González Ricardo, Romay Cheyla, Borrego Aluet, Hernández Frank, Merino Nelson, Zamora Zullyt, Rojas Enis
Department of Biomedicine, Ozone Research Center, National Center for Scientific Research, Havana, Cuba.
Mediators Inflamm. 2005 Aug 14;2005(3):139-43. doi: 10.1155/MI.2005.139.
Cisplatin (CDDP), an anticancer drug, induces remarkable toxicity in the kidneys of animals and humans and it has been well documented that reactive oxygen species and the renal antioxidant system are strongly involved in acute renal damage induced by CDDP. The aim of the present study was to investigate whether or not the renal antioxidant system plays also an important role in chronic renal damage induced by repeated doses of CDDP (1 mg/kg intraperitoneally twice weekly during 10 weeks in rats). In order to elucidate it, serum creatinine and urea levels, renal glutathione and thiobarbituric acid-reactive substances (TBARS) content, as well as renal superoxide dismutase and glutathione peroxidase activities were measured in the kidney homogenates of chronically CDDP-treated rats and additionally histological studies were performed in the rat kidneys. The chronic treatment with CDDP induced a significant increase in creatinine and urea levels in serum, but the other parameters mentioned above were not significantly modified as compared to the values in nontreated rats. Taking into account these results, we conclude that chronic CDDP administration induces also severe nephrotoxicity, in contrast to CDDP acute application, without any significant modification in the activity of relevant antioxidant enzymes such as superoxide dismutase and glutathione peroxidase, renal glutathione and lipid peroxides, by which the role of the antioxidant system in chronic nephrotoxicity induced by CDDP in rats is uncertain.
顺铂(CDDP)是一种抗癌药物,可在动物和人类肾脏中引发显著毒性,且已有充分文献证明活性氧物种和肾脏抗氧化系统与CDDP诱导的急性肾损伤密切相关。本研究的目的是调查肾脏抗氧化系统在重复剂量的CDDP(大鼠每周两次腹腔注射1mg/kg,持续10周)诱导的慢性肾损伤中是否也起重要作用。为了阐明这一点,我们测量了长期接受CDDP治疗的大鼠肾脏匀浆中的血清肌酐和尿素水平、肾脏谷胱甘肽和硫代巴比妥酸反应性物质(TBARS)含量,以及肾脏超氧化物歧化酶和谷胱甘肽过氧化物酶活性,此外还对大鼠肾脏进行了组织学研究。CDDP的慢性治疗导致血清中肌酐和尿素水平显著升高,但与未治疗大鼠的值相比,上述其他参数没有显著变化。考虑到这些结果,我们得出结论,与CDDP急性应用相反,慢性给予CDDP也会诱导严重的肾毒性,而相关抗氧化酶如超氧化物歧化酶和谷胱甘肽过氧化物酶的活性、肾脏谷胱甘肽和脂质过氧化物没有任何显著变化,因此抗氧化系统在大鼠CDDP诱导的慢性肾毒性中的作用尚不确定。