Skip to main content
Log in

Phytotherapy and renal stones: the role of antioxidants. A pilot study in Wistar rats

  • Original Paper
  • Published:
Urological Research Aims and scope Submit manuscript

Abstract

Since ancient times, various herbal preparations have been used in renal lithiasis therapy, but conclusive scientific data on their therapeutic effects and efficacy are not available. To address this issue, the present study evaluated the antilithiasic activity of a traditional Mallorcan herbal preparation, and compared its effects with those of the antioxidant flavonoids, catechin and epicatechin. Thirty-six male Wistar rats were assigned randomly to four groups (n = 9): a control group, a catechin (CAT) treatment group, an epicatechin (EPI) treatment group, and a group treated with a folk herbal extract (FHE). After 16 days of treatment, calcium oxalate lithiasis was induced in the rats using ethylene glycol. After 8 days (treatment + ethylene glycol), 24-h rat urine was collected, the animals were sacrificed and their kidneys were removed for histological and chemical analysis. The calcium concentration in kidney tissue was significantly lower in the CAT-treated (2.4 ± 0.3 mg/g), EPI-treated (1.8 ± 0.3 mg/g) and FHE-treated (2.1 ± 0.3 mg/g) groups, than in the control group (5.4 ± 1.4 mg/g). Examination of paraffin-embedded kidney sections showed that control group rats had the greatest amount of calcification. There were no significant differences between control and treated groups with respect to urinary calcium, magnesium, oxalate and citrate concentrations. These results demonstrate the ability of herbal preparations and antioxidants to prevent the development of papillary and intratubular calcification in the kidney.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Tsai CH, Chen YC, Chen LD, Pan TC, Ho CY, Lai MT et al (2008) A traditional Chinese herbal antilithic formula, Wulingsan, effectively prevents the renal deposition of calcium oxalate crystal in ethylene glycol-fed rats. Urol Res 36:17–24. doi:10.1007/s00240-007-0122-4

    Article  PubMed  Google Scholar 

  2. Laroubi A, Touhami M, Farouk L, Zrara I, Aboufatima R, Benharref A et al (2007) Prophylaxis effect of Trigonella foenum graecum L. seeds on renal stone formation in rats. Phytother Res 21:921–925. doi:10.1002/ptr.2190

    Article  PubMed  Google Scholar 

  3. Atmani F, Slimani Y, Mimouni M, Hacht B (2003) Prophylaxis of calcium oxalate stones by Herniaria hirsuta on experimentally induced nephrolithiasis in rats. BJU Int 92:137–140. doi:10.1046/j.1464-410X.2003.04289.x

    Article  PubMed  CAS  Google Scholar 

  4. Grases F, Melero G, Costa-Bauzá A, Prieto R, March JG (1994) Urolithiasis and phytotherapy. Int Urol Nephrol 26:507–511. doi:10.1007/BF02767650

    Article  PubMed  CAS  Google Scholar 

  5. Schwartz BF, Schenkman N, Nguyen R, Stoller ML (2000) Gahat: a Napalese cure for urolithiasis? Urology 56:912–914. doi:10.1016/S0090-4295(00)00840-2

    Article  PubMed  CAS  Google Scholar 

  6. Gettman MT, Organ K, Brinkley LJ, Adams-Huet B, Pak CYC, Pearle MS (2005) Effect of cranberry juice consumption on urinary stone risk factors. J Urol 174:590–594. doi:10.1097/01.ju.0000165168.68054.f8

    Article  PubMed  CAS  Google Scholar 

  7. Stanic G, Samarzija I, Blazevic N (1998) Time-dependent diuretic response in rats treated with juniper berry preparations. Phytother Res 12:494–497. doi:10.1002/(SICI)1099-1573(199811)12:7<494::AID-PTR340>3.0.CO;2-N

    Article  Google Scholar 

  8. Touhami M, Labouri A, Elhabazi K, Loubna F, Zrara I, Elhahiri Y et al (2007) Lemon juice has protective activity in a rat urolithiasis model. BMC Urol 7:18. doi:10.1186/1471-2490-7-18

    Article  PubMed  Google Scholar 

  9. Grases F, Costa-Bauzá A, Ramis M, Montesinos V, Conte A (2002) Simple classification of renal calculi closely related to their micromorphology and etiology. Clin Chim Acta 322:29–36. doi:10.1016/S0009-8981(02)00063-3

    Article  PubMed  CAS  Google Scholar 

  10. Low RK, Stoller ML, Schreiber CK (2000) Metabolic and urinary risk factors associated with Randall’s papillary plaques. J Endourol 14:507–510

    Article  PubMed  CAS  Google Scholar 

  11. Kuo RL, Lingeman JE, Evan AP, Paterson RF, Parks JH, Bledsoe SB et al (2003) Urine calcium and volume predict coverage of renal papilla by Randall’s plaque. Kidney Int 64:2150–2154. doi:10.1046/j.1523-1755.2003.00316.x

    Article  PubMed  Google Scholar 

  12. Kim SC, Coe FL, Tinmouth WW, Kuo RL, Paterson RF, Parks JH et al (2005) Stone formation is proportional to papillary surface coverage by Randall’s plaque. J Urol 173:117–119

    PubMed  CAS  Google Scholar 

  13. de Water R, Noordermeer C, Houstmuller AB, Nigg AL, Stijnen T, Schroder FH et al (2000) Role of macrophages in nephrolithiasis in rats: an analysis of the renal interstitium. Am J Kidney Dis 36:615–625. doi:10.1053/ajkd.2000.16203

