Efficacy of orally administered montmorillonite in myoglobinuric acute renal failure model in male rats

Objective(s): Acute kidney injury can be associated with serious consequences and therefore early treatment is critical to decreasing mortality and morbidity rate. We evaluated the effect of montmorillonite, the clay with strong cation exchange capacity, on the AKI model in rats.Materials and Method...

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Main Authors: Seyed Ali Hosseini Azad, Mohamad Moshiri, Ali Roohbakhsh, Abolfazl Shakeri, Ashkan Fatemi Shandiz, Leila Etemad
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2023-07-01
Series:Iranian Journal of Basic Medical Sciences
Subjects:
Online Access:https://ijbms.mums.ac.ir/article_22240_edb4e71045d9cd15efd4472ce2f40fcf.pdf
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author Seyed Ali Hosseini Azad
Mohamad Moshiri
Ali Roohbakhsh
Abolfazl Shakeri
Ashkan Fatemi Shandiz
Leila Etemad
author_facet Seyed Ali Hosseini Azad
Mohamad Moshiri
Ali Roohbakhsh
Abolfazl Shakeri
Ashkan Fatemi Shandiz
Leila Etemad
author_sort Seyed Ali Hosseini Azad
collection DOAJ
description Objective(s): Acute kidney injury can be associated with serious consequences and therefore early treatment is critical to decreasing mortality and morbidity rate. We evaluated the effect of montmorillonite, the clay with strong cation exchange capacity, on the AKI model in rats.Materials and Methods: Glycerol (50% solution, 10 ml/kg) was injected in the rat hind limbs to induce AKI. 24 hr after induction of acute kidney injury, the rats received oral doses of montmorillonite (0.5 g/kg or 1 g/kg), or sodium polystyrene sulfonate (1 g/kg) for three consecutive days. Results: Glycine induced acute kidney injury in rats with high levels of urea (336.60± 28.19 mg/dl), creatinine (4.10± 0.21 mg/dl), potassium (6.15 ± 0.28 mEq/L), and calcium (11.52 ± 0.19 mg/dl).  Both doses of montmorillonite (0.5 and 1 g/kg) improved the serum urea (222.66± 10.02 and 170.20±8.06, P<0.05), creatinine (1.86±0.1, 2.05± 0.11, P<0.05), potassium (4.68 ± 0.4, 4.73 ± 0.34, P<0.001) and calcium (11.15 ± 0.17, 10.75 ± 0.25, P<0.01) levels. Treatment with montmorillonite especially at a high dose reduced the kidney pathological findings including, tubular necrosis, amorphous protein aggregation, and cell shedding into the distal and proximal tubule lumen. However, administration of SPS could not significantly decrease the severity of damages.Conclusion: According to the results of this study, as well as the physicochemical properties of montmorillonite, such as high ion exchange capacity and low side effects, montmorillonite can be a low-cost and effective treatment option to reduce and improve the complications of acute kidney injury. However, the efficacy of this compound in human and clinical studies needs to be investigated.
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spelling doaj.art-6f157832292a47f694664300f315d01e2023-09-17T06:58:08ZengMashhad University of Medical SciencesIranian Journal of Basic Medical Sciences2008-38662008-38742023-07-0126775375910.22038/ijbms.2023.67985.1486622240Efficacy of orally administered montmorillonite in myoglobinuric acute renal failure model in male ratsSeyed Ali Hosseini Azad0Mohamad Moshiri1Ali Roohbakhsh2Abolfazl Shakeri3Ashkan Fatemi Shandiz4Leila Etemad5School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, IranSchool of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran 2 Medical Toxicology Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Pharmacodynamics and Toxicology, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Pharmacognosy, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, IranSchool of Pharmacy, Mashhad University of Medical Sciences, Mashhad, IranInternational UNESCO Center for Health-Related Basic Sciences and Human Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranObjective(s): Acute kidney injury can be associated with serious consequences and therefore early treatment is critical to decreasing mortality and morbidity rate. We evaluated the effect of montmorillonite, the clay with strong cation exchange capacity, on the AKI model in rats.Materials and Methods: Glycerol (50% solution, 10 ml/kg) was injected in the rat hind limbs to induce AKI. 24 hr after induction of acute kidney injury, the rats received oral doses of montmorillonite (0.5 g/kg or 1 g/kg), or sodium polystyrene sulfonate (1 g/kg) for three consecutive days. Results: Glycine induced acute kidney injury in rats with high levels of urea (336.60± 28.19 mg/dl), creatinine (4.10± 0.21 mg/dl), potassium (6.15 ± 0.28 mEq/L), and calcium (11.52 ± 0.19 mg/dl).  Both doses of montmorillonite (0.5 and 1 g/kg) improved the serum urea (222.66± 10.02 and 170.20±8.06, P<0.05), creatinine (1.86±0.1, 2.05± 0.11, P<0.05), potassium (4.68 ± 0.4, 4.73 ± 0.34, P<0.001) and calcium (11.15 ± 0.17, 10.75 ± 0.25, P<0.01) levels. Treatment with montmorillonite especially at a high dose reduced the kidney pathological findings including, tubular necrosis, amorphous protein aggregation, and cell shedding into the distal and proximal tubule lumen. However, administration of SPS could not significantly decrease the severity of damages.Conclusion: According to the results of this study, as well as the physicochemical properties of montmorillonite, such as high ion exchange capacity and low side effects, montmorillonite can be a low-cost and effective treatment option to reduce and improve the complications of acute kidney injury. However, the efficacy of this compound in human and clinical studies needs to be investigated.https://ijbms.mums.ac.ir/article_22240_edb4e71045d9cd15efd4472ce2f40fcf.pdfacute renal failurebentoniteclaykidneymontmorilloniterhabdomyolysis
spellingShingle Seyed Ali Hosseini Azad
Mohamad Moshiri
Ali Roohbakhsh
Abolfazl Shakeri
Ashkan Fatemi Shandiz
Leila Etemad
Efficacy of orally administered montmorillonite in myoglobinuric acute renal failure model in male rats
Iranian Journal of Basic Medical Sciences
acute renal failure
bentonite
clay
kidney
montmorillonite
rhabdomyolysis
title Efficacy of orally administered montmorillonite in myoglobinuric acute renal failure model in male rats
title_full Efficacy of orally administered montmorillonite in myoglobinuric acute renal failure model in male rats
title_fullStr Efficacy of orally administered montmorillonite in myoglobinuric acute renal failure model in male rats
title_full_unstemmed Efficacy of orally administered montmorillonite in myoglobinuric acute renal failure model in male rats
title_short Efficacy of orally administered montmorillonite in myoglobinuric acute renal failure model in male rats
title_sort efficacy of orally administered montmorillonite in myoglobinuric acute renal failure model in male rats
topic acute renal failure
bentonite
clay
kidney
montmorillonite
rhabdomyolysis
url https://ijbms.mums.ac.ir/article_22240_edb4e71045d9cd15efd4472ce2f40fcf.pdf
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