Biochemical and histomorphometric comparison of antioxidant (Taurine) and ozone therapy effects on ESWL-induced oxidative damage in rabbit kidney tissue
Abstract
Purpose: This study aimed to investigate the role of free radicals in kidney injury induced by extracorporeal shock wave lithotripsy (ESWL) and to compare the protective effects of taurine and ozone therapy.
Methods: Thirty male New Zealand rabbits were divided into five groups: control, ESWL, ESWL + ozone, ESWL + taurine, and ESWL + ozone + taurine. ESWL was applied in a single session at 14 kV and 2500 shocks. Ozone was administered intraperitoneally and taurine orally for 15 days. Histopathological evaluations and biochemical analyses, including MDA, SOD, CAT, and GSH-Px levels, were performed on renal tissues.
Results: ESWL significantly increased tissue MDA levels and decreased antioxidant enzyme levels. Taurine and ozone treatments reduced oxidative stress by lowering MDA levels and enhancing antioxidant enzyme activity. Histologically, less tissue damage was observed in the treatment groups.
Conclusion: Taurine and ozone therapies effectively reduced ESWL-induced kidney damage both biochemically and histologically. These findings support the potential protective role of these agents in clinical settings.
Keywords
References
- Hill AJ, Basourakos SP, Lewicki P, et al. Incidence of Kidney Stones in the United States: The Continuous National Health and Nutrition Examination Survey. J Urol. 2022;207(4):851-856. doi:10.1097/JU.0000000000002331
- Walsh PC, Retik AB, Vaughan ED, Wein AJ. Urinary stone disease and endourology. In: Campbell’s Urology. 8th ed. Philadelphia, PA: Saunders; 2006.
- Chow GK, Streem SB. Extracorporeal lithotripsy: update on technology. Urol Clin North Am. 2000;27(2):315 322. doi:10.1016 /s0094-0143(05)70260-3
- Kaude JV, Williams CM, Millner MR, Scott KN, Finlayson B. Renal morphology and function immediately after extracorporeal shock wave lithotripsy. AJR Am J Roentgenol. 1985;145(2):305 313. doi:10.2214/ajr.145.2.305
- Rubin JI, Arger PH, Pollack HM, Banner MP, Coleman BG, Mintz MC, VanArsdalen KN. Kidney changes after extracorporeal shock wave lithotripsy: CT evaluation. Radiology. 1987;162(1):21 24.
- Delius M, Jordan M, Eizenhoefer H, et al. Biological effects of shock waves: kidney haemorrhage by shock waves in dogs—administration rate dependence. Ultrasound Med Biol. 1988;14(7):689 694. doi:10.1016/0301-5629(90)90024-7
- Gillenwater JY. Extracorporeal shock wave lithotripsy for the treatment of urinary calculi. In: Gillenwater JY, Grayhack JT, Howards SS, Duckett JW, eds. Adult and Pediatric Urology. 2nd ed. St Louis, MO: Mosby Year Book; 1991:695 710.
- Stoller ML. Extracorporeal shock wave lithotripsy. In: Tanago EA, McAninch JW, eds. Smith’s General Urology. 14th ed. Stamford, CT: Appleton & Lange; 1995:305 313.
Details
Primary Language
English
Subjects
Urology
Journal Section
Research Article
Publication Date
April 13, 2026
Submission Date
August 2, 2025
Acceptance Date
September 29, 2025
Published in Issue
Year 2026 Volume: 19 Number: 2
