Abstract
Renal fibrosis usually indicates irreversible tissue damage, irrespective of the initial cause. Thus, it is most relevant to understand mechanisms leading to renal fibrosis. Oxidative stress has emerged as an important factor contributing to tissue damage, and oxidative stress is enhanced in a variety of inflammatory disease states relevant for the kidney. It is therefore the purpose of this chapter to discuss the role of oxidative stress in the development of renal fibrosis. Inflammation is generally associated with enhanced oxidative stress, and since multiple factors contribute to inflammation [such as cytokines (e.g., interleukin-6, tumor necrosis factor α), infection, ischemia reperfusion injury, homocysteine, advanced glycation end products, atherogenic lipoproteins, or angiotensin II], multiple factors can cause enhanced oxidative stress. Here we will focus on the role of atherogenic lipoproteins, particularly oxidized low density lipoproteins, and the activated renin angiotensin system, for several reasons: firstly, these factors are well characterized as proinflammatory and as stimulators of superoxide-generating enzymes; secondly, the contribution of these factors to tubulointerstitial fibrosis has frequently been described; and thirdly, we already possess pharmacological tools to efficiently lower their activity. Thus, this chapter highlights the interplay of oxidative stress, atherogenic lipoproteins, and the renin angiotensin system in the pathophysiology of renal fibrosis and discusses potential treatment options.
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References
Ichikawa I, Kiyama S, Yoshioka T. Renal antioxidant enzymes: Their regulation and function. Kidney Int 1994; 45:1–9.
Witko Sarsat V, Friedlander M, Capeillere Blandin CJ et al. Advanced oxidation protein products as a novel marker of oxidative stress in uremia. Kidney Int 1996; 49:1304–1313.
Toborek M, Wasik T, Drózdz M et al. Effect of hemodialysis on lipid peroxidation and antioxidant system in patients with chronic renal failure. Metabolism 1992; 41:1229–1232.
Epperlein MM, Nourooz-Zadeh J, Jayasena SD et al. Nature and biological significance of free radicals generated during bicarbonate hemodialysis. J Am Soc Nephrol 1998; 9:457–463.
Halliwell B. The role of oxygen radicals in human disease, with particular reference to the vascular system. Haemostasis 1993; 23(Suppl 1):118–126.
Carr AC, McCall MR, Frei B. Oxidation of LDL by myeloperoxidase and reactive nitrogen species—Reaction pathways and antioxidant protection. Arterioscler Thromb Vasc Biol 2000; 20:1716–1723.
Griendling KK, Sorescu D, Ushio-Fukai M. NAD(P)H oxidase—Role in cardiovascular biology and disease. Circ Res 2000; 86:494–501.
Vásquez-Vivar J, Kalyanaraman B. Generation of superoxide from nitric oxide synthase. FEBS Lett 2000; 481:305–306.
Böger RH, Böde-Boger SM, Phivthong-ngam L et al. Dietary L-arginine and α-tocopherol reduce vascular oxidative stress and preserve endothelial function in hypercholesterolemic rabbits via different mechanisms. Atherosclerosis 1998; 141:31–43.
Heitzer T, Brockhoff C, Mayer B et al. Tetrahydrobiopterin improves endothelium-dependent vasodilation in chronic smokers—Evidence for a dysfunctional nitric oxide synthase. Circ Res 2000; 86:E36–E41.
Klahr S, Morrissey JJ. The role of vasoactive compounds, growth factors and cytokines in the progression of renal disease. Kidney Int Suppl 2000; 75:S7–14.
Modi KS, Morrissey J, Shah SV et al. Effects of probucol on renal function in rats with bilateral ureteral obstruction. Kidney Int 1990; 38:843–850.
Hannken T, Schroeder R, Zahner G et al. Reactive oxygen species stimulate p44/42 mitogen-activated protein kinase and induce p27Kip1: Role in angiotensin II-mediated hypertrophy of proximal tubular cells. J Am Soc Nephrol 2000; 11:1387–1397.
Hannken T, Schroeder R, Stahl RAK et al. Angiotensin II-mediated expression of p27Kip1 induction of cellular hypertrophy in renal tubular cells depend on the generation of oxygen radicals. Kidney Int 1998; 54:1923–1933.
