Journal
AMERICAN JOURNAL OF PHYSIOLOGY-RENAL PHYSIOLOGY
Volume 305, Issue 7, Pages F1022-F1030Publisher
AMER PHYSIOLOGICAL SOC
DOI: 10.1152/ajprenal.00532.2012
Keywords
kidney; cold storage; zinc-N-acetylcysteine; terminal deoxynucleotidyl transferase dUTP nick-end labeling; caspase-3; endonuclease G; apoptosis
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Funding
- National Institutes of Health [R01-DK-078908, P20-RR-016460-11, P20-GM103429-11, T32-DK061921]
- Veterans Affairs Merit Review Grant [I01 BX000690]
- Division Of Human Resource Development
- Direct For Education and Human Resources [0929092] Funding Source: National Science Foundation
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Cold storage of kidneys before transplantation is problematic because of the limited survival time of the allografts. In this study, zinc-N-acetylcysteine (ZnNAC) was shown to be a potent endonuclease inhibitor and antioxidant, and it was tested as a potential additive to a cold storage solution for kidney preservation. Exposure of normal rat kidney NRK-52E cells to ZnNAC resulted in zinc delivery to the cells as determined by TFL-Zn fluorophore and partial protection of the cells against injury by cold storage in University of Wisconsin solution (UWS) as measured by propidium iodide assay. Ex vivo, rat kidneys demonstrated time-and temperature-dependent DNA fragmentation as assessed by TUNEL assay, indicating irreversible cell death. DNA fragmentation was faster in the medulla than in the cortex, and tubules were affected more than glomeruli. Perfusion of rat kidneys with cold ZnNAC solution in UWS significantly inhibited cell death both in the cortex and medulla at concentrations of 0.3-30 mM compared with UWS alone, with a maximum effect at 1-10 mM ZnNAC. Cold storage of the kidney significantly increased quantities of cleaved caspase-3 and endonuclease G (EndoG) in the tissue, which were abolished by 10 mM ZnNAC, indicating its ability to suppress both caspase-dependent and -independent cell death. Therefore, supplementation of UWS with ZnNAC can decrease DNA fragmentation and protect kidney allografts from cell death due to cold storage.
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