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      Ocimum gratissimum Ameliorates Gentamicin-Induced Kidney Injury but Decreases Creatinine Clearance Following Sub-Chronic Administration in Rats

      research-article
      , BTech, MSc 1 , , BSc, MSc, PhD 1 , , MbChB, MD, FWACP 1 , , BSc, MSc 1 , , BTech, MSc 1 , , BMLS, MSc, PhD 2
      Journal of Evidence-based Complementary & Alternative Medicine
      SAGE Publications
      Ocimum gratissimum, gentamicin, creatinine, TBARS, rats

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          Abstract

          The effects of aqueous extract of Ocimum gratissimum leaf (AOGL) on the renal function of rats with gentamicin-induced nephrotoxicity were investigated. This study involved the use of forty five (45) adult male Wistar rats (housed in separate metabolic cages) such that graded doses of OAGL were administered to the experimental groups (p.o.) for 28 days after exposure to gentamicin toxicity (100 mg/kg i.p.) for 1 week. At the end of the study, comparisons of some indices of renal function as well as antioxidant status (GSH and TBARS) were made between the control, toxic and AOGL-treated groups at P < 0.05. The result showed that gentamicin treatment caused significant increase ( P < .05) in urine output, urea, creatinine, total protein, relative kidney weight, and TBARS, as well as significant decrease ( P < .05) in urine creatinine and GSH levels. Post-treatment with graded doses of AOGL caused significant increase in food consumption, GSH, urine, and plasma creatinine, as well as significant decrease ( P < .05) in relative kidney weight, TBARS, and urine total protein. There was an appreciable difference in the kidney histology of the AOGL-treated groups when compared with the toxic control. Hence, the extract has therapeutic potential in the management of gentamicin-induced kidney injury, although a risk profile of renal dysfunction is not unlikely from 28 days of administration as evident by the decrease in creatinine clearance.

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          Most cited references35

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          Protein measurement with the Folin phenol reagent.

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            Recent advances in the pathophysiology of ischemic acute renal failure.

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              Dedifferentiation and proliferation of surviving epithelial cells in acute renal failure.

              In contrast to the heart or brain, the kidney can completely recover from an ischemic or toxic insult that results in cell death. During recovery from ischemia/reperfusion injury, surviving tubular epithelial cells dedifferentiate and proliferate, eventually replacing the irreversibly injured tubular epithelial cells and restoring tubular integrity. Repair of the kidney parallels kidney organogenesis in the high rate of DNA synthesis and apoptosis and in patterns of gene expression. As has been shown by proliferating cell nuclear antigen and 5-bromo 2'-deoxyuridine labeling studies and, in unpublished studies, by counting mitotic spindles identified by labeling with antitubulin antibody, the proliferative response is rapid and extensive, involving many of the remaining cells of the proximal tubule. This extensive proliferative capacity is interpreted to reflect the intrinsic ability of the surviving epithelial cell to adapt to the loss of adjacent cells by dedifferentiating and proliferating. Adhesion molecules likely play important roles in the regulation of renal epithelial cell migration, proliferation, and differentiation, as do cytokines and chemokines. Better understanding of all of the characteristics resulting in dedifferentiation and proliferation of the proximal tubule epithelial cell and cell-cell and cell-matrix interactions important for this repair function will lead to novel approaches to therapies designed to facilitate the processes of recovery in humans.
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                Author and article information

                Journal
                J Evid Based Complementary Altern Med
                J Evid Based Complementary Altern Med
                CHP
                spchp
                Journal of Evidence-based Complementary & Alternative Medicine
                SAGE Publications (Sage CA: Los Angeles, CA )
                2156-5872
                2156-5899
                21 February 2017
                October 2017
                : 22
                : 4
                : 592-602
                Affiliations
                [1 ]Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria
                [2 ]Afe Babalola University, Ado-Ekiti, Ekiti State, Nigeria
                Author notes
                [*]Olaoluwa S. Olukiran, Department of Physiological Sciences, Obafemi Awolowo University, Ile-Ife A234, Nigeria. Email: oolaoluwasesan@ 123456gmail.com
                Article
                10.1177_2156587217691891
                10.1177/2156587217691891
                5871266
                29228801
                1fc098d8-b226-476e-a0ac-75e59c1b1ddd
                © The Author(s) 2017

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License ( http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                : 16 May 2016
                : 16 December 2016
                : 7 January 2017
                Categories
                Original Articles

                ocimum gratissimum,gentamicin,creatinine,tbars,rats
                ocimum gratissimum, gentamicin, creatinine, tbars, rats

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