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依达拉奉对丙戊酸诱导的肾损伤的改善作用。

Ameliorative effects of Edaravone against Valproic Acid-Induced kidney damage.

机构信息

Department of Chemistry, Faculty of Engineering, Istanbul University-Cerrahpaşa, 34320, Avcilar-Istanbul, Türkiye.

Department of Biology, Faculty of Science, Istanbul University, 34134, Vezneciler- Istanbul, Türkiye.

出版信息

J Mol Histol. 2024 Nov 27;56(1):4. doi: 10.1007/s10735-024-10291-5.

Abstract

Valproic acid (VPA) is a well-known and increasingly documented antiepileptic drug that has been widely used in the treatment of epilepsy and/or epilepsy-related disorders. Prolonged clinical use of VPA has been reported to cause side effects such as nephrotoxicity. Edaravone (EDA) is a powerful free radical scavenger. The aim of the study was to investigate the protective effects of EDA against VPA-induced oxidative renal injury. Four experimental groups were formed by randomly assigning thirty-eight male Sprague Dawley rats. The first group, (Control Group, n = 8), consisted of healthy rats. The second group, (Group II, n = 10), comprised control rats given intraperitoneally EDA (30 mg/kg/day) for seven days. The third group (Group III, n = 10) was administered intraperitoneally only VPA (500 mg/kg/day) for seven days. The last group (Group IV, n = 10) was treated with VPA + EDA for seven days. On the 8th day, kidney tissues were immediately removed from rats. In kidney homogenates, reduced glutathione levels and Na/K-ATPase, paraoxonase1 and prolidase activities were remarkably decreased while catalase, superoxide dismutase, glutathione peroxidase, glutathione reductase, myeloperoxidase, and xanthine oxidase activities and lipid peroxidation, protein carbonyl, advanced oxidized protein products, and hydroxyproline contents were notably elevated in VPA given group. Consistently, administration of EDA decreased renal degenerative changes seen in the kidney tissue of VPA given rats. Treatment with EDA in the VPA group significantly resulted in the recovery of both biochemical and histopathological alterations. As a result, EDA is potentially beneficial to revert oxidative renal damage induced by VPA.

摘要

丙戊酸(VPA)是一种众所周知且越来越多的医学文献记载的抗癫痫药物,已广泛用于治疗癫痫和/或癫痫相关疾病。长期临床使用 VPA 已报道会引起副作用,如肾毒性。依达拉奉(EDA)是一种强大的自由基清除剂。本研究旨在探讨 EDA 对 VPA 诱导的氧化肾损伤的保护作用。通过随机分配 38 只雄性 Sprague Dawley 大鼠,将其分为四个实验组。第一组(对照组,n=8)为健康大鼠。第二组(组 II,n=10)为腹腔注射 EDA(30mg/kg/天)7 天的对照组大鼠。第三组(组 III,n=10)仅腹腔注射 VPA(500mg/kg/天)7 天。第四组(组 IV,n=10)用 VPA+EDA 处理 7 天。第 8 天,立即从大鼠中取出肾组织。在肾匀浆中,还原型谷胱甘肽水平和 Na/K-ATP 酶、对氧磷酶 1 和脯氨酸酶活性显著降低,而过氧化氢酶、超氧化物歧化酶、谷胱甘肽过氧化物酶、谷胱甘肽还原酶、髓过氧化物酶和黄嘌呤氧化酶活性以及脂质过氧化、蛋白羰基、高级氧化蛋白产物和羟脯氨酸含量显著升高。同样,给予 EDA 可降低 VPA 给药组大鼠肾组织中的退行性变化。在 VPA 组中给予 EDA 治疗可显著恢复生化和组织病理学改变。因此,EDA 可能有益于逆转 VPA 引起的氧化肾损伤。

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