THE POSSIBLE PROTECTIVE ROLE OF CANDESARTAN ON CYCLOSPORINE INDUCED NEPHROTOXICITY IN RATS
Med. J. Cairo Univ. • 2013
معلومات البحث
المؤلفون
Hanan T. Emam M.D.1, Abdelmonem G. Madboly M.D.2, Abeer A. Shoman M.D.3 and Noha. I. Hussein M.D3
الكلمات المفتاحية
Not Available
المجلة العلمية
Med. J. Cairo Univ.
الناشر
Cairo University
المجلد
81
العدد
1
الصفحات
271-278
publication.type
International
رابط البحث
Open Link
المواد المرفقة
Not Available
الملخص
Cyclosporine A (CsA), a fungal undecapeptide, is the most common immunosuppressive drug used in organ transplantation and autoimmune diseases. However, nephrotoxicity is the major adverse effect of CsA use. The molecular mechanisms of CsA nephrotoxicity are not well characterized, but more recent studies suggest an involvement of angiotensin ll (ANG II) and reactive oxygen species in the development of cyclosporine nephrotoxicity. This study was thus designed to investigate the role of angiotensin II type I (AT1) receptor antagonist, candesartan, on CsA- induced nephrotoxicity. Three groups of rats were employed in this study; group 1 served as control, group 2 rats were treated with CsA (20mg/kg/day subcutaneously) for 21 days, and group 3 received CsA along with candesartan (1mg/kg/day perorally) 24 hr before and 21 days concurrently. Renal blood flow (RBF) were estimated by flowometer. Estimation of plasma renin activity, serum creatinine, blood urea and tissue malondialdehyde content by using colorimetric methods. Renal tissue specimens were histopatholgically examined by hematoxylin & eosin staining. CsA administration for 21 days resulted in a marked renal impairment and significantly decreases (RBF), deranged the renal functions as well as renal morphology. All these factors were significantly improved by candesartan. These results clearly demonstrate the pivotal role of AT1 receptor antagonist candesartan in CsA- induced nephrotoxicity.
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