    Article  PubMed  Google Scholar 

  14. Muthukumar A, Selvam R (1997) Renal injury mediated calcium oxalate nephrolithiasis: role of lipid peroxidation. Ren Fail 19:401–408

    Article  PubMed  CAS  Google Scholar 

  15. Vaille C, Debray C, Martin E, Souchard M, Roze C (1963) On experimental ethylene glycol renal lithiasis in young rats before weaning. Ann Pharm Fr 21:201–206

    PubMed  CAS  Google Scholar 

  16. Debray C, Vaille C, Fiehrer A, Martin E, Souchard M, Roze C (1964) Experimental disease due to paired stresses. Humoral and visceral disturbances induced by tween 80 in rats with experimental oxalate nephritis caused by ethylene glycol. J Physiol (Paris) 56:707–726

    CAS  Google Scholar 

  17. Thamilselvan S, Hackett RL, Khan SR (1997) Lipid peroxidation in ethylene glycol induced hyperoxaluria and calcium oxalate nephrolithiasis. J Urol 157:1059–1063. doi:10.1016/S0022-5347(01)65141-3

    Article  PubMed  CAS  Google Scholar 

  18. Itoh Y, Yasui T, Okada A, Tozawa K, Hayashi Y, Kohri K (2005) Preventive effects of green tea on renal stone formation and the role of oxidative stress in nephrolithiasis. J Urol 173:271–275

    PubMed  Google Scholar 

  19. Thamilselvan S, Menon M (2005) Vitamin E therapy prevents hyperoxaluria-induced calcium oxalate crystal deposition in the kidney by improving renal tissue antioxidant status. BJU Int 96:117–126. doi:10.1111/j.1464-410X.2005.05579.x

    Article  PubMed  CAS  Google Scholar 

  20. Farooq SM, Ebrahim AS, Asokan D, Sakthivel R, Savitha S, Rajesh NG et al (2005) Credentials of Spirulina diet on stability and flux related properties on the biomineralization process during oxalate mediated renal calcification in rats. Clin Nutr 24:932–942. doi:10.1016/j.clnu.2005.06.005

    Article  PubMed  CAS  Google Scholar 

  21. Huang HS, Chen J, Chen CF, Ma MC (2006) Vitamin E attenuates crystal formation in rat kidneys: roles of renal tubular cell death and crystallization inhibitors. Kidney Int 70:699–710. doi:10.1038/sj.ki.5001651

    Article  PubMed  CAS  Google Scholar 

  22. Veena CK, Josephine A, Preetha SP, Varalakshmi P, Sundarapandiyan R (2006) Renal peroxidative changes mediated by oxalate: the protective role of fucoidan. Life Sci 79:1789–1795. doi:10.1016/j.lfs.2006.06.014

    Article  PubMed  CAS  Google Scholar 

  23. Hadjzadeh MA, Khoei A, Hadjzadeh Z, Parizady M (2007) Ethanolic extract of nigella sativa L seeds on ethylene glycol-induced kidney calculi in rats. Urol J 4:86–90

    PubMed  Google Scholar 

  24. Ozcan A, Korkmaz A, Oter S, Coskun O (2005) Contribution of flavonoid antioxidants to the preventive effect of mesna in cyclophosphamide-induced cystitis in rats. Arch Toxicol 79:461–465. doi:10.1007/s00204-005-0647-7

    Article  PubMed  CAS  Google Scholar 

  25. Kaviarasan S, Vijayalakshmi K, Anuradha CV (2004) Polyphenolrich extract of fenugreek seeds protects erythrocytes from oxidative damage. Plant Foods Hum Nutr 59:143–147. doi:10.1007/s11130-004-0025-2

    Article  PubMed  CAS  Google Scholar 

  26. Sumathi R, Jayanthi S, Kalpanadevi V, Varalakshimi P (1993) Effect of DL-α-lipoic acid on tissue lipid peroxidation and antioxidant systems in normal and glycollate treated rats. Pharmacol Res 27:1–10. doi:10.1006/phrs.1993.1031

    Article  Google Scholar 

  27. Ernester L, Nordenbrand K (1967) Oxidation and phosphorylation. In: Ronald WE, Maynard EP (eds) Methods in enzymology, vol 10. Academic Press, New York, pp 574–580

    Google Scholar 

Download references

Acknowledgments

I. Gomila is grateful for a fellowship from the Conselleria Economia, Hisenda i Innovació del Govern de les Illes Balears, and P. Sanchis is grateful for a fellowship from the Spanish Ministry of Education, Culture and Sport. This work was supported by the Conselleria d’Innovacio i Energia del Govern de les Illes Balears (Grant PCTIB-2005GC4-06) and the Spanish Ministry of Science and Technology (Grant CTQ2006-05640). We also express our gratitude to Salva Trobat Chemist’s shop (Palma de Mallorca, Spain) for preparing and supplying the herbal extract and Carles Saus (Hospital Universitari Son Dureta, Palma de Mallorca, Spain) for their expertise histological observations.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Felix Grases.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Grases, F., Prieto, R.M., Gomila, I. et al. Phytotherapy and renal stones: the role of antioxidants. A pilot study in Wistar rats. Urol Res 37, 35–40 (2009). https://doi.org/10.1007/s00240-008-0165-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00240-008-0165-1

Keywords

Navigation