Rao M, Rao M N
Department of Pharmaceutical Chemistry, College of Pharmaceutical Sciences, Manipal, India.
J Ethnopharmacol. 1998 Aug;62(1):1-6. doi: 10.1016/s0378-8741(98)00003-8.
Cystone, a polyherbal ayurvedic preparation, was found to protect rats partially but significantly against cisplatin-induced renal toxicity, when given intraperitonially 1 h before cisplatin. At 500 and 1000 microg/ml, it also inhibited lipid peroxidation induced by cisplatin in renal cortical slices by 62.7 and 71.6%, respectively. The rats pretreated with cystone (1000 mg/kg i.p.) had significantly lower blood urea nitrogen (BUN) and serum creatinine (33.8 and 0.92 mg/dl, respectively) compared to cisplatin alone (51.5 and 1.41 mg/dl, respectively). The control animals had 17.1 and 0.63 mg/dl, respectively. The cystone treated animals lost 5.63 g body weight compared to 12.5 g for cisplatin alone treated animals on day 5. Renal functions like urine to serum creatinine ratio and creatinine clearance showed significant improvement when cystone was given 1 h before cisplatin. However, cystone did not protect increased excretion of urinary protein and decreased WBC count caused by cisplatin. The present study suggests that the cystone protects kidney against cisplatin-induced toxicity and the protection may be mediated through its ability to inhibit lipid peroxidation.
西史通(Cystone)是一种多草药阿育吠陀制剂,在顺铂给药前1小时腹腔注射时,发现它能部分但显著地保护大鼠免受顺铂诱导的肾毒性。在500和1000微克/毫升浓度下,它还分别抑制了顺铂在肾皮质切片中诱导的脂质过氧化62.7%和71.6%。与单独使用顺铂(分别为51.5和1.41毫克/分升)相比,用西史通(1000毫克/千克腹腔注射)预处理的大鼠血尿素氮(BUN)和血清肌酐显著更低(分别为33.8和0.92毫克/分升)。对照动物的血尿素氮和血清肌酐分别为17.1和0.63毫克/分升。在第5天,与单独用顺铂处理的动物体重减轻12.5克相比,用西史通处理的动物体重减轻5.63克。当在顺铂给药前1小时给予西史通时,尿肌酐比和肌酐清除率等肾功能有显著改善。然而,西史通不能保护顺铂引起的尿蛋白排泄增加和白细胞计数减少。本研究表明,西史通可保护肾脏免受顺铂诱导的毒性,这种保护作用可能是通过其抑制脂质过氧化的能力介导的。