Effects of dietary salt restriction on puromycin aminonucleoside nephrosis

Dietary salt restriction may reduce proteinuria although the mechanism is not clear. We investigated the effects of dietary salt restriction on rat kidneys in an animal model of glomerular proteinuria. Male Sprague-Dawley rats were divided into 3 groups: vehicle-treated normal-salt controls, puromycin aminonucleoside (PA)-treated normal-salt rats, and PA-treated low-salt rats. PA was given at a dose of 150mg/kg BW at time 0, followed by 50mg/kg BW on days 28, 35, and 42. Sodium-deficient rodent diet with and without additional NaCl (0.5%) were provided for normal-salt rats and low-salt rats, respectively. On day 63, kidneys were harvested for histopathologic examination. PA treatment produced overt proteinuria and renal damage. Dietary salt restriction insignificantly reduced proteinuria in PA-treated rats, and PA-treated low-salt rats had lower urine output and smaller creatinine clearance than vehicle-treated normal-salt controls. The tubulointerstitial injury score positively correlated with proteinuria. It was significantly increased by PA treatment and relieved by low-salt diet. ED1-positive infiltrating cells and immunostaining for interstitial collagen III were significantly increased by PA treatment. These changes appeared less in PA-treated low-salt rats although the differences in PA-treated normal-salt versus low-salt rats did not reach the statistical significance. Our results suggest that renal histopathology in PA nephrosis may potentially be improved by dietary salt restriction. The decreasing tendency in glomerular filtration rate induced by low-sodium diet might be beneficial in retarding renal progression