PMID- 30659917 OWN - NLM STAT- MEDLINE DCOM- 20190807 LR - 20190807 IS - 1089-8611 (Electronic) IS - 1089-8603 (Linking) VI - 85 DP - 2019 Apr 1 TI - Dexmedetomidine protects against lipopolysaccharide-induced early acute kidney injury by inhibiting the iNOS/NO signaling pathway in rats. PG - 1-9 LID - S1089-8603(18)30347-1 [pii] LID - 10.1016/j.niox.2019.01.009 [doi] AB - Increasing evidence has demonstrated that dexmedetomidine (DEX) possesses multiple pharmacological actions. Herein, we explored the protective effect and potential molecular mechanism of DEX on lipopolysaccharide (LPS)-induced early acute kidney injury (AKI) from the perspective of antioxidant stress. We found that DEX (30 mug/kg, i.p.) ameliorated the renal dysfunction and histopathological damage (tubular necrosis, vacuolar degeneration, infiltration of inflammatory cells and cast formation) induced by LPS (10 mg/kg). DEX also attenuated renal oxidative stress remarkably in LPS-induced early AKI, as evidenced by reduction in production of reactive nitrogen species, decreasing malondialdehyde levels, as well as increasing superoxide dismutase activity and glutathione content. DEX prevented activator protein-1 translocation, inhibited phosphorylation of I-kappa B (IkappaB) and activation of nuclear factor kappa B (NF-kappaB) in LPS-induced early AKI, as assessed by real-time quantitative polymerase chain reaction and protein levels of c-Jun, c-Fos, IkappaB and NF-kappaB. Notably, DEX pretreatment had the same effect as intraperitoneal injection of an inhibitor of inducible nitric oxide synthase inhibitor (1400W; 15 mg/kg), and inhibited the activity of renal inducible nitric oxide synthase (iNOS) and decreased the expression of iNOS mRNA and NO production. However, the protective effect of DEX on LPS-induced early AKI was reversed by the alpha 2 adrenal receptor (alpha(2)-AR) inhibitor atipamezole, whereas the imidazoline receptor inhibitor idazoxan did not. Taken together, DEX protects against LPS-induced early AKI in rats by inhibiting the iNOS/NO signaling pathway, mainly by acting on alpha(2)-ARs instead of IRs. CI - Copyright (c) 2019 Elsevier Inc. All rights reserved. FAU - Chen, Yongping AU - Chen Y AD - College of Veterinary Medicine, Northeast Agricultural University, Harbin, 150030, PR China. FAU - Luan, Li AU - Luan L AD - College of Veterinary Medicine, Northeast Agricultural University, Harbin, 150030, PR China. FAU - Wang, Chaoran AU - Wang C AD - College of Veterinary Medicine, Northeast Agricultural University, Harbin, 150030, PR China. FAU - Song, Manyu AU - Song M AD - College of Veterinary Medicine, Northeast Agricultural University, Harbin, 150030, PR China. FAU - Zhao, Yuan AU - Zhao Y AD - College of Veterinary Medicine, Northeast Agricultural University, Harbin, 150030, PR China. FAU - Yao, Yujie AU - Yao Y AD - College of Veterinary Medicine, Northeast Agricultural University, Harbin, 150030, PR China. FAU - Yang, Haotian AU - Yang H AD - College of Veterinary Medicine, Northeast Agricultural University, Harbin, 150030, PR China. FAU - Ma, Biao AU - Ma B AD - College of Veterinary Medicine, Northeast Agricultural University, Harbin, 150030, PR China. FAU - Fan, Honggang AU - Fan H AD - College of Veterinary Medicine, Northeast Agricultural University, Harbin, 150030, PR China; Heilongjiang Key Laboratory for Laboratory Animals and Comparative Medicine, Northeast Agricultural University, Harbin, 150030, PR China. Electronic address: fanhonggang2002@163.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190117 PL - United States TA - Nitric Oxide JT - Nitric oxide : biology and chemistry JID - 9709307 RN - 0 (Adrenergic alpha-2 Receptor Agonists) RN - 0 (Lipopolysaccharides) RN - 31C4KY9ESH (Nitric Oxide) RN - 67VB76HONO (Dexmedetomidine) RN - EC 1.14.13.39 (Nitric Oxide Synthase Type II) MH - Acute Kidney Injury/chemically induced/metabolism/*prevention & control MH - Adrenergic alpha-2 Receptor Agonists/chemistry/*pharmacology MH - Animals MH - Dexmedetomidine/chemistry/*pharmacology MH - Lipopolysaccharides/*pharmacology MH - Male MH - Nitric Oxide/*antagonists & inhibitors/metabolism MH - Nitric Oxide Synthase Type II/*antagonists & inhibitors/metabolism MH - Rats MH - Rats, Sprague-Dawley MH - Signal Transduction/*drug effects OTO - NOTNLM OT - AP-1/NF-kappaB OT - Acute kidney injury OT - Dexmedetomidine OT - Lipopolysaccharide OT - Oxidative stress OT - iNOS/NO EDAT- 2019/01/20 06:00 MHDA- 2019/08/08 06:00 CRDT- 2019/01/20 06:00 PHST- 2018/11/13 00:00 [received] PHST- 2019/01/09 00:00 [revised] PHST- 2019/01/15 00:00 [accepted] PHST- 2019/01/20 06:00 [pubmed] PHST- 2019/08/08 06:00 [medline] PHST- 2019/01/20 06:00 [entrez] AID - S1089-8603(18)30347-1 [pii] AID - 10.1016/j.niox.2019.01.009 [doi] PST - ppublish SO - Nitric Oxide. 2019 Apr 1;85:1-9. doi: 10.1016/j.niox.2019.01.009. Epub 2019 Jan 17.