Al.pone.0055242.gsignificant reduction in plasma CRP concentration, although GA treatment alone was not effective in altering its level. Just recently, Mahmoud et al [42] reported that rats fed with adenine for 8 weeks (longer than the usual 4 weeks), increased the concentration of serum C-reactive protein and a few antioxidant parameters, and that GA mitigated these action. CRP is known as a mediator stimulating the release of other pro-inflammatory cytokines such as IL-6 and TNF-a [43]. Treatment with adenine induced a marked rise in TNF-a, which is largely in concordance with the results of the other quantified cytokines. IL-10 is known to act in different cell types where it suppresses inflammatory responses [44]. One of the most striking findings in this study was that treatment with GA alone induced a significant rise in plasma IL-10 concentration. Co-administration of GA and adenine slightly reduced the concentration of this anti-inflammatory cytokine. A direct evidence for an anti-inflammatory action of GA, like the induction of IL-10, has not, as far as we know, been reported. However, GA boosts immunity in mice [24], and induces an apparent anti-inflammatory action when used against gingival inflammation [45]. It has also recently been reported, that dietary supplementation with soluble fibers suppresses gut inflammation in IL-10-deficient mice [46]. Reactive oxygen species directly impair mitochondrial function, protein synthesis and structure, DNA synthesis and cellular repair mechanisms [47]. Oxidative stress is already found in early stages of renal disease and increases with declining kidney function [48]. In adenine-induced CRF, until now oxidativestress was demonstrated in the heart and in the vasculature [49,50], so this is the first account of increased superoxide production in the kidneys. DNA damage 
in kidney disease was first detected in the DOCA/salt model, where DNA single and double 15755315 strand breaks were found [51]. Therefore, the adenineinduced CRF model used here is only the second renal failure model in which DNA damage has been analyzed. In both models the source of the DNA damage seems to be increased oxidative stress. The antioxidative capacity of GA could prevent the formation of superoxide completely and the oxidative stressinduced DNA double strand breaks to a certain extent. DNA double strand breaks are serious lesions, initiating genomic instability, inducing cell death or even mutations [52]. A lowered amount of superoxide anions and a lowered incidence of double strand breaks could in part explain the positive effect of GA on the progression of kidney disease. This positive effect can possibly also be ascribed to 
the ability of GA to lower the blood pressure in the adenine-treated rats [23], as we and MedChemExpress CB 5083 others showed an increase of ROS in animals with hypertension [51,53,54]. In conclusion, this work provides direct evidence of buy ML-281 antiinflammatory and antioxidative capacities of GA. GA was able to decrease high levels of several pro-inflammatory cytokines in plasma and kidney of rats suffering from adenine-induced CRF. Further, it could ameliorate a loss of antioxidant defense and decrease adenine-induced superoxide production and DNA Table 2. Effect of treatment of rats with gum arabic (GA, 15 w/v in drinking water), with or without adenine in feed (0.75 w/w) for 28 days on indices of oxidative stress in renal cortex and plasma.TAOAa(mg/l) 0.6160.09 0.7560.11# 0.4660.08* 0.5460.07#* #Group Control GA Ade.Al.pone.0055242.gsignificant reduction in plasma CRP concentration, although GA treatment alone was not effective in altering its level. Just recently, Mahmoud et al [42] reported that rats fed with adenine for 8 weeks (longer than the usual 4 weeks), increased the concentration of serum C-reactive protein and a few antioxidant parameters, and that GA mitigated these action. CRP is known as a mediator stimulating the release of other pro-inflammatory cytokines such as IL-6 and TNF-a [43]. Treatment with adenine induced a marked rise in TNF-a, which is largely in concordance with the results of the other quantified cytokines. IL-10 is known to act in different cell types where it suppresses inflammatory responses [44]. One of the most striking findings in this study was that treatment with GA alone induced a significant rise in plasma IL-10 concentration. Co-administration of GA and adenine slightly reduced the concentration of this anti-inflammatory cytokine. A direct evidence for an anti-inflammatory action of GA, like the induction of IL-10, has not, as far as we know, been reported. However, GA boosts immunity in mice [24], and induces an apparent anti-inflammatory action when used against gingival inflammation [45]. It has also recently been reported, that dietary supplementation with soluble fibers suppresses gut inflammation in IL-10-deficient mice [46]. Reactive oxygen species directly impair mitochondrial function, protein synthesis and structure, DNA synthesis and cellular repair mechanisms [47]. Oxidative stress is already found in early stages of renal disease and increases with declining kidney function [48]. In adenine-induced CRF, until now oxidativestress was demonstrated in the heart and in the vasculature [49,50], so this is the first account of increased superoxide production in the kidneys. DNA damage in kidney disease was first detected in the DOCA/salt model, where DNA single and double 15755315 strand breaks were found [51]. Therefore, the adenineinduced CRF model used here is only the second renal failure model in which DNA damage has been analyzed. In both models the source of the DNA damage seems to be increased oxidative stress. The antioxidative capacity of GA could prevent the formation of superoxide completely and the oxidative stressinduced DNA double strand breaks to a certain extent. DNA double strand breaks are serious lesions, initiating genomic instability, inducing cell death or even mutations [52]. A lowered amount of superoxide anions and a lowered incidence of double strand breaks could in part explain the positive effect of GA on the progression of kidney disease. This positive effect can possibly also be ascribed to the ability of GA to lower the blood pressure in the adenine-treated rats [23], as we and others showed an increase of ROS in animals with hypertension [51,53,54]. In conclusion, this work provides direct evidence of antiinflammatory and antioxidative capacities of GA. GA was able to decrease high levels of several pro-inflammatory cytokines in plasma and kidney of rats suffering from adenine-induced CRF. Further, it could ameliorate a loss of antioxidant defense and decrease adenine-induced superoxide production and DNA Table 2. Effect of treatment of rats with gum arabic (GA, 15 w/v in drinking water), with or without adenine in feed (0.75 w/w) for 28 days on indices of oxidative stress in renal cortex and plasma.TAOAa(mg/l) 0.6160.09 0.7560.11# 0.4660.08* 0.5460.07#* #Group Control GA Ade.
