Three hours following injection of
anti-GBM (glomerular basement membrane) antibody (10 mg/kg, i.v.) into rats, glomerular production of
LTB4 was significantly increased as compared to untreated rats (497 +/- 26 vs. 244 +/- 18 pg of
LTB4/mg
protein). Twenty-four hours following administration of
anti-GBM antibody, renal function (blood
urea nitrogen, BUN; plasma
creatinine, PCr;
creatinine clearance, CCr; fractional excretion of
sodium, FENa; fractional excretion of
urea, FEUrea) was determined to be impaired proportionally to the amount of injected antibody (5 to 30 mg/kg, i.v.). In a second series of experiments, a selective
5-lipoxygenase (5-LO) inhibitor,
SK&F 107649, was used to investigate the involvement of 5-LO products in the pathophysiology of
anti-GBM antibody-induced
glomerulonephritis. In preliminary experiments.
SK&F 107649 (50 to 200 mg/kg, p.o.) inhibited
ionophore (A23187)-stimulated whole blood
leukotriene (LT) B4 production in a dose-dependent fashion (P < 0.05 at doses > or = 100 mg/kg). The
anti-GBM antibody-mediated decrease in glomerular filtration rate (GFR) and increase in BUN and PCr were dose-dependently attenuated by
SK&F 107649 (50 to 200 mg/kg, p.o. BID). These data confirm that glomerular
LTB4 production is stimulated in
anti-GBM antibody-induced
glomerulonephritis, and demonstrate that inhibition of 5-LO by
SK&F 107649 normalizes BUN and PCr and attenuate the decrease in GFR following
anti-GBM antibody treatment. These results provide additional evidence for a role of 5-LO products in immune-mediated renal disease, and suggest that pharmacologic inhibition of 5-LO may be of therapeutic value.