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儿茶素对庆大霉素诱导的实验性肾毒性的肾保护作用。

Nephroprotective effect of catechin on gentamicin-induced experimental nephrotoxicity.

作者信息

Sardana Ankush, Kalra Sanjeev, Khanna Deepa, Balakumar Pitchai

机构信息

Cardiovascular Pharmacology Division, Department of Pharmacology, Institute of Pharmacy, Rajendra Institute of Technology and Sciences, Sirsa, 125 055, Haryana, India.

出版信息

Clin Exp Nephrol. 2015 Apr;19(2):178-84. doi: 10.1007/s10157-014-0980-3. Epub 2014 May 14.

Abstract

BACKGROUND

Gentamicin is an effective aminoglycoside antibiotic employed against severe Gram-negative bacterial infections, but induction of nephrotoxicity limits its frequent clinical use. This study was undertaken to investigate the effect of catechin hydrate on gentamicin-induced nephrotoxicity in rats.

METHODS

Rats were administered nephrotoxic dose of gentamicin (100 mg/kg/day, i.p.) once daily for 14 days. Gentamicin-administered rats were treated with catechin hydrate (50 mg/kg/day, per os), the treatment was started 3 days before the administration of gentamicin while it was continued for 14 days from the day of gentamicin administration.

RESULTS

Two weeks administration of gentamicin significantly increased the serum creatinine and blood urea nitrogen levels. Renal histopathological examination of gentamicin-administered rats revealed degenerative changes in glomeruli and tubules after 2 weeks. These renal structural and functional abnormalities in gentamicin-administered rats were accompanied with renal oxidative stress as assessed in terms of marked decrease in renal-reduced glutathione (GSH). However, catechin hydrate treatment showed considerably nephroprotective action against gentamicin-induced nephrotoxicity in rats by preventing aforementioned renal structural and functional abnormalities and oxidative stress.

CONCLUSION

Catechin hydrate has a potential to prevent gentamicin-induced experimental nephrotoxicity. The renoprotective effect of catechin hydrate against gentamicin-induced nephrotoxicity might be mediated through its antioxidant and possible direct nephroprotective actions.

摘要

背景

庆大霉素是一种有效的氨基糖苷类抗生素,用于治疗严重的革兰氏阴性菌感染,但诱导的肾毒性限制了其在临床上的频繁使用。本研究旨在探讨儿茶素水合物对庆大霉素诱导的大鼠肾毒性的影响。

方法

大鼠每天腹腔注射一次肾毒性剂量的庆大霉素(100mg/kg/天),持续14天。给注射庆大霉素的大鼠口服儿茶素水合物(50mg/kg/天),在注射庆大霉素前3天开始治疗,并从注射庆大霉素之日起持续14天。

结果

连续两周注射庆大霉素显著提高了血清肌酐和血尿素氮水平。对注射庆大霉素的大鼠进行肾脏组织病理学检查发现,两周后肾小球和肾小管出现退行性变化。注射庆大霉素的大鼠的这些肾脏结构和功能异常伴随着肾脏氧化应激,这通过肾脏还原型谷胱甘肽(GSH)的显著降低来评估。然而,儿茶素水合物治疗通过预防上述肾脏结构和功能异常以及氧化应激,对庆大霉素诱导的大鼠肾毒性表现出相当大的肾保护作用。

结论

儿茶素水合物有预防庆大霉素诱导的实验性肾毒性的潜力。儿茶素水合物对庆大霉素诱导的肾毒性的肾脏保护作用可能是通过其抗氧化作用和可能的直接肾脏保护作用介导的。

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