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2016 ; 310
(11
): H1695-701
Nephropedia Template TP
Imig JD
; Hye Khan MA
; Sharma A
; Fish BL
; Mandel NS
; Cohen EP
Am J Physiol Heart Circ Physiol
2016[Jun]; 310
(11
): H1695-701
PMID27106038
show ga
Chronic kidney disease is a known complication of hematopoietic stem cell
transplant (HSCT) and can be caused by irradiation at the time of the HSCT. In
our rat model there is a 6- to 8-wk latent period after irradiation that leads to
the development of proteinuria, azotemia, and hypertension. The current study
tested the hypothesis that decreased endothelial-derived factors contribute to
impaired afferent arteriolar function in rats exposed to total body irradiation
(TBI). WAG/RijCmcr rats underwent 11 Gy TBI, and afferent arteriolar responses to
acetylcholine were determined at 1, 3, and 6 wk. Blood pressure and blood urea
nitrogen were not different between control and irradiated rats. Afferent
arteriolar diameters were not altered in irradiated rats. Impaired
endothelial-dependent responses to acetylcholine were evident at 3 and 6 wk
following TBI. Nitric oxide synthase (NOS), cyclooxygenase (COX), and epoxygenase
(EPOX) contribution to acetylcholine dilator responses were evaluated. NOS
inhibition with N(G)-nitro-l-arginine methyl ester (l-NAME) reduced acetylcholine
responses by 50% in controls and 90% in 3-wk TBI rats. COX inhibition with
indomethacin did not significantly alter the acetylcholine response in the
presence or absence of l-NAME. EPOX inhibition with
N-methylsulfonyl-6-(2-propargyloxyphenyl)hexanamide significantly decreased
acetylcholine responses (35%) in controls but did not significantly alter
acetylcholine responses (4%) in TBI rats. Biochemical analysis revealed decreased
urinary EPOX metabolites but no change in COX, NOS, or reactive oxygen species at
3 wk TBI. Taken together, these results indicate that afferent arteriolar
endothelial dysfunction involves a decrease in EPOX metabolites that precedes the
development of proteinuria, azotemia, and hypertension in irradiated rats.