Protective effect of L-arginine against nephrotoxicity induced by cyclosporine in normal rats

Pharmacol Res. 2002 Jun;45(6):441-6. doi: 10.1006/phrs.2002.0968.

Abstract

Effects of L-arginine (L-arg) and aminoguanidine (AG) on the nephrotoxicity induced by cyclosporine (CsA) were investigated. After injection of CsA (15 mg kg(-1) day (-1)i.p. for 10 days), it induced nephrotoxicity, manifested biochemically by a significant elevation of serum urea and creatinine. In addition, a marked increase in lipid peroxides measured as malondialdehyde (MDA) as well as a significant decrease in glutathione peroxidase (GSH-Px) activity (EC.1.11.1.9) and reduced glutathione content (GSH) in kidney tissues homogenate were observed. Nephrotoxicity was further confirmed by histopathological investigation. Oral administration of L-arg (300 mg kg (-1)day(-1) orally) for 5 days before and 10 days concomitant with CsA injection produced a significant protection against nephrotoxity induced by CsA. The amelioration of nephrotoxicity was evidenced by significant reductions in serum urea and creatinine concentrations. In addition, L-arg prevented the rise of MDA as well as reduction of GSH-Px activity and reduced GSH content in kidney tissue. The protective effects of L-arg against CsA-induced nephrotoxicity were further confirmed by histopathological examination. However, oral supplementation of AG (100 mg kg (-1)day(-1) p.o.) did not protect the kidney from the damaging effects of CsA. These results suggest that L-arg can ameliorate kidney dysfunction induced by CsA via a mechanism(s) which involves the production of nitric oxide. In addition, L-arg may therefore be a beneficial remedy for CsA nephrotoxicity and can be used to improve the therapeutic index of CsA.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Arginine / therapeutic use*
  • Creatinine / blood
  • Cyclosporine / toxicity*
  • Enzyme Inhibitors / therapeutic use*
  • Glutathione Peroxidase / antagonists & inhibitors
  • Guanidines / therapeutic use
  • Immunosuppressive Agents / toxicity*
  • Kidney / drug effects
  • Kidney / enzymology
  • Kidney / pathology
  • Kidney Diseases / chemically induced
  • Kidney Diseases / pathology
  • Kidney Diseases / prevention & control*
  • Kidney Tubules / drug effects
  • Kidney Tubules / pathology
  • Male
  • Nephritis, Interstitial / chemically induced
  • Nephritis, Interstitial / pathology
  • Nephritis, Interstitial / prevention & control
  • Nitric Oxide Synthase / antagonists & inhibitors
  • Rats
  • Rats, Inbred Strains
  • Urea / blood

Substances

  • Enzyme Inhibitors
  • Guanidines
  • Immunosuppressive Agents
  • Cyclosporine
  • Urea
  • Arginine
  • Creatinine
  • Glutathione Peroxidase
  • Nitric Oxide Synthase
  • pimagedine