Research Article

A New Agent in Prevention of Contrast-Induced Nephropathy: Dragon Fruit (Hylocereus polyrhizus) Extract

Volume: 5 Number: 3 September 20, 2021
EN

A New Agent in Prevention of Contrast-Induced Nephropathy: Dragon Fruit (Hylocereus polyrhizus) Extract

Abstract

Purpose: We aimed to investigate dragon fruit (Hylocereus polyrhizus) extract effectiveness by creating a nephropathy model with contrast media toxicity after dehydration and furosemide administration to rats. Methods: Total 36 male Sprague dawley rats were randomly allocated into 6 groups (n: 6). At the end of the experiment kidney organs and blood was taken for histopathologic and biochemical analyze (malondialdehyde, glutathione, serum urea nitrogen and serum creatine). Results: Renal injury markers of serum urea nitrogen and creatinine levels decreased (p<0.05) in the groups that given dragon fruit extract depending on the dose manner compared to the group that was given contrast media. While oxidative stress increased in given contrast media group, MDA levels improved statistically significance in the groups given dragon fruit extract depending on the dose compared to the group that was given contrast media. Also tissue GSH levels increased in the groups given dragon fruit extract depending on the dose compared to the group that was given contrast media. Vacuolization damage was minimal and inflammation was not seen in these groups according to the histopathological analyses. Conclusion: Dragon fruit extract, a strong antioxidative agent, application together with contrast media can play a protective role against renal tubule via reduced renal injury markers, oxidative damage.

Keywords

Supporting Institution

Yok

Project Number

Yok

Thanks

Thanks to Oğuzhan Kılıç for the fresh and fast delivery of the fruits.

References

  1. 1. Li PK, Burdmann EA, Mehta RL. World Kidney Day 2013: acute kidney injury-global health alert. American journal of kidney diseases : the official journal of the National Kidney Foundation 2013;61:3:359-63. Doi:10.1053/j.ajkd.2013.01.002
  2. 2. Itoh Y, Yano T, Sendo T, Oishi R. Clinical and experimental evidence for prevention of acute renal failure induced by radiographic contrast media. Journal of pharmacological sciences 2005;97:4:473-88. Doi:10.1254/jphs.crj05002x
  3. 3. Jabara R, Gadesam RR, Pendyala LK, et al. Impact of the definition utilized on the rate of contrast-induced nephropathy in percutaneous coronary intervention. The American journal of cardiology 2009;103:12:1657-62. Doi:10.1016/j.amjcard.2009.02.039
  4. 4. Sendeski MM. Pathophysiology of renal tissue damage by iodinated contrast media. Clinical and experimental pharmacology & physiology 2011;38:5:292-9. Doi:10.1111/j.1440-1681.2011.05503.x
  5. 5. Hizoh I, Haller C. Radiocontrast-induced renal tubular cell apoptosis: hypertonic versus oxidative stress. Investigative radiology 2002;37:8:428-34. Doi:10.1097/00004424-200208000-00003
  6. 6. Heyman SN, Rosen S, Khamaisi M, Idee JM, Rosenberger C. Reactive oxygen species and the pathogenesis of radiocontrast-induced nephropathy. Investigative radiology 2010;45:4:188-95. Doi:10.1097/RLI.0b013e3181d2eed8
  7. 7. Faggioni M, Mehran R. Preventing Contrast-induced Renal Failure: A Guide. Interventional cardiology 2016;11:2:98-104. Doi:10.15420/icr.2016:10:2
  8. 8. Spargias K, Alexopoulos E, Kyrzopoulos S, et al. Ascorbic acid prevents contrast-mediated nephropathy in patients with renal dysfunction undergoing coronary angiography or intervention. Circulation 2004;110:18:2837-42. Doi:10.1161/01.CIR.0000146396.19081.73

Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Publication Date

September 20, 2021

Submission Date

May 28, 2021

Acceptance Date

August 16, 2021

Published in Issue

Year 2021 Volume: 5 Number: 3

APA
Şahin, L., Toktay, E., Harmankaya, A., Aksu Kılıçle, P., Yayla, M., & Gül, H. F. (2021). A New Agent in Prevention of Contrast-Induced Nephropathy: Dragon Fruit (Hylocereus polyrhizus) Extract. Journal of Basic and Clinical Health Sciences, 5(3), 117-125. https://doi.org/10.30621/jbachs.943752
AMA
1.Şahin L, Toktay E, Harmankaya A, Aksu Kılıçle P, Yayla M, Gül HF. A New Agent in Prevention of Contrast-Induced Nephropathy: Dragon Fruit (Hylocereus polyrhizus) Extract. JBACHS. 2021;5(3):117-125. doi:10.30621/jbachs.943752
Chicago
Şahin, Levent, Erdem Toktay, Ahmet Harmankaya, Pinar Aksu Kılıçle, Muhammed Yayla, and Hüseyin Fatih Gül. 2021. “A New Agent in Prevention of Contrast-Induced Nephropathy: Dragon Fruit (Hylocereus Polyrhizus) Extract”. Journal of Basic and Clinical Health Sciences 5 (3): 117-25. https://doi.org/10.30621/jbachs.943752.
EndNote
Şahin L, Toktay E, Harmankaya A, Aksu Kılıçle P, Yayla M, Gül HF (September 1, 2021) A New Agent in Prevention of Contrast-Induced Nephropathy: Dragon Fruit (Hylocereus polyrhizus) Extract. Journal of Basic and Clinical Health Sciences 5 3 117–125.
IEEE
[1]L. Şahin, E. Toktay, A. Harmankaya, P. Aksu Kılıçle, M. Yayla, and H. F. Gül, “A New Agent in Prevention of Contrast-Induced Nephropathy: Dragon Fruit (Hylocereus polyrhizus) Extract”, JBACHS, vol. 5, no. 3, pp. 117–125, Sept. 2021, doi: 10.30621/jbachs.943752.
ISNAD
Şahin, Levent - Toktay, Erdem - Harmankaya, Ahmet - Aksu Kılıçle, Pinar - Yayla, Muhammed - Gül, Hüseyin Fatih. “A New Agent in Prevention of Contrast-Induced Nephropathy: Dragon Fruit (Hylocereus Polyrhizus) Extract”. Journal of Basic and Clinical Health Sciences 5/3 (September 1, 2021): 117-125. https://doi.org/10.30621/jbachs.943752.
JAMA
1.Şahin L, Toktay E, Harmankaya A, Aksu Kılıçle P, Yayla M, Gül HF. A New Agent in Prevention of Contrast-Induced Nephropathy: Dragon Fruit (Hylocereus polyrhizus) Extract. JBACHS. 2021;5:117–125.
MLA
Şahin, Levent, et al. “A New Agent in Prevention of Contrast-Induced Nephropathy: Dragon Fruit (Hylocereus Polyrhizus) Extract”. Journal of Basic and Clinical Health Sciences, vol. 5, no. 3, Sept. 2021, pp. 117-25, doi:10.30621/jbachs.943752.
Vancouver
1.Levent Şahin, Erdem Toktay, Ahmet Harmankaya, Pinar Aksu Kılıçle, Muhammed Yayla, Hüseyin Fatih Gül. A New Agent in Prevention of Contrast-Induced Nephropathy: Dragon Fruit (Hylocereus polyrhizus) Extract. JBACHS. 2021 Sep. 1;5(3):117-25. doi:10.30621/jbachs.943752