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1 Physiology, Akdeniz University, Medical Faculty, Antalya, Turkey
2 Mugla University, School of Health Sciences, Mugla, Turkey
* To whom correspondence should be addressed. E-mail: uksenturk{at}akdeniz.edu.tr.
Exercise-induced proteinuria is a common consequence of physical activity and is caused predominantly by alterations in renal hemodynamics. Although it has been shown that exercise-induced oxidative stress can also contribute to the occurrence of post-exercise proteinuria, the sources of reactive oxygen species that promote it are unknown. We investigated the enzymes nicotinamide adenine dinucleotide phosphate (NADPH) oxidase and xanthine oxidase (XO) as possible sources of oxidative stress in post-exercise proteinuria. First, we evaluated the effect of blocking the NADPH oxidase enzyme on post-exercise proteinuria. We found a significant increase in urinary protein level, kidney thiobarbituric acid reactive substances (TBARS), and protein carbonyl content after exhaustive exercise, and NADPH oxidase activity was induced by exercise. Rats that were treated with an NADPH oxidase inhibitor for four days prior to exhaustive exercise showed no increase in kidney TBARS or protein carbonyl derivative level and no proteinuria or NADPH oxidase activation. In the next set of experiments, we investigated the effect of XO blockage on post-exercise proteinuria. Oxypurinol, an XO inhibitor was administered to rats for three days before exercise. Although XO inhibition significantly decreased kidney TBARS levels and protein carbonyl content in exercised rats, the inhibition did not prevent exercise-induced proteinuria. However, plasma and kidney XO activity was not induced by exercise, but rather was suppressed under oxypurinol treatment. These results suggest that increased NADPH oxidase activity induced by exhaustive exercise is an important source of elevated oxidative stress during exercise, which contributes to the occurrence of post-exercise proteinuria.
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