• Renal failure · Jan 2011

    Beneficial effects of N-acetylcysteine and ebselen on renal ischemia/reperfusion injury.

    • Murat Kizilgun, Yavuz Poyrazoglu, Yesim Oztas, Halil Yaman, Erdinc Cakir, Tuncer Cayci, Ozgur Emin Akgul, Yasemin Gulcan Kurt, Hakan Yaren, Zeki Ilker Kunak, Enis Macit, Esin Ozkan, Mine Yavuz Taslipinar, Turker Turker, and Ayhan Ozcan.
    • Department of Biochemistry, Diskapi Children's Health and Diseases, Hematology, Oncology Training and Research Hospital , Ankara , Turkey.
    • Ren Fail. 2011 Jan 1; 33 (5): 512-7.

    IntroductionIt has been demonstrated that peroxynitrite accompanies acute renal ischemia and contributes to the pathophysiology of renal damage. Therefore, we aimed to investigate the roles of N-acetylcysteine (NAC), a well-known powerful antioxidant, and ebselen (E), a scavenger of peroxynitrite, on renal injury induced by renal ischemia/reperfusion injury (IRI) of rat kidney.Materials And MethodsForty male Sprague-Dawley rats were divided into five groups: sham, renal IRI, renal IRI+NAC, renal IRI+E, and renal IRI+NAC+E. IR injury was induced by 60 min of bilateral renal ischemia followed by 6 h of reperfusion. After reperfusion, kidneys and blood samples were obtained for histopathological and biochemical evaluations.ResultsRenal IR resulted in increased malondialdehyde and nitrite/nitrate levels suggesting increased lipid peroxidation and peroxynitrite production and decreased superoxide dismutase and glutathione peroxidase activities. Both NAC and E alone significantly decreased malondialdehyde and nitrite/nitrate levels and increased superoxide dismutase and glutathione peroxidase activities. Additionally in the renal IRI+NAC+E group, all biochemical results were quite close to those of sham group. Histopathologically, the kidney injury in rats treated with combination of NAC and E was found significantly less than the other groups.ConclusionsBoth NAC and E are able to ameliorate IRI of the kidney by decreasing oxidative and nitrosative stresses and increasing free radical scavenger properties. Additionally, combination of NAC and E prevents kidney damage more than when each drug is used alone, suggesting that scavenging peroxynitrite nearby antioxidant activity is important in preventing renal IRI.

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