Klahr S. Oxygen radicals and renal diseases. Miner Electrolyte Metab 1997; 23:140–143.
Scheuer H, Gwinner W, Hohbach J et al. Oxidant stress in hyperlipidemia-induced renal damage. Am J Physiol Renal Physiol 2000; 278:F63–F74.
Kawada N, Moriyama T, Ando A et al. Increased oxidative stress in mouse kidneys with unilateral ureteral obstruction. Kidney Int 1999; 56:1004–1013.
Halliwell B. Antioxidant defence mechanisms: From the beginning to the end (of the beginning). Free Radic Res 1999; 31:261–272.
Galle J. Oxidative stress in chronic renal failure. Nephrol Dial Transplant 2001; 16:2135–2137.
Iglesias-De La Cruz MC, Ruiz-Torres P, Alcami J et al. Hydrogen peroxide increases extracellular matrix mRNA through TGF-beta in human mesangial cells. Kidney Int 2001; 59:87–95.
Lal MA, Brismar H, Eklof AC et al. Role of oxidative stress in advanced glycation end product-induced mesangial cell activation. Kidney Int 2002; 61:2006–2014.
Thannickal VJ, Day RM, Klinz SG et al. Ras-dependent and-independent regulation of reactive oxygen species by mitogenic growth factors and TGF-beta1. FASEB J 2000; 14:1741–1748.
Park SK, Kim J, Seomun Y et al. Hydrogen peroxide is a novel inducer of connective tissue growth factor. Biochem Biophys Res Commun 2001; 284:966–971.
Moriyama T, Kawada N, Nagatoya K et al. Oxidative stress in tubulointerstitial injury: Therapeutic potential of antioxidants towards interstitial fibrosis. Nephrol Dial Transplant 2000; 15Suppl 6:47–49.
Kliem V, Johnson RJ, Alpers CE et al. Mechanisms involved in the pathogenesis of tubulointerstitial fibrosis in 5/6-nephrectomized rats. Kidney Int 1996; 49:666–678.
Heermeier K, Heinloth A, Galle J. OxLDL modulates the cell cycle via oxidative stress. In: Yoshikawa T, Toyokuni S, Yamamoto Y, Naito Y, eds. Free Radicals in Chemistry, Biology and Medicine. London: OICA International, 2001:299–304.
Griendling KK, Minieri CA, Ollerenshaw JD et al. Angiotensin II stimulates NADH and NADPH oxidase activity in cultured vascular smooth muscle cells. Circ Res 1994; 74:1141–1148.
Pagano PJ, Clark JK, Cifuentes Pagano ME et al. Localization of a constitutively active, phagocyte-like NADPH oxidase in rabbit aortic adventitia: Enhancement by angiotensin II. Proc Natl Acad Sci USA 1997; 94:14483–14488.
Jaimes EA, Galceran JM, Raij L. Angiotensin II induces superoxide anion production by mesangial cells. Kidney Int 1998; 54:775–784.
Yanagitani Y, Rakugi H, Okamura A et al. Angiotensin II type 1 receptor-mediated peroxide production in human macrophages. Hypertension 1999; 33:335–339.
Morawietz H, Rueckschloss U, Niemann B et al. Angiotensin II induces LOX-1, the human endothelial receptor for oxidized low density lipoprotein. Circulation 1999; 100:899–902.
Ohara Y, Peterson TE, Harrison DG. Hypercholesterolemia increases endothelial superoxide anion production. J Clin Invest 1993; 91:2546–2551.
Mügge A, Brandes RP, Böger RH et al. Vascular release of superoxide radicals is enhanced in hypercholesterolemic rabbits. J Cardivasc Pharmacol 1994; 24:994–998.
Galle J, Heinloth A, Schwedler S et al. Effect of HDL and atherogenic lipoproteins on formation of O2 − and renin release in juxtaglomerular cells. Kidney Int 1997; 51:253–260.
Galle J, Schneider R, Heinloth A et al. Lp(a) and LDL induce apoptosis in human endothelial cells and in rabbit aorta: Role of oxidative stress. Kidney Int 1999; 55:1450–1461.
Galle J, Schneider R, Winner B et al. Glyc-oxidized LDL impair endothelial function more potently than oxidized LDL: Role of enhanced oxidative stress. Atherosclerosis 1998; 138:65–77.
