Tumor necrosis factor (
TNF)-alpha plays a crucial role in the pathogenesis of
ischemia/reperfusion-induced renal injury. We demonstrated recently that the preischemic treatment with
resiniferatoxin, a transient receptor potential vanilloid 1 (TRPV1) agonist, attenuates renal
TNF-alpha mRNA expression and improves
ischemia/reperfusion-induced renal injury in rats. In addition, we found that
SA13353 [1-[2-(1-adamantyl)ethyl]-1-pentyl-3-[3-(4-pyridyl)propyl]
urea], a novel orally active TRPV1 agonist, inhibits
TNF-alpha production through the activation of
capsaicin-sensitive afferent neurons and reduces the severity of symptoms in established rat
collagen-induced arthritis. In the present study, we investigated effects of treatment with
SA13353 on
ischemia/reperfusion-induced renal injury in rats. Ischemic
acute kidney injury (AKI) was induced by occlusion of the left renal artery and vein for 45 min followed by reperfusion, 2 weeks after contralateral
nephrectomy. Renal function in vehicle-treated AKI rats markedly decreased at 24 h after reperfusion. Treatment with
SA13353 (3, 10, and 30 mg/kg p.o.) 30 min before
ischemia dose-dependently attenuated the
ischemia/reperfusion-induced renal dysfunction. Histopathological examination of the kidney of AKI rats revealed severe renal damage, which were significantly suppressed by the
SA13353 treatment. In renal tissues exposed to
ischemia/reperfusion, neutrophil infiltration,
superoxide production,
TNF-alpha mRNA expression, and
cytokine-induced neutrophil chemoattractant-1
mRNA expression were augmented, but these alterations were attenuated by the treatment with
SA13353. On the other hand,
ischemia/reperfusion-enhanced renal
interleukin-10 mRNA expression and its plasma concentration were further augmented by
SA13353 treatment. These results demonstrate that the orally active TRPV1 agonist
SA13353 prevents the
ischemia/reperfusion-induced AKI. This renoprotective effects seem to be closely related to the inhibition of inflammatory response via TRPV1 activation.