Background. Unilateral ureteral obstruction (UUO) is a well-established exp
erimental model of renal injury leading to interstitial fibrosis. The molec
ular and cellular mechanism(s) of interstitial fibrosis in UUO kidney is be
ginning to be elucidated. Oxidative stress has been implicated in the patho
genesis of various forms of renal injury; however, little is known about it
s involvement in the setting of ureteral obstruction.
Methods. To investigate the possible involvement of oxidative stress in the
obstructive nephropathy, we studied the occurrence and distribution of NE-
carboxymethyl-lysine (CML) in the kidneys after ureteral obstruction. CML i
s an integrative biomarker of the cumulative protein damage induced by glyc
oxidation. Heme oxygenase-l (HO-1) mRNA and protein expression, which is a
sensitive and reliable indicator of oxidative stress, were also examined.
Results. CML immunoreactivity was found in the interstitium of UUO kidneys
10 days after the onset ureteral obstruction. HO-1 mRNA was up-regulated as
early as 12 hours after ureteral obstruction. HO-1 immunoreactivity was ob
served in the periglomerular and peritubular interstitium two days after ur
eteral obstruction.
Conclusions. These results strongly suggested the presence of increased oxi
dative stress in the interstitium of UUO kidneys. The oxidative stress and
the formation of various kind of biological active oxidative products in th
e interstitium are supposed to play significant roles in UUO kidney.