EFFECTS OF SUPPLEMENTATION WITH VITAMIN E ON GENTAMYCIN-INDUCED ACUTE RENAL FAILURE IN RATS

Abstract

A frequent administration of gentamicin in clinical practice has shown its bactericidal activity, and besides being vestibulotoxic it is highly nephrotoxic, which can further result in acute renal insufficiency. The study analyzed 24 Wistar rats, divided into three equal groups. GM group received gentamicin (100 mg/kg), GME group received vitamin E (100 mg/kg) and the same dose of gentamicin as GM rats, while the third group served as the control group and received saline (1 ml/24h) for 8 days. Pathohistological examination of the kidney tissues from GM group rats showed areas of coagulation-type necrosis in a large number of proximal tubules, while their glomeruli were considerably enlarged compared both to control and GME group rats. In GME rats, changes in glomeruli were less visible, while areas of coagulation-type necrosis were not found.  Biochemical analysis showed significantly higher values of blood urea and creatinine in GM group rats in comparison to C group and GME group (p<0.001). The concentrations of potassium in blood serum was significantly lower in GM group compared to control group (p<0.01), whereas the concentration of sodium was lower, however, without statistical significance. The concentrations of AOPP for GM group were significantly higher when compared to C group (p<0.001), whereas the values for GME group of rats were statistically significantly lower than AOPP recorded for GM group (p<0.001). Our experimental study has shown that gentamicin-induced nephrotoxicity can be significantly reduced by simultaneous administration of vitamin E.

Key words: Gentamicin, vitamin E, nephrotoxicity, Wistar rats