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Is it possible to prevent contrast-induced nephropathy with dexpanthenol?

  • Osman Sutcuoglu
  • Mehmet Kursat DericiEmail author
  • Ozge Tugce Pasaoglu
  • Burak Dumludag
  • Ozant Helvacı
  • Betul Ogut
  • Ipek Isık Gonul
  • Ulver Derici
Nephrology - Original Paper
  • 61 Downloads

Abstract

Purpose

Contrast-induced nephropathy (CIN) is one of the side effects of diagnostic procedures. Oxidative stress plays an important role in CIN’s pathophysiology. Dexpanthenol (Dexp) is a substance with antioxidant efficacy. We investigated the likely protective effects of dexpanthenol for CIN.

Methods

Twenty-four Sprague–Dawley rats were divided randomly into four groups of 6 rats; control (group 1), Dexp (group 2), CIN (group 3) and Dexp + CIN (group 4). All rats were restricted of water moderately to facilitate of nephrotoxicity. Dexp was administered into the intraperitoneally at a dose of 500 mg/kg for 5 days in groups 2 and 4. The same amount of saline was applied via intraperitoneally to group 1 and 3. In CIN and Dexp + CIN groups, L-NAME (10 mg/kg), tenoxicam (0.5 mg/kg) and sodium amidotrizoate (10 ml/kg) were administered on the 4th day via the tail vein for CIN. All rats were euthanized on the 6th day and samples for biochemical and pathological evaluations were collected.

Results

When the Dexp + CIN group and the CIN group were compared, it was found to be provide a significant decline at the level of acute tubular injury and necrosis in kidney biopsies by dexp. Furthermore Dexp significantly reduced the serum cystatin C (Cys-C) levels, not serum creatinine. There was no statistically significant difference between the groups in total oxidant and antioxidant levels.

Conclusions

Dexpanthenol did not have significant effect on oxidative stress of acute kidney injury on this rat model. However, it has ameliorated serum Cys-C levels and histopathological findings of CIN.

Keywords

Radiocontrast media Nephrotoxicity Dexpanthenol Cystatin C Apoptosis 

Notes

Acknowledgements

This study was supported by Turkish Society of Hypertension and Kidney Disease.

Compliance with ethical standards

Conflict of interest

All authors have no conflict of interest to declare.

Ethical approval

Experiments were performed in accordance with the criteria about the care and use of Laboratory Animals of Gazi University Local Ethics Committee.

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Copyright information

© Springer Nature B.V. 2019

Authors and Affiliations

  • Osman Sutcuoglu
    • 1
  • Mehmet Kursat Derici
    • 2
    Email author
  • Ozge Tugce Pasaoglu
    • 3
  • Burak Dumludag
    • 4
  • Ozant Helvacı
    • 1
  • Betul Ogut
    • 5
  • Ipek Isık Gonul
    • 5
  • Ulver Derici
    • 1
  1. 1.Department of NephrologyGazi University Faculty of MedicineAnkaraTurkey
  2. 2.Department of Medical PharmacologyKirikkale University Faculty of MedicineYahşihan/KırıkkaleTurkey
  3. 3.Department of BiochemistryGazi University Faculty of MedicineAnkaraTurkey
  4. 4.Department of Internal MedicineHınıs Sehit Yavuz Yurekseven HospitalErzurumTurkey
  5. 5.Department of PathologyGazi University Faculty of MedicineAnkaraTurkey

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