PMID- 24010821 OWN - NLM STAT- MEDLINE DCOM- 20151030 LR - 20161125 IS - 1748-1716 (Electronic) IS - 1748-1708 (Linking) VI - 210 IP - 2 DP - 2014 Feb TI - Activation of nuclear factor erythroid 2-related factor 2 (Nrf2) and Nrf-2-dependent genes by ischaemic pre-conditioning and post-conditioning: new adaptive endogenous protective responses against renal ischaemia/reperfusion injury. PG - 342-53 LID - 10.1111/apha.12164 [doi] AB - AIM: To investigate the impact of ischaemic pre-conditioning (Ipre) and post-conditioning (Ipost) on expression of nuclear factor erythroid 2-related factor 2 (Nrf2) gene and its dependent genes, haem oxygenase-1 (HO-1) and NADPH-quinone oxidoreductase-1 (NQO-1); inflammatory cytokines TNF-alpha, IL1beta and ICAM-1; and apoptotic markers such as caspase-3 in renal ischaemia/reperfusion (I/R) injury. METHODS: One hundred and fifty male Sprague Dawley rats were classified into five groups (each consisted of 30 rats): sham, control (I/R), Ipre + I/R, Ipre without I/R and Ipost + I/R. Serum creatinine and blood urea nitrogen (BUN) were measured at 2, 24 and 48 h after ischaemia. In kidney tissues, mRNA of Nrf2, HO-1, NQO-1, TNF-alpha, IL-1beta and ICAM-1 and immunohistochemical expression of Nrf2 and caspase-3 were assessed. RESULTS: Serum creatinine and BUN improved significantly in Pre + I/R group; however, they did not show any significant improvement in Post + I/R group. Also, Ipre-I/R group showed non-significant change in serum creatinine and BUN. The expression of Nrf2, HO-1 and NQO-1 is increased significantly in Pre + I/R and Pre - I/R groups, while the enhancement in Post + I/R group was non-significant. Moreover, the expression of proinflammatory cytokines (TNF-alpha, IL-1 and ICAM-1) and apoptotic (caspase-3) markers showed high significant attenuation in Pre + I/R group, but slight significant attenuation in Pre + I/R group. CONCLUSION: The renoprotective action of Ipre might include early activation and enhanced expression of Nrf2 gene and its dependent antioxidant genes, HO-1 and NOQ1, as endogenous adaptive renoprotective genes, as well as reduction in TNF-alpha, IL-1beta, ICAM-1 and caspase-3. CI - (c) 2013 Scandinavian Physiological Society. Published by John Wiley & Sons Ltd. FAU - Shokeir, A A AU - Shokeir AA AD - Urology and Nephrology Center, Faculty of Medicine, Mansoura University, Mansoura, Egypt. FAU - Hussein, A M AU - Hussein AM FAU - Barakat, N AU - Barakat N FAU - Abdelaziz, A AU - Abdelaziz A FAU - Elgarba, M AU - Elgarba M FAU - Awadalla, A AU - Awadalla A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20131007 PL - England TA - Acta Physiol (Oxf) JT - Acta physiologica (Oxford, England) JID - 101262545 RN - 0 (NF-E2-Related Factor 2) RN - 0 (Nfe2l2 protein, rat) RN - EC 1.14.14.18 (Heme Oxygenase-1) RN - EC 1.6.5.2 (NAD(P)H Dehydrogenase (Quinone)) RN - EC 1.6.5.2 (NQO1 protein, rat) SB - IM MH - Acute Kidney Injury/*metabolism MH - Adaptation, Physiological MH - Animals MH - Heme Oxygenase-1/metabolism MH - Immunohistochemistry MH - Ischemic Postconditioning/methods MH - Ischemic Preconditioning/*methods MH - Male MH - NAD(P)H Dehydrogenase (Quinone)/metabolism MH - NF-E2-Related Factor 2/*metabolism MH - Rats MH - Rats, Sprague-Dawley MH - Real-Time Polymerase Chain Reaction MH - Reperfusion Injury/*metabolism OTO - NOTNLM OT - HO-1 OT - NQO-1 OT - Nrf2 OT - apoptosis OT - cytokines OT - ischaemia/reperfusion OT - post-conditioning OT - pre-conditioning EDAT- 2013/09/10 06:00 MHDA- 2015/10/31 06:00 CRDT- 2013/09/10 06:00 PHST- 2013/02/07 00:00 [received] PHST- 2013/02/25 00:00 [revised] PHST- 2013/08/18 00:00 [revised] PHST- 2013/09/02 00:00 [accepted] PHST- 2013/09/10 06:00 [entrez] PHST- 2013/09/10 06:00 [pubmed] PHST- 2015/10/31 06:00 [medline] AID - 10.1111/apha.12164 [doi] PST - ppublish SO - Acta Physiol (Oxf). 2014 Feb;210(2):342-53. doi: 10.1111/apha.12164. Epub 2013 Oct 7.