Abstract. Wistar Furth (WF) rats do not develop renal injury after severe reduction of renal mass. Because clinical and animal studies suggested that nitric oxide (NO) deficiency occurs and may contribute to chronic renal disease (CRD), the status of the NO system in WF versus Sprague Dawley (SD) rats was examined with the 5/6 renal ablation/infarction (A/I) model of CRD. Eleven weeks after A/I, SD rats developed proteinuria, severe kidney damage, decreased renal function, and marked decreases in total and renal NO synthase (NOS), specifically neuronal NOS. In contrast, WF rats exhibited elevated baseline and maintained post-A/I total NO production, with no decrease in renal cortex NOS activity despite a decrease in remnant neuronal NOS abundance. When low-dose chronic N-nitro-L-arginine methyl ester treatment was added for WF A/I-treated rats, rapid progression of CRD was observed. In conclusion, elevated NO production in WF rats was associated with protection from the progression of CRD after renal mass reduction. The protection might be attributable to greater total and renal NO-generating capacity and increased nephron number, compared with SD rats. NOS inhibition rendered WF rats susceptible to progression, suggesting a possible critical threshold for NO production, below which renal injury occurs.Increasing evidence suggests that nitric oxide (NO) deficiency occurs as a result of chronic renal disease (CRD) and may contribute to injury progression. For example, animal models of CRD (1,2) and clinical studies of patients with CRD or ESRD (3-5) indicated decreased total NO production. Also, renal injury can be produced by chronic NO synthase (NOS) inhibition (6).The 5/6 reduction of renal mass model is widely used to study CRD; in Sprague Dawley (SD) rats, progression of renal disease occurs rapidly, with the development of severe proteinuria and structural damage (7). SD rats also exhibit systemic and renal NO deficiencies after renal mass reduction (1,2) and L-arginine supplementation ameliorates renal injury, suggesting a causal role for the NO deficiencies in CRD progression (2,8).Vulnerability to the development of CRD varies among rat strains and Wistar Furth (WF) rats are resistant, inasmuch as WF rats exhibit minimal proteinuria and no visible glomerulosclerosis 4 wk after 5/6 renal mass reduction (9). This strain difference was exploited in this study, which was conducted to test the hypothesis that NO deficiency plays a role in the progression of CRD. Specifically, we anticipated that WF rats would exhibit elevated baseline NO production, compared with SD rats, and/or maintained NO production after 5/6 reduction of renal mass.
Materials and Methods
Animals and Study ProtocolStudies were conducted with two strains of male rats, SD (n ϭ 30) and WF (n ϭ 32), which were purchased from Harlan Sprague Dawley (Indianapolis, IN) at 12 wk of age and age-matched. In the first series of experiments, sham-treated and 5/6 ablation/infarction (A/I)-treated groups of each strain were studied for an 11-wk period a...