Losartan and magnesium sulfate administration reduce gentamicin-induced nephrotoxicity in rat model

Background: Nephrotoxicity is the most known side effect of gentamicin. In addition, renin angiotensin system (RAS) plays an important role in the pathogenesis of renal injury and nephrotoxicity. Hypomagnesaemia is other complication of gentamicin. Previous studies reported that magnesium plays an i...

Full description

Bibliographic Details
Main Authors: Fatemeh Kourkinejad Gharaei, Tahereh Safari, Abbass Ali Niazi, Meysam Zeynali Bujani
Format: Article
Language:English
Published: Society of Diabetic Nephropathy Prevention 2019-04-01
Series:Journal of Nephropathology
Subjects:
Online Access:https://nephropathol.com/PDF/jnp-8-e16.pdf
_version_ 1797828011718868992
author Fatemeh Kourkinejad Gharaei
Tahereh Safari
Abbass Ali Niazi
Meysam Zeynali Bujani
author_facet Fatemeh Kourkinejad Gharaei
Tahereh Safari
Abbass Ali Niazi
Meysam Zeynali Bujani
author_sort Fatemeh Kourkinejad Gharaei
collection DOAJ
description Background: Nephrotoxicity is the most known side effect of gentamicin. In addition, renin angiotensin system (RAS) plays an important role in the pathogenesis of renal injury and nephrotoxicity. Hypomagnesaemia is other complication of gentamicin. Previous studies reported that magnesium plays an important role in cell enzymatic functions, reducing lipid peroxidation. Objectives: We investigated the role of losartan and magnesium sulfate (MgSO4 ) on gentamicin nephrotoxicity. Materials and Methods: In this study, rats randomly assigned to five groups. The first group, received saline, the second group received gentamicin 80 mg/kg/d, intraperitoneally (ip), and the third group, received a regular dose of losartan, 10 mg/kg/d + gentamicin 80 mg/kg/d. The fourth group received MgSO4 , 80 mg/kg/d + gentamicin 80 mg/kg/d. The fifth group obtained a continuous dose of gentamicin 80 mg/kg/d + losartan 10 mg/kg/d + MgSO4 80 mg/kg/d simultaneously. Nine days after administration of drugs, blood samples were collected from the heart. The level of urea, creatinine (Cr), malondialdehyde (MDA) and nitrite were measured in the animal serum and homogenized kidney tissue. Results: Gentamicin increased serum urea and Cr levels. The administration of losartan and MgSO4 lonely and combination of them, significantly reduced the levels of serum urea and Cr. Losartan alone and combination of losartan and MgSO4 compared with gentamicin, significantly decreased kidney MDA level too. Decrease of kidney nitrite level by gentamicin was compensated by the administration of losartan, MgSO4 alone or their combination. Additionally, losartan and MgSO4 alone and their combination together significantly reduced renal damage. Conclusions: The results of this study indicated that administration of losartan and MgSO4 individually and their combination decreased kidney nephrotoxicity and improved renal function. This effect is probably related to the improvement of antioxidant status and renal blood flow.
first_indexed 2024-04-09T12:57:38Z
format Article
id doaj.art-e712950fa21e4e1fa4fba56aa097d66a
institution Directory Open Access Journal
issn 2251-8363
2251-8819
language English
last_indexed 2024-04-09T12:57:38Z
publishDate 2019-04-01
publisher Society of Diabetic Nephropathy Prevention
record_format Article
series Journal of Nephropathology
