The manifestation of oxidant-mediated renal injury is determined by the dynamic balance between the pathogen, oxidant stress, and the defense mechanism, antioxidants. Although several antioxidant enzymes, such as superoxide dismutases, glutathione peroxidase, catalase have been identified, their molecular structure, regulation and reactions in kidney are less characterized.
Glomerular expressions of Mn-superoxide dismutase (SOD) are reduced in an early phase of puromycin aminonucleoside nephrosis and ischemic renal injury in rats, as well as in human primary nephrotic syndrome at relapse. The expression is enhanced by glucocorticoid, tumor necrosis factor, interleukins, and oxidant stress. The mechanism for these changes in the glomerular enzyme expressions includes transcriptional regulation. Thus, Mn-SOD contains response elements (binding sites for the transcriptional factors) for glucocorticoid receptor, and intracellular factors responsive to serum elements, and oxidant stress. When glomerular antioxidant enzymes are enhanced by oxidant stress or by glucocorticoids, these tissues or cells confer resistance against subsequent oxidant stress.
Since oxidants are mediators of glomerulonephritis, nephrotic syndrome, acute and chronic renal failure, and renal allograft rejection, gene regulation of antioxidant enzymes in such pathophysiological conditions is an important factor for the development and/ or progression of renal diseases.
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