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维生素 D 对左氧氟沙星致肾损伤的肾保护作用:一项观察性研究。

Nephroprotective effect of vitamin D Against Levofloxacin-induced renal injury: an observational study.

机构信息

Department of Pharmacology and Toxicology, College of Pharmacy, University of Baghdad, Baghdad, Iraq.

出版信息

J Med Life. 2023 Jul;16(7):1032-1040. doi: 10.25122/jml-2023-0096.

Abstract

The pathogenesis of kidney damage involves complicated interactions between vascular endothelial and tubular cell destruction. Evidence has shown that vitamin D may have anti-inflammatory effects in several models of kidney damage. In this study, we evaluated the effects of synthetic vitamin D on levofloxacin-induced renal injury in rats. Forty-two white Albino rats were divided into six groups, with each group comprising seven rats. Group I served as the control (negative control) and received intraperitoneal injections of normal saline (0.5 ml) once daily for twenty-one days. Group II and Group III were treated with a single intraperitoneal dose of Levofloxacin (50 mg/kg/day) and (100 mg/kg/day), respectively, for 14 days (positive control groups). Group IV served as an additional negative control and received oral administration of vitamin D3 (500 IU/rat/day) for twenty-one days. In Group V, rats were orally administered vitamin D3 (500 IU/rat/day) for twenty-one days, and intraperitoneal injections of Levofloxacin (50 mg/kg/day) were administered on day 8 for 14 days. Group VI received oral vitamin D3 supplementation (500 IU/rat/day) for twenty-one days, followed by intraperitoneal injections of Levofloxacin (100 mg/kg/day) on day 8 for fourteen days. Blood samples were collected to measure creatinine, urea, malondialdehyde, glutathione reductase, and superoxide dismutase levels. Compared to the positive control group, vitamin D supplementation lowered creatinine, urea, and malondialdehyde levels, while increasing glutathione reductase and superoxide dismutase levels. Urea, creatinine, and malondialdehyde levels were significantly (p<0.05) higher in rats administered LFX 50mg and 100mg compared to rats given (LFX + vitamin D). The main findings of this study show that vitamin D reduces renal dysfunction, suggesting that vitamin D has antioxidant properties and may be used to prevent renal injury.

摘要

肾脏损伤的发病机制涉及血管内皮和肾小管细胞破坏的复杂相互作用。有证据表明,维生素 D 在几种肾脏损伤模型中可能具有抗炎作用。在这项研究中,我们评估了合成维生素 D 对左氧氟沙星诱导的大鼠肾损伤的影响。42 只白色白化大鼠被分为六组,每组 7 只。第 I 组作为对照(阴性对照),每天腹腔注射生理盐水(0.5 ml),共 21 天。第 II 组和第 III 组分别接受单次腹腔注射左氧氟沙星(50 mg/kg/天)和(100 mg/kg/天),共 14 天(阳性对照组)。第 IV 组作为额外的阴性对照,连续 21 天每天口服给予维生素 D3(500 IU/大鼠)。第 V 组大鼠连续 21 天每天口服给予维生素 D3(500 IU/大鼠),第 8 天腹腔注射左氧氟沙星(50 mg/kg/天),共 14 天。第 VI 组连续 21 天每天口服给予维生素 D3(500 IU/大鼠),第 8 天腹腔注射左氧氟沙星(100 mg/kg/天),共 14 天。采集血液样本以测量肌酐、尿素、丙二醛、谷胱甘肽还原酶和超氧化物歧化酶水平。与阳性对照组相比,维生素 D 补充降低了肌酐、尿素和丙二醛水平,同时增加了谷胱甘肽还原酶和超氧化物歧化酶水平。与给予 LFX 50mg 和 100mg 的大鼠相比,给予 LFX 加维生素 D 的大鼠的尿素、肌酐和丙二醛水平显著升高(p<0.05)。这项研究的主要发现表明,维生素 D 可减轻肾功能障碍,表明维生素 D 具有抗氧化特性,可用于预防肾损伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e3a/10600679/bfcdd3da66bc/JMedLife-16-1032-g001.jpg

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