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Evaluation of Dose-Fractionated Polymyxin B on Acute Kidney Injury Using a Translational In Vivo Rat Model.


ABSTRACT: We investigated dose-fractionated polymyxin B (PB) on acute kidney injury (AKI). PB at 12?mg of drug/kg of body weight per day (once, twice, and thrice daily) was administered in rats over 72?h. The thrice-daily group demonstrated the highest KIM-1 increase (P?=?0.018) versus that of the controls (P?=?0.99) and histopathological damage (P?=?0.013). A three-compartment model best described the data (bias, 0.129?mg/liter; imprecision, 0.729 mg2/liter2; R 2, 0.652,). Area under the concentration-time curve at 24 h (AUC24) values were similar (P?=?0.87). The thrice-daily dosing scheme resulted in the most PB-associated AKI in a rat model.

SUBMITTER: Liu J 

PROVIDER: S-EPMC7179599 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature

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Evaluation of Dose-Fractionated Polymyxin B on Acute Kidney Injury Using a Translational <i>In Vivo</i> Rat Model.

Liu Jiajun J   Pais Gwendolyn M GM   Avedissian Sean N SN   Gilchrist Annette A   Lee Andrew A   Rhodes Nathaniel J NJ   Hauser Alan R AR   Scheetz Marc H MH  

Antimicrobial agents and chemotherapy 20200421 5


We investigated dose-fractionated polymyxin B (PB) on acute kidney injury (AKI). PB at 12 mg of drug/kg of body weight per day (once, twice, and thrice daily) was administered in rats over 72 h. The thrice-daily group demonstrated the highest KIM-1 increase (<i>P</i> = 0.018) versus that of the controls (<i>P</i> = 0.99) and histopathological damage (<i>P</i> = 0.013). A three-compartment model best described the data (bias, 0.129 mg/liter; imprecision, 0.729 mg<sup>2</sup>/liter<sup>2</sup>; <i  ...[more]

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