Passive Heymann nephritis (PHN) in rats is a model of human membranous neph
ropathy characterized by formation of subepithelial immune deposits in the
glomerular capillary wall and complement activation. Oxygen radicals have b
een implicated in the subsequent glomerular damage which leads to proteinur
ia. This study examines the involvement of xanthine oxidase in this process
. Xanthine oxidase activity was increased nearly twofold in glomeruli isola
ted 1 and 12 d after induction of PHN, and this was associated with increas
ed glomerular superoxide anion generation. Analysis of glomerular samples b
y Northern and Western blotting revealed no quantitative changes in xanthin
e oxidoreductase expression in PHN, suggesting conversion of xanthine dehyd
rogenase to the oxidase form as the cause of increased activity. Treatment
of mts with tungsten, an inhibitor of xanthine oxidase, before induction of
BHN resulted in a marked decrease in glomerular xanthine oxidase activity
and superoxide anion generation, and decreased proteinturia by 80% (day 12:
423 +/- 245 mg/d in PHN versus 78 +/- 53 mg/d in tungsten-treated PHN anim
als, P < 0.01), These findings point to a pivotal role of xanthine oxidase
in the pathophysiology of PHN and could be of importance in the therapy of
human membranous nephropathy.