Evaluation of l-arginine on kidney function and vascular reactivity following ischemic injury in rats: protective

Amira M Senbel1, Amal G Omar1, Lobna M Abdel-Moneim2

  • 1Department of Pharmacology & Toxicology, Faculty of Pharmacy, Alexandria University, Alexandria, Egypt.

Abstract

Insights

L-arginine protects against kidney injury by increasing nitric oxide (NO) bioavailability and interacting with reactive oxygen species (ROS). Combined with celecoxib, it shows enhanced antioxidant activity against ischemia/reperfusion injury (IRI).

Area of Science:

  • Nephrology
  • Cardiovascular Research
  • Biochemistry

Background:

  • Ischemic acute renal failure involves complex cell interactions.
  • Nitric oxide (NO) precursors like l-arginine may offer protection against ischemia/reperfusion injury (IRI).
  • The precise molecular mechanisms of l-arginine's protective effects in IRI remain unclear.

Purpose of the Study:

  • To investigate the interaction between l-arginine, cyclo-oxygenase (COX)-2, and reactive oxygen species (ROS).
  • To elucidate the role of these factors in the pathogenesis of ischemic acute renal failure.

Main Methods:

  • Utilized an ischemia/reperfusion injury (IRI) model in rats.
  • Examined various biochemical parameters, including kidney MDA, SOD, GSH, and total NO levels.
  • Employed isolated rat aortic rings to model hypoxia/reoxygenation, assessing endothelium-dependent and independent relaxations.

Main Results:

  • L-arginine pre-treatment significantly reduced kidney MDA levels and increased SOD activity, GSH, and total NO levels post-IRI.
  • Kidney COX-2 levels were altered in the l-arginine-treated group 48 hours post-reperfusion.
  • L-arginine, alone or with celecoxib, potentiated acetylcholine-induced relaxations, with synergistic effects observed in hypoxic rings.

Conclusions:

  • L-arginine's protective effect in IRI likely stems from NO-ROS interactions and enhanced NO bioavailability.
  • Combined celecoxib and l-arginine demonstrated superior antioxidant activity compared to ascorbic acid in protecting against IRI.

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