Protective effect of EDTA preadministration on renal ischemia
Af Chiara Foglieni
Chiara Foglieni , Alessandro Fulgenzi , Paolo Ticozzi , Fabio Pellegatta , Clara Sciorati , Daniela Belloni , Elisabetta Ferrero and Maria Elena Ferrero
BMC Nephrology 2006, 7:5 Published 15 March 2006
Abstract Background Chelation therapy with sodium edetate (EDTA) improved renal function and slowed the progression of renal insufficiency in patients subjected to lead intoxication. This study was performed to identify the mechanism underlying the ability of EDTA treatment to protect kidneys from damage. Methods The effects of EDTA administration were studied in a rat model of acute renal failure induced by 60 minutes ischemia followed or not by 60 minutes reperfusion. Renal ischemic damage was evaluated by histological studies and by functional studies, namely serum creatinine and blood urea nitrogen levels. Treatment with EDTA was performed 30 minutes before the induction of ischemia. Polymorphonuclear cell (PMN) adhesion capability, plasmatic nitric oxide (NO) levels and endothelial NO synthase (eNOS) renal expression were studied as well as the EDTA protection from the TNFa-induced vascular leakage in the kidneys. Data were compared by two-way analysis of variance followed by a post hoc test. Results EDTA administration resulted in the preservation of both functional and histological parameters of rat kidneys. PMN obtained from peripheral blood of EDTA-treated ischemized rats displayed a significant reduction in the expression of the adhesion molecule Mac-1 with respect to controls. NO was significantly increased by EDTA administration and eNOS expression was higher and more diffuse in kidneys of rats treated with EDTA than in controls. Finally, EDTA administration was able to prevent in vivo the TNFa-induced vascular leakage in the kidneys. Conclusion These data provide evidence that EDTA treatment is able to protect rat kidneys from ischemic damage possibly through a stimulation of NO production.