The Protective Effects of Resveratrol and L-NAME on Visceral Organs following Aortic Clamping

Background: This study investigated the effect of temporary occlusion of the aorta on the development of ischemiaereperfusion (I/R) injury of the visceral organs, the optimal timing of administration of resveratrol, and its mechanism of protection via inhibiting nitric oxide (NO) release with an NO synthase inhibitor. Methods: Rabbits were divided into seven groups according to the administration period of resveratrol and/or N-G-nitro-L-arginine methyl ester (L-NAME): control group; group 1, resveratrol during ischemic period; group 2, resveratrol during reperfusion period; group 3, L-NAME during ischemic period; group 4, L-NAME during reperfusion period; group 5, resveratrol during ischemic period and L-NAME during reperfusion period; group 6, L-NAME during ischemic period and resveratrol during reperfusion period. The infrarenal aorta was clamped for 30 min. Blood samples were taken for the biochemical assesment, and organ specimens were taken for pathological assessment at 24 hr of reperfusion. Results: In groups 5 and 6, the renal I/R injury was comparatively milder (I/R injury score 1.04 +/- 0.29 in control group, 0.25 +/- 0.17 in group 5, and 0.33 +/- 0.13 in group 6 [p < 0.05]). The I/R injury of bowel was milder in group 5 (I/R injury score 1.8 +/- 0.80 in control group vs. 0.0 +/- 0.0 in group 5 [p < 0.05]). Conclusion: The protective effects of resveratrol on organs that have high metabolic rate like kidney and bowel was proven histopathologically. It may be benefical to use different pharmacological medications in different periods of the I/R damage as they represent different characteristics with and without oxygen. The combination of resveratrol and L-NAME against I/R injury appears to be an effective option in the near future.