Superoxide dismutase (SOD) in renal tissue biopsy specimens obtained f
rom patients with immunoglobulin A nephropathy (13 cases) and non-immu
noglobulin A mesangial proliferative glomerulonephritis (nine cases) w
as studied at the protein level by an enzyme-linked immunosorbent assa
y method and at the mRNA level by the reverse transcriptase-polymerase
chain reaction (RT-PCR) assay. Total SOD activity in the tissue super
natant was measured by applying an electron paramagnetic resonance/spi
n trapping method, Normal renal tissues obtained from kidneys removed
for malignancies (six cases) were included as healthy controls. The co
pper and zinc form of SOD (Cu,Zn-SOD) activity at both the protein and
mRNA levels was lower in the moderately or severely damaged tissues c
ompared with that in the normal or mildly damaged tissues. On the othe
r hand, manganese SOD (Mn-SOD) values at either the protein level or t
he mRNA level did not differ significantly between control and patient
samples. In the histochemical study using a polyclonal rabbit anti-Cu
,Zn-SOD antibody, the staining intensity for Cu,Zn-SOD antigen was low
er in the areas with advanced histologic damage than in the intact tis
sues. A follow-up study showed that renal function deterioration was p
roportionately slower in patients whose SOD activity was within the ra
nge of healthy tissue levels at the time of biopsy. Our data suggest t
hat a lower level of SOD activity, whether as a cause or a consequence
of the disease process, might induce a decrease in the scavenger reac
tion of superoxide (O-2(-)), thus causing the tissue to become more vu
lnerable to oxidative stress. (C) 1996 by the National Kidney Foundati
on, Inc.