The aim of our study was to investigate if green tea and bilberry have protective effect on gentamicin-induced kidney damage, when applied together, and to make a connection between their effects. GM group of rats received only gentamicin, GT group received green tea only, B group received only bilberry, whereas control (C) group received saline only. GT+GM group received green tea together with gentamicin, and B+GM group received bilberry together with gentamicin. Biochemical analysis showed significantly increased urea and creatinine levels in GM group when compared to groups that also received bilberry or green tea. Histological analysis showed complete disruption of glomerular basal membrane as well as basal membranes of both proximal and distal tubules in GM group. These destructive effects were significantly milder and limited only to proximal tubules when bilberry or green tea was applied simultaneously with gentamicin. Both green tea and bilberry protective effect on gentamicin-induced nephrotoxicity is manifested because of their strong antioxidant activity. Since they are strong antioxidants, widely distributed in nature, they can offer available and inexpensive adjuvant therapy in Gram-negative infections, which can relieve gentamicin nephrotoxicity, but will not affect its bactericidal effect.
References
1.
Khan SA, Priyamvada S, Farooq N, Khan S, Khan MW, Yusufi ANK. Protective effect of green tea extract on gentamicin-induced nephrotoxicity and oxidative damage in rat kidney. Pharmacological Research. 2009;59(4):254–62.
2.
Ranđelović P, Veljković S, Stojiljković N. Gentamicin nephrotoxicity in animals: Current knowledge and future perspectives. EXCLI J. 2017;16:388–99.
3.
Veljković M, Pavlović DR, Stojiljković N, Ilić S, Petrović A, Jovanović I, et al. Morphological and morphometric study of protective effect of green tea in gentamicin-induced nephrotoxicity in rats. Life Sciences. 2016;147:85–91.
4.
Veljković M, Pavlović DR, Stojiljković N, Ilić S, Jovanović I, Poklar Ulrih N, et al. Bilberry: Chemical Profiling, in Vitro and in Vivo Antioxidant Activity and Nephroprotective Effect against Gentamicin Toxicity in Rats. Phytotherapy Research. 2017;31(1):115–23.
5.
Acharya C, Thakar H, Vajpeyee S. A study of oxidative stress in gentamicin induced nephrotoxicity and effect of antioxidant vitamin C in Wistar rats. National Journal of Physiology, Pharmacy and Pharmacology. 2013;3(1):14.
6.
Verpooten GA, Giuliano RA, Verbist L, Eestermans G, De Broe ME. Once-daily dosing decreases renal accumulation of gentamicin and netilmicin. Clinical Pharmacology and Therapeutics. 1989;45(1):22–7.
7.
Fujiwara K, Shin M, Matsunaga H, Saita T, Larsson LI. Light-Microscopic Immunocytochemistry for Gentamicin and Its Use for Studying Uptake of the Drug in Kidney. Antimicrobial Agents and Chemotherapy. 2009;53(8):3302–7.
8.
De Broe ME, Paulus GJ, Verpooten GA, Roels F, Buyssens N, Wedeen R, et al. Early effects of gentamicin, tobramycin, and amikacin on the human kidney. Kidney International. 1984;25(4):643–52.
9.
Nonclercq D, Wrona S, Toubeau G, Zanen J, Heuson-Stiennon JA, Schaudies RP, et al. Tubular Injury and Regeneration in the Rat Kidney Following Acute Exposure to Gentamicin: A Time-Course Study. Renal Failure. 1992;14(4):507–21.
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