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      Aged garlic extract protects against oxidative stress and renal changes in cisplatin-treated adult male rats

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      ,
      Cancer Cell International
      BioMed Central
      Cisplatin, Aged garlic extract, Nephrotoxicity, Biochemical, Ultrastructure, Rats

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          Abstract

          Background

          Cisplatin (CP) is one of the effective anticancer drugs, but it causes many side effects. Aged garlic extract (AGE) is a natural herbal product used in management of many diseases.

          Objective

          This study aimed to investigate effect of AGE on CP-induced nephrotoxicity in rats.

          Material and methods

          Four equal groups of adult male rats: control, AGE -treated (250 mg/kg, once oral dose/ 21days), CP-treated (7.5 mg/kg once i.p. on day 16th.), combined AGE and CP-treated were used. Body and kidneys weights of each rat were calculated. Serum levels of kidney biomarkers were assessed. Malondialdehyde (MDA) and reduce glutathione (GSH) levels, superoxide dismutase (SOD) and catalase (CAT) activities of renal tissues were measured as well. Renal samples from each rat were prepared for light and electron microscopic examinations.

          Results

          Hemorrhage, glomerular atrophy, inflammatory cell infiltration, tubular necrosis and degeneration were observed in CP-treated rats. Also, a significant (P<0.001) reduction in SOD & CAT activities, GSH levels accompanied with a significant increase in serum levels of kidney biomarkers and MDA were determined in CP-treated rats compared to control group. However, most of CP-induced histomorphological, ultrastructural and biochemical changes were improved in animals pretreated with AGE.

          Conclusion

          Such renoprotective effect of AGE may be attributed to its antioxidant activity.

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          Most cited references32

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          A modified spectrophotometric assay of superoxide dismutase.

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            Glutathione reductase.

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              Agents ameliorating or augmenting the nephrotoxicity of cisplatin and other platinum compounds: a review of some recent research.

              Cisplatin (cis-diamminedichloroplatinum (II)) is an effective agent against various solid tumours. Despite its effectiveness, the dose of cisplatin that can be administered is limited by its nephrotoxicity. Hundreds of platinum compounds (e.g. carboplatin, oxaliplatin, nedaplatin and the liposomal form lipoplatin) have been tested over the last two decades in order to improve the effectiveness and to lessen the toxicity of cisplatin. Several agents have been tested to see whether they could ameliorate or augment the nephrotoxicity of platinum drugs. This review summarizes these studies and the possible mechanisms of actions of these agents. The agents that have been shown to ameliorate experimental cisplatin nephrotoxicity include antioxidants (e.g. melatonin, vitamin E, selenium, and many others), modulators of nitric oxide (e.g. zinc histidine complex), agents interfering with metabolic pathways of cisplatin (e.g. procaine HCL), diuretics (e.g. furosemide and mannitol), and cytoprotective and antiapoptotic agents (e.g. amifostine and erythropoietin). Only few of these agents have been tested in humans. Those agents that have been shown to augment cisplatin nephrotoxicity include nitric oxide synthase inhibitors, spironolactone, gemcitabine and others. Combining these agents with cisplatin should be avoided.
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                Author and article information

                Contributors
                ashrafnaeem2013@gmail.com
                hamidphd@hotmail.com
                Journal
                Cancer Cell Int
                Cancer Cell Int
                Cancer Cell International
                BioMed Central (London )
                1475-2867
                28 September 2014
                28 September 2014
                2014
                : 14
                : 1
                : 92
                Affiliations
                [ ]Anatomy Department, Faculty of Medicine, King Abdulaziz University, P.O. Box 80205, Jeddah, 21589 Kingdom of Saudi Arabia
                [ ]Anatomy Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt
                Article
                92
                10.1186/s12935-014-0092-x
                4189163
                25298749
                bc1860fd-8b45-4ed3-b059-d13226294d89
                © Nasr and Saleh; licensee BioMed Central Ltd. 2014

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 4 August 2014
                : 5 September 2014
                Categories
                Primary Research
                Custom metadata
                © The Author(s) 2014

                Oncology & Radiotherapy
                cisplatin,aged garlic extract,nephrotoxicity,biochemical,ultrastructure,rats
                Oncology & Radiotherapy
                cisplatin, aged garlic extract, nephrotoxicity, biochemical, ultrastructure, rats

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