title: Adenovirus-mediated bcl-2 gene transfer inhibits renal ischemia/reperfusion induced tubular oxidative stress and apoptosis.
abstract: Ischemia/reperfusion induces oxidative injury to proximal and distal renal tubular cells. We hypothesize that Bcl-2 protein augmentation with adenovirus vector mediated bcl-2 (Adv-bcl-2) gene transfer may improve ischemia/reperfusion induced renal proximal and distal tubular apoptosis through the mitochondrial control of Bax and cytochrome C translocation. Twenty-four hours of Adv-bcl-2 transfection to proximal and distal tubular cells in vitro upregulated Bcl-2/Bax ratio and inhibited hypoxia/reoxygenation induced cytochrome C translocation, O(2) (-) production and tubular apoptosis. Intra-renal arterial Adv-bcl-2 administration with renal venous clamping augmented Bcl-2 protein of rat kidney in vivo in a time-dependent manner. The maximal Bcl-2 protein expression appeared at 7 days after Adv-bcl-2 administration and the primary location of Bcl-2 augmentation was in proximal and distal tubules, but not in glomeruli. With a real-time monitoring O(2) (-) production and apoptosis analysis of rat kidneys, ischemia/reperfusion increased renal O(2) (-) level, potentiated proapoptotic mechanisms, including decrease in Bcl-2/Bax ratio, increases in caspase 3 expression and poly-(ADP-ribose)-polymerase fragments and subsequent proximal and distal tubular apoptosis. However, Adv-bcl-2 administration significantly enhanced Bcl-2/Bax ratio, decreased ischemia/reperfusion induced O(2) (-) amount, inhibited proximal and distal tubular apoptosis and improved renal function. Our results suggest that Adv-bcl-2 gene transfer significantly reduces ischemia/reperfusion induced oxidative injury in the kidney.
authors.affiliation: Department of Medical Research, National Taiwan University Hospital and National Taiwan University Colleage of Medicine, Taipei.
authors.forename: Chiang-Ting
authors.initials: CT
authors.lastname: Chien
authors.forename: Chien
authors.initials: C
authors.lastname: Chiang-Ting
authors.forename: Tzu-Ching
authors.initials: TC
authors.lastname: Chang
authors.forename: Chang
authors.initials: C
authors.lastname: Tzu-Ching
authors.forename: Ching-Yi
authors.initials: CY
authors.lastname: Tsai
authors.forename: Tsai
authors.initials: T
authors.lastname: Ching-Yi
authors.forename: Song-Kuen
authors.initials: SK
authors.lastname: Shyue
authors.forename: Shyue
authors.initials: S
authors.lastname: Song-Kuen
authors.forename: Ming-Kuen
authors.initials: MK
authors.lastname: Lai
authors.forename: Lai
authors.initials: L
authors.lastname: Ming-Kuen
mesh_terms: D000256:Adenoviridae / Q000235:genetics*; D000818:Animals; D017209:Apoptosis; D020169:Caspases / Q000378:metabolism; D045304:Cytochromes c / Q000378:metabolism; D005260:Female; D018014:Gene Transfer Techniques; D015316:Genetic Therapy / Q000379:methods*; D005822:Genetic Vectors; D006801:Humans; D007674:Kidney Diseases / Q000473:pathology / Q000517:prevention & control*; D007686:Kidney Tubules, Distal / Q000187:drug effects* / Q000378:metabolism; D007687:Kidney Tubules, Proximal / Q000187:drug effects* / Q000378:metabolism; D018384:Oxidative Stress; D011065:Poly(ADP-ribose) Polymerases / Q000378:metabolism; D019253:Proto-Oncogene Proteins c-bcl-2 / Q000235:genetics* / Q000378:metabolism; D051381:Rats; D017208:Rats, Wistar; D015427:Reperfusion Injury / Q000473:pathology / Q000517:prevention & control*
chemical_list: D019253:Proto-Oncogene Proteins c-bcl-2; D045304:Cytochromes c; D011065:Poly(ADP-ribose) Polymerases; D020169:Caspases