Etomoxir-induced PPARα-modulated enzymes protect during acute renal failure

Didier Portilla, Gonghe Dai, Jeffrey M. Peters, Frank J. Gonzalez, Mark D. Crew, Alan D. Proia

Research output: Contribution to journalArticlepeer-review

149 Scopus citations


Regulation of fatty acid β-oxidation (FAO) represents an important mechanism for a sustained balance of energy production/utilization in kidney tissue. To examine the role of stimulated FAO during ischemia, Etomoxir (Eto), clofibrate, and WY-14,643 compounds were given 5 days prior to the induction of ischemia/reperfusion (I/R) injury. Compared with rats administered vehicle, Eto-, clofibrate-, and WY-treated rats had lower blood urea nitrogen and serum creatinines following I/R injury. Histological analysis confirmed a significant amelioration of acute tubular necrosis. I/R injury led to a threefold reduction of mRNA and protein levels of acyl CoA oxidase (AOX) and cytochrome P4A1, as well as twofold inhibition of their enzymatic activities. Eto treatment prevented the reduction of mRNA and protein levels and the inhibition of the enzymatic activities of these two peroxisome proliferator-activated receptor-α (PPARα) target genes during I/R injury. PPARα null mice subjected to I/R injury demonstrated significantly enhanced cortical necrosis and worse kidney function compared with wild-type controls. These results suggest that upregulation of PPARα- modulated FAO genes has an important role in the observed cytoprotection during I/R injury.

Original languageEnglish (US)
Pages (from-to)F667-F675
JournalAmerican Journal of Physiology - Renal Physiology
Issue number4 47-4
StatePublished - Apr 2000

All Science Journal Classification (ASJC) codes

  • Physiology
  • Urology


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