Females suffer a less severe ischemic
acute renal failure than males, apparently because of higher
nitric oxide (NO) bioavailability and/or lower levels of oxidative stress. Because the renal ischemic injury is associated with outer medullary (OM) endothelial dysfunction, the present study evaluated sex differences in OM changes of NO and
peroxynitrite levels (by differential pulse voltammetry and amperometry, respectively) during 45 min of
ischemia and 60 min of reperfusion in anesthetized Sprague-Dawley rats.
Endothelial nitric oxide synthase (eNOS) and
neuronal nitric oxide synthase (nNOS)
protein expression and their phosphorylated forms [peNOS(Ser1177) and pnNOS(Ser1417)],
3-nitrotyrosine, reduced sulfhydryl groups (-SH), and glomerular filtration rate (GFR) were also determined. No sex differences were observed in monomeric eNOS and nNOS expression, NO, or
3-nitrotyrosine levels in nonischemic kidneys, but renal -SH content was higher in females.
Ischemia increased dimeric/monomeric eNOS and nNOS ratio more in females, but the dimeric phosphorylated peNOS(Ser1177) and pnNOS(Ser1417) forms rose similarly in both sexes, indicating no sex differences in
nitric oxide synthase activation. However, NO levels increased more in females than in males (6,406.0 ± 742.5 and 4,058.2 ± 272.35 nmol/l respectively, P < 0.05), together with a lower increase in
peroxynitrite current (5.5 ± 0.7 vs. 12.7 ± 1.5 nA, P < 0.05) and
3-nitrotyrosine concentration, (28.7 ± 3.7 vs. 48.7 ± 3.7 nmol/mg
protein, P < 0.05) in females than in males and a better preserved GFR after
ischemia in females than in males (689.7 ± 135.0 and 221.4 ± 52.5 μl·min(-1)·g kidney wt(-1), P < 0.01). Pretreatment with the
antioxidants N-acetyl-L-cysteine or
ebselen abolished sex differences in
peroxynitrite,
nitrotyrosine, and GFR, suggesting that a greater oxidative and nitrosative stress worsens renal damage in males.