Topiroxostat is a novel inhibitor of
xanthine oxidase, and is postulated to exert a renoprotective effect.
Puromycin aminonucleoside nephrosis (PAN) is a rat model of
minimal change nephrotic syndrome. In this study, we examined whether
topiroxostat ameliorates the kidney injury in PAN rats that was induced by a single
intraperitoneal injection of PA (100 mg/kg
body weight). Rats were divided into four groups: control rats, PAN rats, control rats treated with
topiroxostat (1.0 mg/kg/day), and PAN rats treated with
topiroxostat.
Topiroxostat significantly reduced the amount of
uric acid in the kidney cortex, while serum UA concentration remained unaffected by this treatment. Urinary
protein excretion decreased significantly on day 10 in PAN rats upon
topiroxostat treatment. Podocyte injury in PAN rats, as indicated by the reduction in WT-1-positive cell numbers and
podocin immunoreactivity and foot process effacement, was partially yet significantly alleviated with
topiroxostat treatment. In the kidney cortex, the increase in oxidative stress markers such as
nitrotyrosine and 8-hydroxy-2-deoxyguanosine (8-OHdG) and the enhanced expressions of
xanthine oxidase and
NADPH oxidase 4 (NOX4) in PAN rats were significantly ameliorated by
topiroxostat. Using cultured podocytes NOX4 expression was upregulated by adding 12 mg/dL UA into the culture medium. These results suggest that
topiroxostat ameliorates
proteinuria and kidney injury in PAN rats by lowering oxidative stress and tissue UA concentration. The renoprotective effects of
topiroxostat could be attributed to its potential to inhibit
xanthine oxidase and NOX4 in concert with suppression of intracellular UA production.