1.Zinc Supplementation and Ischemia Pre-conditioning in Renal Ischemia/ Reperfusion Injury
Bahar Mazaheri ; Fatemeh Emami ; Fatemeh Moslemi ; Ardeshir Talebi ; Mehdi Nematbakhsh
Malaysian Journal of Medical Sciences 2019;26(4):39-46
Backgrounds: Renal ischemia/reperfusion (RIR) is a major cause of kidney dysfunction in
clinic. The main objective of this study was to investigate the effect of pre-conditioning ischemia
(IPC) and zinc (Zn) supplementation on renal RIR injury.
Methods: A total of 63 unilateral nephrectomised male and female Wistar rats were
divided into five groups. Group 1 (ShOPR): Rats as sham-operated group were subjected to surgical
procedure without RIR. Group 2 (Isch): Rats underwent RIR (left kidney ischemia for 30 min
followed by 48 h reperfusion). Group 3 (Zn+Isch): Rats were treated as group 2 but they received
Zn sulphate (30 mg/kg) 1 h before induction of RIR. Group 4 (IPC+Isch): Rats were treated as
group 2 but they underwent 1 min of ischemia followed by 3 min reperfusion as IPC, which was
repeated for three times before induction of RIR. Group 5 (Zn+IPC+Isch): Rats were subjected to
receive both Zn sulphate and IPC before induction of RIR. Urine samples were collected in the last
6 h of reperfusion, and finally biochemical and histological measurements were performed.
Results: The serum level of creatinine (Cr), normalised kidney weight (KW) and kidney
tissue damage score (KTDS) increased by RIR alone significantly (P < 0.05). These parameters
were attenuated statistically by Zn supplementation (P < 0.05). However, IPC alone or cotreatment
of Zn and IPC did not improve the biochemical and histological markers altered by RIR
injury.
Conclusion: Zn supplementation had a protective role against RIR while such protective
effect was not observed by IPC alone or by co-treatment of Zn and IPC.