Abstract:Objective:To investigate the activation of p38 signaling transduction cascade in renal ischemia reperfusion injury(IRI) and to study the effect of tempol, a free oxygen radical scavenger, on p38 activation. Methods:Male SpragueDawley rats were randomly divided into shamoperation group (n=10), IRI group (n=45) and IRI + tempol group(n=10). Animal IRI model was created by renal pedicle ligation (50 min) of the left kidney along with a contralateral nephrectomy followed by 2 h reperfusion. Rats were sacrificed on 0, 5, 10, 15, 30, 45 min, 1 and 2 h after renal reperfusion. Animals in IRI + tempol group were pretreated with tempol (100 mg/kg) 1 h before undergoing the same protocol as in IRI group; the kidney was harvested after 45 min of reperfusion. Animals in the shamoperation group were subjected to contralateral nephrectomy without renal pedicle ligation and were sacrificed 45 min later. The renal p38 activities of the 3 groups were determined by Western blotting analysis. Malondialdehyde (MDA) content was detected and proinflammatory cytokine TNFα, IL1β levels were analyzed by ELISA. Results: Activation of p38 was observed in the kidney as early as 5 min after reperfusion and reached its peak 45 min after reperfusion and remained to be activated until 2 h after reperfusion(P<0.05). The activities of renal p38 in IRI and IRI + tempol group were markedly increased compared with that of the shamoperation group(both P<0.05). Pretreatment with tempol significantly inhibited IRIinduced p38 activation(P<0.05); it also decreased MDA activity and TNFα and IL1β levels (both P<0.05). Conclusion:Our results demonstrate that reactive oxygen speciesmediated p38 activation plays an essential role in IRIinduced renal inflammatory damage in rats, suggesting that inhibition of p38 activation by tempol may be used for prophylaxis and treatment of IRI.