinary nitric oxide metabolites and detection of 8-nitroguanosine in renal lesions.
  • In vivo electron paramagnetic resonance (EPR) spectroscopy to evaluate oxidative stress.

Main Results:

  • STZ-treated Nrf2 KO mice did not exhibit renal hyperfiltration but showed progressive renal function deterioration.
  • Increased urinary nitric oxide metabolites and 8-nitroguanosine in glomerular lesions were observed in STZ Nrf2 KO mice.
  • EPR analysis indicated accelerated oxygen radical formation in STZ Nrf2 KO mice, evidenced by faster spin probe signal decay.

Conclusions:

  • Hyperglycemia exacerbates oxidative and nitrosative stress in Nrf2-deficient mice, accelerating renal injury.
  • Nrf2 acts as a crucial defense factor, mitigating specific complications associated with diabetic nephropathy.