Erschienen in:
01.02.2008 | Original Article
Prevention of DNA damage in renal transplantation by losartan and enalapril: the role of renin-angiotensin system polymorphisms
verfasst von:
Amir Ghorbanihaghjo, Pegah Veisi, Hassan Argani, Mohammad Aghaeishahsavari, Masood Noroozianavval, Nadereh Rashtchizadeh, Mehran Mesgari, Javid Safa, Hosain Babaei
Erschienen in:
Clinical and Experimental Nephrology
|
Ausgabe 1/2008
Einloggen, um Zugang zu erhalten
Abstract
Background
In this study the effect of losartan and enalapril on the reduction of DNA damage was evaluated in regard to renin-angiotensin system (RAS) polymorphisms.
Methods
After determination of genotypes of RAS polymorphism by PCR, 64 renal transplant recipients were randomly allocated to one of four groups: the first and second groups were treated with E (E+: 10 mg/day) and L (L+: 50 mg/day) alone, respectively. The third group received E+L (E+L+: 10 + 50 mg/day), and the forth group received no medication (E−L−). The subjects were followed for 8 weeks. After a 2-week washout period, the E group changed to L and vice versa as a cross-over design. They were followed for another 8 weeks. Before and after treatment, we checked 8-OHdG and malondialdehyde (MDA) as biomarkers of DNA damage and lipid peroxidation, respectively.
Results
8-OHdG levels were significantly decreased after treatment in the E+L+ and L+ groups (P < 0.001, P = 0.001, respectively). Only the TT genotype of AGT had the most antioxidative role regarding the treatment (P = 0.01). We found a remarkable correlation between MDA and DNA damage levels before and after intervention (r = 0.48, P < 0.001; r = 0.35, P = 0.006).
Conclusion
The protective effects of L+ and E+L+ on DNA breaks are surprising regarding the RAS polymorphisms.