Chronic changes developing in the hydronephrotic and contralateral kidneys during unilateral ureteral obstruction in

Tuncer Kutlu1, Ufuk Kaya2, Ziya Yurtal3

  • 1Faculty of Veterinary Medicine, Department of Pathology, Hatay Mustafa Kemal University, Hatay, 31300, Turkey. tuncerkutlu83@gmail.com.

PubMed
Abstract

Insights

Unilateral ureteral obstruction (UUO) in rats causes chronic changes in obstructed (OK) and contralateral (CL) kidneys. This study reveals kidney damage and altered antioxidant responses, offering insights for future therapeutic strategies.

Area of Science:

  • Nephrology
  • Experimental Pathology
  • Renal Physiology

Background:

  • Animal models are crucial for understanding chronic kidney disease (CKD) mechanisms and testing interventions.
  • Unilateral ureteral obstruction (UUO) is a common model to study kidney injury and adaptation.

Purpose of the Study:

  • To investigate the chronic pathological and molecular changes in both obstructed (OK) and contralateral (CL) kidneys following UUO in a rat model.
  • To assess alterations in oxidative stress markers, antioxidant defenses, and apoptosis-related proteins.

Main Methods:

  • Rats underwent unilateral ureteral obstruction (UUO) and were analyzed at 14 and 28 days.
  • Histopathological analysis included assessment of tubular dilation, inflammation, and fibrosis.
  • Biochemical assays measured glutathione (GSH), malondialdehyde (MDA), and catalase (CAT) levels.
  • Protein and gene expression of Nuclear factor erythroid 2-related factor 2 (NRF-2), Cyclooxygenase-2 (COX-2), BAX, and BCL-2 were evaluated.

Main Results:

  • Obstructed kidneys showed increased inflammation and fibrosis over time, with decreased tubular dilation.
  • Contralateral kidneys exhibited reduced glutathione and catalase, and elevated malondialdehyde, indicating oxidative stress.
  • NRF-2 protein was lower in OK, while its gene expression was higher in CL kidneys.
  • COX-2 protein and gene expression increased in OK kidneys; BAX and BCL-2 protein levels were altered in OK kidneys.

Conclusions:

  • UUO induces distinct chronic changes in both the obstructed and contralateral kidneys.
  • The findings highlight significant alterations in oxidative stress, inflammation, and apoptosis pathways.
  • This research provides valuable data for developing targeted therapies for kidney protection and treatment in obstructive nephropathies.