The aim of the study was to investigate the cytoprotective effect of a
calcium channel blocker, nicardipine, on altered renal function due t
o cold ischemia for 72 h. The experiments were performed on isolated p
erfused kidneys from adult rabbits. Kidneys were perfused with either
standard Euro-Collins (EC) solution (n = 7) or EC containing nicardipi
ne (n = 6) and then incubated with the same preservation solutions in
a beaker exposed to cold ischemia for 72 h at +4 degrees C. In the con
trol group the same procedure was applied to untreated kidneys (n = 6)
which were exposed to cold ischemia for 30 min. Vascular responses an
d urinary output to noradrenaline, angiotensin II, endothelin-1, acety
lcholine and sympathetic stimulation were assessed as the functional a
ctivities of the kidney. The responses of the preserved kidneys were c
ompared following cold ischemic conditions. The results indicate that
the addition of nicardipine to EC solution protects the vascular endot
helial regulatory function and urine excretion; therefore, dihydropyri
dine calcium channel blockers might be useful for kidney preservation.