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Minerva Chirurgica 2010 October;65(5):515-25


language: English

Alanine-glutamine dipeptide pretreatment protects rat renal function from small intestine ischemia-reperfusion injury

Kazantzidou D. 1, Tsalis K. 1, Vasiliadis K. 1, 5, Kaldrymidou H. 2, Papageorgiou G. 3, Koliakou K. 4, Tsali E. 2, Lazaridis C. 1

1 Fourth Department of Surgery, Aristotle University of Thessaloniki, Thessaloniki, Greece; 2 Department of Pathology, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece; 3 Laboratory of Biological Chemistry, Aristotle University of Thessaloniki, Thessaloniki, Greece; 4 Laboratory of Histology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece; 5 First Surgical Department, General Hospital “George Papageorgiou”, Nea Efkarpia, Thessaloniki, Greece


AIM: Oxidative injury can cause renal function impairment and failure. Glutathione, a free radical scavenger, plays in the kidney a central role in oxidant-related events. The aim of this study was to investigate the potential beneficial effect of glutamine, a precursor of glutathione in the form of alanine-glutamine dipeptide (AGD) on small intestine ischemia/ reperfusion (I/R)-induced oxidant renal damage in rats.
METHODS: Wistar rats were subjected to intestinal I/R for 30 min, induced by occlusion of the superior mesenteric artery, followed by 60 min reperfusion. AGD pretreatment was given 48 and 24 hours before I/R. At the end of the experimental procedure the left kidney was excised and a thin tissue slice was obtained for electron microscopy study. Kidney biopsies were obtained for malonyl dialdehyde, myeloperoxidase, and glutathione assays.
RESULTS: Intestinal I/R caused significant oxidative injury in rat renal parenchyma consisted of severe alterations observed in subcellular renal structures associated with a significant increase in renal malonyl dialdehyde levels and a significant decrease in renal glutathione levels. Changes regarding subcellular renal structures were ameliorated in AGD pre-treated animals in which renal glutathione levels did not decreased significantly.
CONCLUSION:Glutamine pretreatment in the form of AGD can prevent small bowel I/R-induced oxidant renal damage in rats.

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