The Effect of Erythropoietin on Methotrexate-Induced Renal Damage in Rats: Biochemical and Histopathological Studies

Cilt: 40 Sayı: 1 9 Eylül 2015
Betül Kabakcı , Ergül Kurutaş , Sevgi Bakariş , Meltem Güngör
PDF İndir
EN TR

The Effect of Erythropoietin on Methotrexate-Induced Renal Damage in Rats: Biochemical and Histopathological Studies

Abstract

Purpose: Methotrexate (MTX), a folic acid antagonist, is widely used as a cytotoxic chemotherapeutic agent for several malignancies and various inflammatory diseases. However, the efficacy of this agent often is limited by severe side effects and toxic conditions. In our study, it was aimed to investigate the effect of erythropoietin (EPO) which is a potent antioxidant substance in oxidative damage induced-MTX. Material and Methods: Twenty-four female Sprague-Dawley sıçans were equally divided into three groups: Sham animals were administered subcutaneous injections of 0.2 mL of 0.9% NaCl, group MTX were administered subcutaneous injections of methotrexate (5 mg/kg), and MTX+EPO-treated animals were administered subcutaneous injections of methotrexate (5 mg/kg) and EPO (2000 IU/kg) once daily for 4 consecutive days. At the fifth day, the Araştırma Makalesi / Research Article 98 Cilt/Volume 40 Yıl/Year 2015 Metotreksat -Eritropoetinin animals were sacrified, and kidneys were excised. Catalase (CAT), superoxide dismutase (SOD) and malondialdehyde (MDA) in kidney tissue homogenates were measured as spectrophotometric. Tissues were evaluated as histopathologic with ligh microscope. Results: MDA levels in the Sham and MTX+EPO groups were significantly lower than those in the MTX group of both tissues (p<0.05). CAT and SOD activities in the Sham and MTX+EPO groups were significantly higher than those in the MTX group (p<0.05). Both tissues damage was significantly less in the MTX+EPO group than that in the MTX (p<0.05). EPO treatment reduced these histological damages. Conclusion: These data indicate that EPO may be useful therapeutic use in preventing kidney injury in patients receiving chemotherapeutic agents

Keywords

Erythropoietin, methotrexate, liver, kidney, oxidative stress biomarkers

Kaynakça

  1. Cetinkaya A, Bulbuloglu E, Kurutas EB, Kantarceken B. N-acetylcysteine ameliosıçanes methotrexate- induced oxidative liver damage in rats. Med Sci Monit. 2006;12:BR274-78.
  2. Dutz JP, Ho VC. Immunosuppressive agents in dermatology. An update. Dermatol Clin. 1998;16:235- 51.
  3. Flores F, Kerdel FA. Other novel immunosuppressants. Dermatol Clin. 2000;18:475- 83.
  4. Madhyastha S, Somayaji SN, Rao MS, Nalini K, Bairy KL. Hippocampal brain amines in methotrexate induced learning and memory deficit. J Physiol Pharmacol. 2002;80:1076-84.
  5. Jolivet J, Cowan KH, Curt GA, Clendeninn NJ, Chabner BA. The pharmacology and clinical use of methotrexate. N Engl J Med 1983;309:1094-104.
  6. Sener G, Eksioglu-Demiralp E, Cetiner M, Ercan F, Yegen BC. Beta-glucan ameliosıçanes methotrexate- induced oxidative organ injury via its antioxidant and immunomodulatory effects. Eur J Pharmacol. 2006;542:170-8.
  7. Jahovic N, Cevik H, Sehirli Ao, Yeğen BC, Sener G.
  8. Melatonin prevents methotrexate-induced hepatorenal oxidative injury in rats. J Pineal Res. 2003;34:282-7
  9. Kolli VK, Abraham P, Isaac B, Selvakumar D. Neutrophil infiltsıçanion and oxidative stress may play a critical role in methotrexate-induced renal damage. Chemotherapy. 2009;55:83-90.
  10. Miyazono Y, Gao F, Horie T. Oxidative stress contributes to methotrexate-induced small intestinal toxicity in rats. Scand J Gastroenterol. 2004;39:1119- 27.

Kaynak Göster

MLA
Kabakcı, Betül, vd. “The Effect of Erythropoietin on Methotrexate-Induced Renal Damage in Rats: Biochemical and Histopathological Studies”. Cukurova Medical Journal, c. 40, sy 1, Eylül 2015, ss. 98-106, doi:10.17826/cutf.23047.