Ceftriaxone-vancomycin drug toxicity reduction by VRP 1020 in Mus musculus mice

Arvind Soni1, Manu Chaudhary, Vivek Kumar Dwivedi

  • 1Intellectual Scientific Division, Venus Medicine Research Center, Hill Top Industrial Estate, Bhatoli Kalan, Baddi, H.P. - 173205 India.

Insights

High doses of Ceftriaxone or Vancomycin cause liver and kidney oxidative stress. VRP 1020 with Immunox-V protects against this drug-induced damage by reducing reactive oxygen species.

Area of Science:

  • Pharmacology
  • Toxicology
  • Biochemistry

Background:

  • Drug-induced toxicity, particularly affecting the liver and kidneys, is a significant clinical concern.
  • Ceftriaxone and Vancomycin are commonly used antibiotics with potential for causing organ damage.
  • Oxidative stress plays a critical role in the pathogenesis of drug-induced organ injury.

Purpose of the Study:

  • To investigate if high doses of Ceftriaxone or Vancomycin induce oxidative stress in the liver and kidneys.
  • To evaluate the protective effects of VRP 1020, a fixed-dose combination of ceftriaxone-vancomycin (Immunox-V), against drug-induced oxidative stress.
  • To assess the impact on antioxidant enzyme activities and lipid peroxidation markers.

Main Methods:

  • