269630

Impact of Fractionated Gentamicin Dosing on Induction of Nephrotoxicity: An Experimental Study in Rats.

Article

Last updated: 01 Jan 2025

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Abstract

Gentamicin (GIN) is a widely used antibiotic, but nephrotoxicity restricts its application. GIN affects mainly renal tubules due to presence of megalin/cubulin complex, which is responsible for its uptake in proximal tubular epithelial cells. In this study, we investigated whether administration of GIN dose (100 & 120 mg/kg) once/day or fractionation of the dose over 4 hours could produce more nephrotoxic effect in rats. Kidney function was evaluated through assessment of serum creatinine (Cr), blood urea nitrogen (BUN), and glomerular filtration rate (GFR). Furthermore, these biochemical estimations were supported by the histopathological study. Administration of GIN 100 & 120 mg/kg once/day produced non-significant changes in kidney function biomarkers, in addition to preserved histological structure of glomeruli. However, fractionation of GIN dose 120 mg/kg over 4 hours/day produced significant deterioration of kidney function, as well as histopathological alterations. Fractionated dosing of GIN every day is more nephrotoxic than administration of the dose once/day. That could be attributed to saturation of megalin/cubulin complex and thus impaired endocytosis of GIN in proximal tubular epithelial cells when administered once daily. Thus, we suggest that administration of GIN in fractionated doses is more suitable for induction of nephrotoxicity in rats.

DOI

10.21608/ejchem.2022.112772.5122

Keywords

gentamicin, Fractionated dosing, Megalin/cubulin complex, Nephrotoxicity

Authors

First Name

Dina

Last Name

Hanna

MiddleName

A

Affiliation

Department of Pharmacology and Toxicology, Faculty of Pharmacy, Nahda University, Beni-Suef, Egypt

Email

dina.awny@nub.edu.eg

City

Minia

Orcid

-

First Name

Basim

Last Name

Messiha

MiddleName

A.S.

Affiliation

Department of Pharmacology & Toxicology, Faculty of Pharmacy, Beni-Suef University, Beni-Suef, Egypt

Email

drbasimanwar2006@yahoo.com

City

Beni-Suef

Orcid

-

First Name

Ali

Last Name

Abo-Saif

MiddleName

A.

Affiliation

Department of Pharmacology and Toxicology, Faculty of Pharmacy, Nahda University, Beni-Suef, Egypt

Email

ali.abosaif@nub.edu.eg

City

Beni-Suef

Orcid

-

First Name

Amany

Last Name

Azouz

MiddleName

A.

Affiliation

Department of Pharmacology & Toxicology, Faculty of Pharmacy, Beni-Suef University, Beni-Suef, Egypt

Email

amany.azoz@pharm.bsu.edu.eg

City

Beni-Suef

Orcid

-

Volume

66

Article Issue

7

Related Issue

42039

Issue Date

2023-07-01

Receive Date

2021-12-24

Publish Date

2023-07-01

Page Start

645

Page End

651

Print ISSN

0449-2285

Online ISSN

2357-0245

Link

https://ejchem.journals.ekb.eg/article_269630.html

Detail API

https://ejchem.journals.ekb.eg/service?article_code=269630

Order

269,630

Type

Original Article

Type Code

297

Publication Type

Journal

Publication Title

Egyptian Journal of Chemistry

Publication Link

https://ejchem.journals.ekb.eg/

MainTitle

Impact of Fractionated Gentamicin Dosing on Induction of Nephrotoxicity: An Experimental Study in Rats.

Details

Type

Article

Created At

30 Dec 2024