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Naloxone pretreatment prevents kidney injury after liver ischemia reperfusion injury

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Abstract

Purpose

The aim of this study was to assess the effects of naloxone, an opioid receptor antagonist, on the renal injury as a remote organ after hepatic ischemia reperfusion (IR) in rats.

Materials and methods

Forty male Wistar rats were randomly allocated into four groups as follows: sham, sham + naloxone, IR and IR + naloxone. In anesthetized rats, hepatic ischemia was applied for 30 min in IR and IR + naloxone groups. Sham + naloxone and IR + naloxone groups were given naloxone (3.0 mg/kg, iv) 30 min before ischemia. After 24 h, blood and tissue samples were obtained for histopathological, tissue malondialdehyde (MDA) and biochemical analyses.

Results

Histopathological study of liver in IR group showed enlarged sinusoids, sinusoidal congestion, cellular degenerative changes and necrosis. The kidney of the rats with hepatic IR showed pathological changes in tubular cell swelling, tubular dilatation, moderate to severe necrosis, glomerular fibrosis and hemorrhage. Histological examination confirmed the extent of hepatic and renal changes in IR group was higher (P < 0.05) than in other groups. Rats that underwent hepatic IR exhibited significant increase in serum concentrations of urea and creatinine levels (P < 0.05). The serum alanine aminotransferase and aminotransferase values were significantly higher in IR group compared to the other groups (P < 0.05). Liver IR produced a significant increase in hepatic and renal tissue MDA levels, while pretreatment with naloxone was associated with a significantly lower MDA levels (P < 0.05).

Conclusion

The results of this study showed that naloxone pretreatment protected the renal injury from hepatic IR.

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Authors and Affiliations

  1. Young Researchers and Elites Club, Science and Research Branch, Islamic Azad University, Tehran, Iran

    Mohammad Ashrafzadeh Takhtfooladi

  2. Department of Cardiovascular Surgery, Isfahan University of Medical Sciences, Isfahan, Iran

    Mehran Shahzamani

  3. Department of Clinical Science, Science and Research Branch, Islamic Azad University, Tehran, Iran

    Ahmad Asghari

  4. Graduate Student of Veterinary Medicine, Science and Research Branch, Islamic Azad University, Tehran, Iran

    Aris Fakouri

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  1. Mohammad Ashrafzadeh Takhtfooladi
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Correspondence to Mohammad Ashrafzadeh Takhtfooladi.

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Conflict of interest

M.A. Takhtfooladi, M. Shahzamani, A. Asghari and A. Fakouri declare that they have no conflict of interest.

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All applicable international, national and/or institutional guidelines for the care and use of animals were followed.

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Takhtfooladi, M.A., Shahzamani, M., Asghari, A. et al. Naloxone pretreatment prevents kidney injury after liver ischemia reperfusion injury. Int Urol Nephrol 48, 1113–1120 (2016). https://doi.org/10.1007/s11255-016-1280-5

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  • DOI: https://doi.org/10.1007/s11255-016-1280-5

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