The antioxidant α-lipoic acid attenuates intermittent hypoxia-related renal injury in a mouse model of sleep apnea

Sleep. 2019 Jun 11;42(6):zsz066. doi: 10.1093/sleep/zsz066.

Abstract

Study objectives: Oxidative stress and inflammation are proposed to mediate kidney diseases that occur in patients with obstructive sleep apnea (OSA). We examined the hypothesis that α-lipoic acid (LA) prevents renal injury in a mouse model of sleep apnea.

Methods: Twenty male mice received either intermittent hypoxia (IH) or intermittent air (IA) with or without a LA-enriched diet for 60 days. Plasma and urine samples were collected at the end of study, and kidneys were harvested for protein analysis.

Results: Animals in the IH + LA group had lower levels (p < 0.05) of plasma oxidative stress (8-isoprostane) and inflammation (TNF-α). Renal oxidative stress was also reduced in mice in the IH + LA (p < 0.05) compared with IH-exposed mice that were fed regular diet. Renal cellular apoptosis and tubular injury were reduced in the IH + LA group. Treatment with LA attenuated IH-induced glomerular hypertrophy and increased albuminuria.

Conclusions: Treatment with LA prevents IH-induced renal injury in mice. LA may be a potential therapy for reducing renal dysfunction in patients with OSA. LA can also increase oxidative stress in healthy animals.

Keywords: antioxidant; chronic kidney disease; inflammation; obstructive sleep apnea; oxidative stress.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antioxidants / therapeutic use*
  • Disease Models, Animal
  • Hypoxia / physiopathology
  • Inflammation / metabolism
  • Kidney / injuries*
  • Kidney Diseases / pathology*
  • Kidney Diseases / prevention & control*
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Oxidative Stress / drug effects
  • Sleep Apnea, Obstructive / physiopathology*
  • Thioctic Acid / therapeutic use*

Substances

  • Antioxidants
  • Thioctic Acid

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