Galle J, Bengen J, Schollmeyer P et al. Impairment of endothelium-dependent dilation by oxidized lipoprotein(a): Role of oxygen-derived radicals. J Am Soc Nephrol 1994; 5:578.
Hansen PR, Kharazmi AK, Jauhiainen M et al. Induction of free radical generation in human monocytes by lipoprotein(a). Eur J Clin Invest 1994; 24:497–499.
Sharma P, Reddy K, Franki N et al. Native and oxidized low density lipoproteins modulate mesangial cell apoptosis. Kidney Int 1996; 50:1604–1611.
Parthasarathy S, Steinbrecher U, Barnett J et al. Essential role of phospholipase A2 activity in endothelial cell-induced modification of low density lipoprotein. Proc Natl Acad Sci USA 1985; 82:3000–3004.
Yokoyama M, Hirata K, Miyake R et al. Lysophosphatidylcholine: Essential role in the inhibition of endothelium-dependent vasorelaxation by oxidized low density lipoprotein. Biochem Biophys Res Commun 1990; 168:301–308.
Esterbauer H, Jürgens G, Quehenberger O et al. Autoxidation of human low density lipoprotein: Loss of polyunsaturated fatty acids and vitamin E and generation of aldehydes. J Lipid Res 1987; 28:495–509.
Kugiyama K, Sugiyama S, Ogata N et al. Burst production of superoxide anion in human endothelial cells by lysophosphatidylcholine. Atherosclerosis 1999; 143:201–204.
Ohara Y, Peterson TE, Zheng B et al. Lysophosphatidylcholine increases vascular superoxide anion production via protein kinase C activation. Arterioscler Thromb 1994; 14:1007–1013.
Cominacini L, Rigoni A, Pasini AF et al. The binding of oxidized low density lipoprotein (ox-LDL) to ox-LDL receptor-1 reduces the intracellular concentration of nitric oxide in endothelial cells through an increased production of superoxide. J Biol Chem 2001; 276:13750–13755.
Heinloth A, Heermeier K, Raff U et al. Stimulation of NADPH Oxidase by oxidized LDL induces proliferation of human vascular endothelial cells. J Am Soc Nephrol 2000; 11:1819–1825.
Rueckschloss U, Galle J, Holtz J et al. Induction of NAD(P)H Oxidase by Oxidized Low-Density Lipoprotein in Human Endothelial Cells: Antiatherosclerotic Potential of HMG-CoA Reductase Inhibitor Therapy. Circulation 2001; 104:1767–1772.
Ding GH, Van Goor H, Ricardo SD et al. Oxidized LDL stimulates the expression of TGF-β and fibronectin in human glomerular epithelial cells. Kidney Int 1997; 51(1):147–154.
Ong AC, Moorhead JF. Tubular lipidosis: Epiphenomenon or pathogenetic lesion in human renal disease? Kidney Int 1994; 45:753–762.
Poirier B, Lannaud-Bournoville M, Conti M et al. Oxidative stress occurs in absence of hyperglycaemia and inflammation in the onset of kidney lesions in normotensive obese rats. Nephrol Dial Transplant 2000; 15:467–476.
Yusuf S, Dagenais G, Pogue J et al. Vitamin E supplementation and cardiovascular events in high-risk patients. The Heart Outcomes Prevention Evaluation Study Investigators. N Engl J Med 2000; 342:154–160.
Stephens NG, Parsons A, Schofield PM et al. Randomised controlled trial of vitamin E in patients with coronary disease: Cambridge Heart Antioxidant Study (CHAOS) [see comments]. Lancet 1996; 347:781–786.
GISSI. Dietary supplementation with n-3 polyunsaturated fatty acids and vitamin E after myocardial infarction: Results of the GISSI-Prevenzione trial. Lancet 1999; 354:447–455.
Kushi LH, Folsom AR, Prineas RJ et al. Dietary antioxidant vitamins and death from coronary heart disease in postmenopausal women. N Engl J Med 1996; 334:1156–1162.
Mune M, Yukawa S, Kishino M et al. Effect of vitamin E on lipid metabolism and atherosclerosis in ESRD patients. Kidney Int Suppl 1999; 71:S126–S129.
Boaz M, Smetana S, Weinstein T et al. Secondary prevention with antioxidants of cardiovascular disease in endstage renal disease (SPACE): Randomised placebo-controlled trial. Lancet 2000; 356:1213–1218.
