IntroductionObstructive uropathy results from the blockage of urinary flow at any point in the urinary system. If the obstruction is not relieved in time, it leads to loss of kidney function. The most widespread cause of unilateral ureteral obstruction (UUO) in adult humans is sudden blockage leading to acute obstruction in a ureter. It generally appears with ureteral stones. An obstruction-related increase in retrograde hydrostatic pressure triggers tubular cell death due to apoptosis and necrosis, interstitial inflammation, decreased capillary numbers, and progressive fibrosis (1).Oxidative stress causes injury and functional losses in many tissues, including the kidney. Clinical and experimental studies have shown that oxidative stress causes glomerular, tubulointerstitial, and endothelial changes in the kidneys and mediates the development of several kidney diseases, such as acute kidney failure, rhabdomyolysis, obstructive nephropathy, glomerular injury, and chronic kidney failure (2).Reactive oxygen species (ROS) are highly reactive molecules derived from the mitochondrial electron transport chain (3). Overproduction of ROS and/or insufficiency in the antioxidant mechanism leads to compromise of the oxidant/ antioxidant balance and thus to oxidative stress (4-6). The most important ROS include superoxide (O 2 -), hydroxyl (OH), hydrogen peroxide, singlet oxygen, and nitric oxygen radicals (6). Since reactive oxygen products have a rather unstable structure due to their unpaired electron, they can damage these structures by reacting with all elements in the environment in order to achieve stability (3-6). Excessive ROS formation in the body can lead to changes in the structure of DNA, resulting in activation of transcription factors induced by various stresses, production of pro-and antiinflammatory cytokines, and modification of lipids (4).Background/aim: Renal oxidative stress occurs in ureteral obstructions. The purpose of this study was to investigate the effect of the antioxidant and antiischemic agent trimetazidine (TMZ) on oxidative stress following ureteral obstruction.
Materials and methods:Ten groups were established. Sham groups were checked as controls after 1 and 3 weeks. The other 8 groups had partial or complete ureteral obstruction while receiving or not receiving trimetazidine (TMZ) at 5 mg/kg daily and were evaluated after either 1 week or 3 weeks. Creatinine and cystatin C measurements were performed in the serum. Malondialdehyde, myeloperoxidase, catalase, and glutathione peroxidase activity were measured in renal tissue and serum.
Results:In the 1-week groups, tissue malondialdehyde, serum myeloperoxidase, and glutathione peroxidase activity increased significantly with obstruction and TMZ use compared to the control group (P < 0.005). In the 3-week TMZ group, cystatin C, tissue malondialdehyde, serum and tissue myeloperoxidase, and tissue glutathione peroxidase differed significantly (P < 0.05). There was no significant difference in all parameters after 3 weeks of partial obstruction (...