In rats with five-sixths nephrectomy (remnant kidney), blood pressure,
glomerulosclerosis, and proteinuria are significantly reduced by admi
nistration of the angiotensin-converting enzyme inhibitor enalapril, d
uring 16 weeks after reduction of the nephron number. The activity of
catalase in remnant-kidney cortex homogenate is not influenced by enal
april treatment; the activities of superoxide dismutase and glutathion
e peroxidase are significantly increased. Elevated lipid peroxidation
in cortex homogenates, evaluated by malondialdehyde and 4-hydroxynonen
al concentrations, is not changed by treatment. Supplementation of die
tary vitamin E to enalapril treatment does not alter antioxidant enzym
e activities when compared to enalapril monotherapy. These results sho
w that enalapril improves the balance between reactive oxygen intermed
iates and antioxidant enzymes in the remnant-kidney cortex of the rat.
This finding may in part explain the protective effect of angiotensin
-converting enzyme inhibitors on the progression of glomerulosclerosis
.