Irani K. Oxidant signaling in vascular cell growth, death, and survival-A review of the roles of reactive oxygen species in smooth muscle and endothelial cell mitogenic and apoptotic signaling. Circ Res 2000; 87:179–183.
Harris RC, Cheng HF. The intrarenal renin-angiotensin system: A paracrine system for the local control of renal function separate from the systemic axis. Exp Nephrol 1996; 4(Suppl 1):2–7.
Morgan BJ, Lyson T, Scherrer U et al. Cyclosporine causes sympathetically mediated elevations in arterial pressure in rats. Hypertension 1991; 18:458–466.
Ziai F, Ots M, Provoost AP et al. The angiotensin receptor antagonist, irbesartan, reduces renal injury in experimental chronic renal failure. Kidney Int Suppl 1996; 57:S132–S136.
Pupilli C, Lasagni L, Romagnani P et al. Angiotensin II stimulates the synthesis and secretion of vascular permeability factor/vascular endothelial growth factor in human mesangial cells. J Am Soc Nephrol 1999; 10:245–255.
Wolf G, Ziyadeh FN. The role of angiotensin II in diabetic nephropathy: Emphasis on nonhemodynamic mechanisms. Am J Kidney Dis 1997; 29:153–163.
Cui XL, Douglas JG. Arachidonic acid activates c-jun N-terminal kinase through NADPH oxidase in rabbit proximal tubular epithelial cells. Proc Natl Acad Sci USA 1997; 94:3771–3776.
Wolf G. Angiotensin II: A pivotal factor in the progression of renal diseases. Nephrol Dial Transplant 1999; 14(Suppl 1):42–44.
Kihara M, Yabana M, Toya Y et al. Angiotensin II inhibits interleukin-1β-induced nitric oxide production in cultured rat mesangial cells. Kidney Int 1999; 55:1277–1283.
Rabelink TJ, Bakris GL. The renin-angiotensin system in diabetic nephropathy: The endothelial connection. Miner Electrolyte Metab 1998; 24:381–388.
Wolf G, Mueller E, Stahl RA et al. Angiotensin II-induced hypertrophy of cultured murine proximal tubular cells in mediated by endogenous transforming growth factor-beta. J Clin Invest 1993; 92:1366–1372.
Rajagopalan S, Kurz S, Munzel T et al. Angiotensin II-mediated hypertension in the rat increases vascular superoxide production via membrane NADH/NADPH oxidase activation. Contribution to alterations of vasomotor tone. J Clin Invest 1996; 97:1916–1923.
Radeke HH, Resch K. The inflammatory function of renal glomerular mesangial cells and their interaction with the cellular immune system. Clin Invest 1992; 70:825–842.
Wolf G, Ziyadeh FN, Thaiss F et al. Angiotensin II stimulates expression of the chemokine RANTES in rat glomerular endothelial cells. Role of the angiotensin type 2 receptor. J Clin Invest 1997; 100:1047–1058.
Wolf G, Neilson EG. Angiotensin II induces cellular hypertrophy in cultured murine proximal tubular cells. Am J Physiol 1990; 259(5 Pt 2):F768–F777.
Wolf G, Ziyadeh FN, Zahner G et al. Angiotensin II is mitogenic for cultured rat glomerular endothelial cells. Hypertension 1996; 27:897–905.
Kagami S, Border WA, Miller DE et al. Angiotensin II stimulates extracellular matrix protein synthesis through induction of transforming growth factor-beta expression in rat glomerular mesangial cells. J Clin Invest 1994; 93:2431–2437.
Singh R, Alavi N, Singh AK et al. Role of angiotensin II in glucose-induced inhibition of mesangial matrix degradation. Diabetes 1999; 48:2066–2073.
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Galle, J., Quaschning, T., Seibold, S. (2005). Oxidative Stress, Lipoproteins and Angiotensin II. In: Fibrogenesis: Cellular and Molecular Basis. Medical Intelligence Unit. Springer, Boston, MA. https://doi.org/10.1007/0-387-26476-0_3
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DOI: https://doi.org/10.1007/0-387-26476-0_3
Publisher Name: Springer, Boston, MA
Print ISBN: 978-0-306-47861-1
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