Cytotoxic
nitric oxide (NO) is produced during
ischemia/reperfusion (I/R) injury by the expression of inducible
NO synthase (iNOS). Therefore, continuous iNOS inhibition might prevent early graft dysfunction.
FR260330, a potent and selective inhibitor of iNOS activity, impedes the dimmerization of iNOS monomer. In this study, the effect of
FR260330 in the prevention of renal I/R injury was evaluated in the model of one kidney
ischemia in Vervet monkeys. A total of 18 male Vervet monkeys were randomly assigned to two equal groups (n=9). Transient (60 min) left renal
ischemia was produced by simultaneous contralateral
nephrectomy in treated (
FR260330 20 mg/kg/day) and placebo control groups. Renal function and other biochemical parameters as well as
FR260330 concentrations were studies until day 15 after I/R injury. All monkeys survived after 60 min I/R injury until sacrifice on day 15. Serum
creatinine in the untreated controls increased significantly in comparison to the FR260330-treated group on days 2, 3, 4, and 7 (P<0.05). Plasma
FR260330 concentration after
oral administration showed that C(max) was 3.251+/-2.526 microg/ml, and T(max) was 4 hr. This study thus finds that
FR260330, as a selective iNOS inhibitor, effectively prevents renal I/R injury in Vervet monkeys.