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Effect of erythropoietin therapy on the progression of cisplatin induced renal injury in rats
Faculty
Pharmacy
Year:
2013
Type of Publication:
Article
Pages:
197-203
Authors:
Mohamed, Rasha H, Mohamed, Hoda E, El-Swefy, Sahar E, Ghanim, Amal M. H
DOI:
10.1016/j.etp.2011.08.006
Journal:
EXPERIMENTAL AND TOXICOLOGIC PATHOLOGY ELSEVIER GMBH, URBAN \& FISCHER VERLAG
Volume:
65
Research Area:
Pathology; Toxicology
ISSN
ISI:000314006000030
Keywords :
Cisplatin (CDDP), Acute kidney injury, Erythropoietin, Hemeoxygenase-1 (HO-1), Vascular endothelial growth factor (VEGF)
Abstract:
Cisplatin is one of the most important chemotherapeutic agents useful in the treatment of a variety of solid tumors; however, it has several side effects such as nephrotoxicity. In the present study, the effect of rhEPO on acute kidney injury induced by i.p. injection of rats with 9.0 mg/kg cisplatin was studied. It was observed that EPO treated group showed a significantly lower rate in the extent and severity of the histological signs of kidney injury than untreated one. This is attributed to (i) a decrease in the elevated oxidative and nitrosative stress markers, (ii) reduction of the expression of VEGF, HO-1 and iNOS as well as (iii) improvement of Bcl2 immunoreaction in most tubular cells. Thus, EPO may be one of the futures therapeutic possibilities to overcome the side effects of anti-cancer drugs induced acute renal injury through various mechanisms including down regulation of vascular endothelial growth factor (VEGF), hemeoxygenase-1 (HO-1) and inducible nitric oxide synthase (iNOS) expressions in addition to stimulation of tubular cell regeneration. (C) 2011 Elsevier GmbH. All rights reserved.
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