strychnine and Reperfusion-Injury

The present study was designed to investigate the role of glycine in ischemia reperfusion-induced acute kidney injury (AKI) in rats. The AKI was induced in rats by occluding renal pedicles for 40 min followed by reperfusion for 24 h. The AKI was assessed by measuring creatinine clearance, blood urea nitrogen, plasma uric acid, potassium, fractional excretion of sodium, and microproteinuria. The oxidative stress in renal tissues was assessed by quantification of myeloperoxidase activity, thiobarbituric acid-reactive substances, superoxide anion generation, and reduced glutathione level. Glycine (100, 200, and 400 mg/kg, i.p.) was administered to rats 30 min before subjecting to AKI. The glycinergic receptor blocker, strychnine (0.75 mg/kg i.p.), and glycine-binding site blocker at N-methyl-D-aspartate (NMDA) receptor, kynurenic acid (300 and 600 mg/kg i.p.), were used in the present study. The ischemia reperfusion induced AKI as witnessed by significant change in plasma, urinary, and tissue parameters employed in the present study. Glycine treatment increased ischemia reperfusion-induced AKI. The treatment with strychnine did not show any protection, whereas kynurenic acid ameliorated renal ischemia reperfusion-induced AKI. The results obtained in present study suggest that glycine increases ischemia reperfusion-induced renal damage through NMDA receptor agonism rather than strychnine-sensitive glycinergic receptors. Hence, it is concluded that glycine aggravates ischemia reperfusion-induced AKI. In addition, the activation of strychnine-insensitive glycine-binding site of NMDA receptors is responsible for its renal-damaging effect rather than strychnine-sensitive glycinergic receptors.

Topics: Acute Kidney Injury; Animals; Binding Sites; Glycine; Humans; Kidney; Kynurenic Acid; Rats; Receptors, N-Methyl-D-Aspartate; Reperfusion Injury; Strychnine

This study investigated the effects of glycine on reperfusion injury in a low-flow, reflow liver perfusion model. With this protocol, livers were perfused at low flow rates of approximately 1 ml.g-1. min-1 for 75 min, which caused cells in pericentral regions of the liver lobule to become anoxic because of insufficient delivery of oxygen. When normal flow rates (approximately 4 ml.g-1.min-1) were restored for 40 min, an oxygen-dependent reperfusion injury occurred. Upon reflow, lactate dehydrogenase (LDH), a cytosolic enzyme, and malondialdehyde (MDA), an end product of lipid peroxidation, were released into the effluent perfusate. LDH increased from basal levels of approximately 1-35 IU.g-1.h-1 in livers from control rats. Glycine (0.06-2.00 mM) minimized enzyme release in a dose-dependent manner (half-maximal decrease = 133 microM), with maximal values only reaching 5 IU.g-1.h-1 when glycine was increased to 2 mM. Reflow for 40 min after 75 min of low-flow hypoxia caused death in approximately 30% of previously anoxic parenchymal cells in pericentral regions; however, infusion of glycine (2 mM) decreased cell death to less than 10%. Strychnine (1 mM), which was found to mimic the cytoprotective effect of glycine in proximal renal tubules, also reduced LDH release to 11 IU.g-1.h-1 in this study. Bile was released at rates of approximately 42 microliters.g-1.h-1 in livers from control rats, but values were not altered significantly by glycine. Maximal MDA production during reperfusion decreased by 35% with 0.6 mM of glycine. Trypan blue distribution time, an indicator of hepatic microcirculation, was reduced significantly by glycine at 5 and 40 min after reflow, but changes were about twofold greater at later time points compared with earlier ones (half-maximal decrease = 225 microM). Time for oxygen to reach steady state upon reflow was reduced by glycine in a dose-dependent manner, and the rates of entry and exit of a dye confined to vascular space (fluorescein dextran) were increased two- to threefold by glycine, respectively. Taken together, these data indicate that a reperfusion injury that occurs in previously hypoxic pericentral regions of the liver upon reintroduction of oxygen is minimized by glycine, possibly by action on a glycine-sensitive anion channel to improve microcirculation during the reperfusion period.

Topics: Animals; Glycine; Liver; Liver Circulation; Male; Malondialdehyde; Microcirculation; Rats; Rats, Sprague-Dawley; Reperfusion Injury; Strychnine