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2018 ; 2018
(ä): 1072805
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Effects of Post Ischemia-Reperfusion Treatment with Trimetazidine on Renal Injury
in Rats: Insights on Delayed Renal Fibrosis Progression
#MMPMID30057668
Park JH
; Jun JH
; Shim JK
; Shin EJ
; Shin E
; Kwak YL
Oxid Med Cell Longev
2018[]; 2018
(ä): 1072805
PMID30057668
show ga
Even after recovery from acute kidney injury, glomeruli remain vulnerable to
further injury by way of interstitial fibrosis. This study is aimed at
elucidating the effects of post ischemia-reperfusion (I/R) treatment with
trimetazidine on the progression to renal fibrosis as well as short- and
intermediate-term aspects. Trimetazidine 3?mg/kg or 0.9% saline was given
intraperitoneally once upon reperfusion or daily thereafter for 5?d or 8?w. Renal
histologic changes and related signaling proteins were assessed. After 24?h, post
I/R treatment with trimetazidine significantly reduced serum blood urea nitrogen
and creatinine levels and tubular injury accompanied with upregulation of
hypoxia-inducible factor- (HIF-) 1?, vascular endothelial growth factor (VEGF),
and Bcl-2 expression. After 5?d, post I/R treatment with trimetazidine reduced
renal tubular cell necrosis and apoptosis with upregulation of HIF-1?-VEGF and
tissue inhibitors of metalloproteinase activities, attenuation of matrix
metalloproteinase activities, and alteration of the ratio of Bax to Bcl-2 levels.
After 8?w, however, post I/R treatment with trimetazidine did not modify the
progression of renal fibrosis. In conclusion, post I/R treatment with
trimetazidine allows ischemic kidneys to regain renal function and structure more
rapidly compared to nontreated kidneys, but not enough to resolute renal fibrosis
in long-term aspect.