spelling doaj.art-e712950fa21e4e1fa4fba56aa097d66a2023-05-13T11:28:21ZengSociety of Diabetic Nephropathy PreventionJournal of Nephropathology2251-83632251-88192019-04-0182e16e1610.15171/jnp.2019.16jnp-1645Losartan and magnesium sulfate administration reduce gentamicin-induced nephrotoxicity in rat modelFatemeh Kourkinejad Gharaei0Tahereh Safari1Abbass Ali Niazi2Meysam Zeynali Bujani3Student Research Committee, Zahedan University of Medical Sciences, Zahedan, IranDepartment of Physiology, Zahedan University of Medical Sciences, Zahedan, IranDepartment of Pathology, Zahedan University of Medical Sciences, Zahedan, IranStudent Research Committee, Zahedan University of Medical Sciences, Zahedan, IranBackground: Nephrotoxicity is the most known side effect of gentamicin. In addition, renin angiotensin system (RAS) plays an important role in the pathogenesis of renal injury and nephrotoxicity. Hypomagnesaemia is other complication of gentamicin. Previous studies reported that magnesium plays an important role in cell enzymatic functions, reducing lipid peroxidation. Objectives: We investigated the role of losartan and magnesium sulfate (MgSO4 ) on gentamicin nephrotoxicity. Materials and Methods: In this study, rats randomly assigned to five groups. The first group, received saline, the second group received gentamicin 80 mg/kg/d, intraperitoneally (ip), and the third group, received a regular dose of losartan, 10 mg/kg/d + gentamicin 80 mg/kg/d. The fourth group received MgSO4 , 80 mg/kg/d + gentamicin 80 mg/kg/d. The fifth group obtained a continuous dose of gentamicin 80 mg/kg/d + losartan 10 mg/kg/d + MgSO4 80 mg/kg/d simultaneously. Nine days after administration of drugs, blood samples were collected from the heart. The level of urea, creatinine (Cr), malondialdehyde (MDA) and nitrite were measured in the animal serum and homogenized kidney tissue. Results: Gentamicin increased serum urea and Cr levels. The administration of losartan and MgSO4 lonely and combination of them, significantly reduced the levels of serum urea and Cr. Losartan alone and combination of losartan and MgSO4 compared with gentamicin, significantly decreased kidney MDA level too. Decrease of kidney nitrite level by gentamicin was compensated by the administration of losartan, MgSO4 alone or their combination. Additionally, losartan and MgSO4 alone and their combination together significantly reduced renal damage. Conclusions: The results of this study indicated that administration of losartan and MgSO4 individually and their combination decreased kidney nephrotoxicity and improved renal function. This effect is probably related to the improvement of antioxidant status and renal blood flow.https://nephropathol.com/PDF/jnp-8-e16.pdfgentamicinnephrotoxicitymagnesium sulfatelosartanrenal functionrenin angiotensin system
spellingShingle Fatemeh Kourkinejad Gharaei
Tahereh Safari
Abbass Ali Niazi
Meysam Zeynali Bujani
Losartan and magnesium sulfate administration reduce gentamicin-induced nephrotoxicity in rat model
Journal of Nephropathology
gentamicin
nephrotoxicity
magnesium sulfate
losartan
renal function
renin angiotensin system
title Losartan and magnesium sulfate administration reduce gentamicin-induced nephrotoxicity in rat model
title_full Losartan and magnesium sulfate administration reduce gentamicin-induced nephrotoxicity in rat model
title_fullStr Losartan and magnesium sulfate administration reduce gentamicin-induced nephrotoxicity in rat model
title_full_unstemmed Losartan and magnesium sulfate administration reduce gentamicin-induced nephrotoxicity in rat model
title_short Losartan and magnesium sulfate administration reduce gentamicin-induced nephrotoxicity in rat model
title_sort losartan and magnesium sulfate administration reduce gentamicin induced nephrotoxicity in rat model
topic gentamicin
nephrotoxicity
magnesium sulfate
losartan
renal function
renin angiotensin system
url https://nephropathol.com/PDF/jnp-8-e16.pdf
work_keys_str_mv AT fatemehkourkinejadgharaei losartanandmagnesiumsulfateadministrationreducegentamicininducednephrotoxicityinratmodel
AT taherehsafari losartanandmagnesiumsulfateadministrationreducegentamicininducednephrotoxicityinratmodel
AT abbassaliniazi losartanandmagnesiumsulfateadministrationreducegentamicininducednephrotoxicityinratmodel
AT meysamzeynalibujani losartanandmagnesiumsulfateadministrationreducegentamicininducednephrotoxicityinratmodel