Ashrafi Farzaneh, Nematbakhsh Mehdi, Safari Tahereh, Talebi Ardeshir, Nasri Hamid, Khazaei Mehdi, Baradaran-Mahdavi Mohammad-Mehdi, Jafapisheh Amir, Olia Behrooz, Pirhaji Omid, Hashemi-Nia Sayyed-Javad, Eshraghi Fatemeh, Pezeshki Zahra, Mortazavi Mojgan
Water and Electrolytes Research Center, Kidney Diseases Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Kidney Dis. 2012 Sep;6(5):361-5.
The nephroprotective effect of co-administration of vitamin C and losartan as prophylaxis against cisplatin-induced nephrotoxicity (CIN) was evaluated.
Co-administration of vitamin C and losartan was compared with losartan (10 mg/kg), vitamin C (250 mg/kg), and placebo in 4 groups of rats with CIN. The prophylactic agents were injected daily for a period of 4 days, and on day 3, a single dose (6 mg/kg) of cisplatin was administrated. The animals were sacrificed 7 days later for pathological examination of the kidneys.
Cisplatin prevented the animals' weight gain. The serum levels of creatinine and blood urea nitrogen increased within the groups with CIN, but no significant difference was observed between the groups. The prophylaxis has no effect on serum osmolality, total protein, or nitrite concentrations. The kidney tissue damage was scored, and losartan provided a lower damage score than vitamin C and a combination of vitamin C and losartan.
We concluded that co-administration of vitamin C and losartan was not more effective than the administration of vitamin C or losartan alone.
评估了联合使用维生素C和氯沙坦预防顺铂诱导的肾毒性(CIN)的肾保护作用。
将维生素C和氯沙坦联合用药与氯沙坦(10毫克/千克)、维生素C(250毫克/千克)及安慰剂在4组CIN大鼠中进行比较。预防性药物每日注射,持续4天,在第3天给予单次剂量(6毫克/千克)的顺铂。7天后处死动物,对肾脏进行病理检查。
顺铂阻止了动物体重增加。CIN组血清肌酐和血尿素氮水平升高,但组间未观察到显著差异。预防性用药对血清渗透压、总蛋白或亚硝酸盐浓度无影响。对肾组织损伤进行评分,氯沙坦的损伤评分低于维生素C以及维生素C与氯沙坦联合用药。
我们得出结论,联合使用维生素C和氯沙坦并不比单独使用维生素C或氯沙坦更有效。