The influence of oxazaphosphorine agents on kidney function in rats
Background and objective: The application of cytostatic oxazaphosphorines such as cyclophosphamide (CP) and ifosfamide (IF) is associated with the risk of kidney damage that, depending on the type of drug, dose and route of administration, adopts a different clinical entity and severity. The aim of...
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MDPI AG
2017-07-01
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author | Łukasz Dobrek Beata Skowron Agnieszka Baranowska Klaudia Płoszaj Dorota Bądziul Piotr Thor |
author_facet | Łukasz Dobrek Beata Skowron Agnieszka Baranowska Klaudia Płoszaj Dorota Bądziul Piotr Thor |
author_sort | Łukasz Dobrek |
collection | DOAJ |
description | Background and objective: The application of cytostatic oxazaphosphorines such as cyclophosphamide (CP) and ifosfamide (IF) is associated with the risk of kidney damage that, depending on the type of drug, dose and route of administration, adopts a different clinical entity and severity. The aim of our study was to assess the influence of CP and IF on the kidney histology and function in rats intraperitoneally treated with four doses of either CP or IF. Materials and methods: A total of 30 rats were divided into three groups (10 in each group): group 1 (control), sham treated with saline solution, group 2 (treated with 75 mg/kg b.w. of CP), and group 3 (treated with 60 mg/kg b.w. of IF). After the treatment rats were sacrificed, blood was collected and nephrectomy and cystectomy were performed. Qualitative and quantitative parameters (including neutrophil gelatinase-associated lipocalin-1, NGAL-1) of kidney function were assayed in urine and plasma. Results: CP-treated rats were characterized by a significant polyuria, decreased urine pH and by decreased daily urinary excretion of sodium, potassium, urea and uric acid accompanied by increased NGAL-1 excretion. A significant decrease of the plasma uric acid concentration was also observed. IF-treated animals were also characterized by decreased urine pH but with normal daily urinary excretion of assessed substances (except for reduced uric acid excretion). Both CP and IF treated rats did not show any histopathological abnormalities in their kidneys. Conclusions: CP caused more advanced kidney dysfunction and some indices suggested the development of prerenal acute kidney injury. In the CP-treated group some particularly marked urinary and plasma uric acid disturbances suggested compensation of increased oxidative stress as uric acid is considered to exert also antioxidant properties. |
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spelling | doaj.art-5df88e48e5c44af4acb813554a9f43402023-09-02T01:48:45ZengMDPI AGMedicina1010-660X2017-07-0153317918910.1016/j.medici.2017.05.004j.medici.2017.05.004The influence of oxazaphosphorine agents on kidney function in ratsŁukasz Dobrek0Beata Skowron1Agnieszka Baranowska2Klaudia Płoszaj3Dorota Bądziul4Piotr Thor5Department of Pathophysiology, Faculty of Medicine, Jagiellonian University Medical College, Krakow, PolandDepartment of Pathophysiology, Faculty of Medicine, Jagiellonian University Medical College, Krakow, PolandDepartment of Pathophysiology, Faculty of Medicine, Jagiellonian University Medical College, Krakow, PolandMedical analytics graduate student, Jagiellonian University Medical College, Krakow, PolandDepartment of Human Physiology and Pathophysiology, Faculty of Medicine, University of Rzeszów, Rzeszow, PolandDepartment of Pathophysiology, Faculty of Medicine, Jagiellonian University Medical College, Krakow, PolandBackground and objective: The application of cytostatic oxazaphosphorines such as cyclophosphamide (CP) and ifosfamide (IF) is associated with the risk of kidney damage that, depending on the type of drug, dose and route of administration, adopts a different clinical entity and severity. The aim of our study was to assess the influence of CP and IF on the kidney histology and function in rats intraperitoneally treated with four doses of either CP or IF. Materials and methods: A total of 30 rats were divided into three groups (10 in each group): group 1 (control), sham treated with saline solution, group 2 (treated with 75 mg/kg b.w. of CP), and group 3 (treated with 60 mg/kg b.w. of IF). After the treatment rats were sacrificed, blood was collected and nephrectomy and cystectomy were performed. Qualitative and quantitative parameters (including neutrophil gelatinase-associated lipocalin-1, NGAL-1) of kidney function were assayed in urine and plasma. Results: CP-treated rats were characterized by a significant polyuria, decreased urine pH and by decreased daily urinary excretion of sodium, potassium, urea and uric acid accompanied by increased NGAL-1 excretion. A significant decrease of the plasma uric acid concentration was also observed. IF-treated animals were also characterized by decreased urine pH but with normal daily urinary excretion of assessed substances (except for reduced uric acid excretion). Both CP and IF treated rats did not show any histopathological abnormalities in their kidneys. Conclusions: CP caused more advanced kidney dysfunction and some indices suggested the development of prerenal acute kidney injury. In the CP-treated group some particularly marked urinary and plasma uric acid disturbances suggested compensation of increased oxidative stress as uric acid is considered to exert also antioxidant properties.https://www.mdpi.com/1010-660X/53/3/179CyclophosphamideIfosfamideKidneyNephrotoxicityRats |
spellingShingle | Łukasz Dobrek Beata Skowron Agnieszka Baranowska Klaudia Płoszaj Dorota Bądziul Piotr Thor The influence of oxazaphosphorine agents on kidney function in rats Medicina Cyclophosphamide Ifosfamide Kidney Nephrotoxicity Rats |
title | The influence of oxazaphosphorine agents on kidney function in rats |
title_full | The influence of oxazaphosphorine agents on kidney function in rats |
title_fullStr | The influence of oxazaphosphorine agents on kidney function in rats |
title_full_unstemmed | The influence of oxazaphosphorine agents on kidney function in rats |
title_short | The influence of oxazaphosphorine agents on kidney function in rats |
title_sort | influence of oxazaphosphorine agents on kidney function in rats |
topic | Cyclophosphamide Ifosfamide Kidney Nephrotoxicity Rats |
url | https://www.mdpi.com/1010-660X/53/3/179 |
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