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Baicalein acts as a nephroprotectant that ameliorates colistin-induced nephrotoxicity by activating the antioxidant defence mechanism of the kidneys and down-regulating the inflammatory response.


ABSTRACT:

Background

Nephrotoxicity is the major adverse effect patients experience during colistin therapy. The development of effective nephroprotective agents that can be co-administered during polymyxin therapy remains a priority area in antimicrobial chemotherapy.

Objectives

To investigate the nephroprotective effect of baicalein, a component of the root of Scutellaria baicalensis, against colistin-induced nephrotoxicity using a mouse model.

Methods

C57BL/6 mice were randomly divided into the following groups: control, baicalein 100?mg/kg/day (administered orally), colistin (18?mg/kg/day administered intraperitoneally) and colistin (18?mg/kg/day) plus baicalein (25, 50 and 100?mg/kg/day). After 7?day treatments, histopathological damage, the markers of renal functions, oxidative stress and inflammation were examined. The expressions of Nrf2, HO-1 and NF-?B mRNAs were also further examined using quantitative RT-PCR examination.

Results

Baicalein co-administration markedly attenuated colistin-induced oxidative and nitrative stress, apoptosis, the infiltration of inflammatory cells, and caused decreases in IL-1? and TNF-? levels (all P?ConclusionsTo the best of our knowledge, this is the first study demonstrating the protective effect of baicalein on colistin-induced nephrotoxicity and apoptosis by activating the antioxidant defence mechanism in kidneys and down-regulating the inflammatory response. Our study highlights that oral baicalein could potentially ameliorate nephrotoxicity in patients undergoing polymyxin therapy.

SUBMITTER: Dai C 

PROVIDER: S-EPMC5890707 | biostudies-literature | 2017 Sep

REPOSITORIES: biostudies-literature

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Baicalein acts as a nephroprotectant that ameliorates colistin-induced nephrotoxicity by activating the antioxidant defence mechanism of the kidneys and down-regulating the inflammatory response.

Dai Chongshan C   Tang Shusheng S   Wang Yang Y   Velkov Tony T   Xiao Xilong X  

The Journal of antimicrobial chemotherapy 20170901 9


<h4>Background</h4>Nephrotoxicity is the major adverse effect patients experience during colistin therapy. The development of effective nephroprotective agents that can be co-administered during polymyxin therapy remains a priority area in antimicrobial chemotherapy.<h4>Objectives</h4>To investigate the nephroprotective effect of baicalein, a component of the root of Scutellaria baicalensis, against colistin-induced nephrotoxicity using a mouse model.<h4>Methods</h4>C57BL/6 mice were randomly di  ...[more]

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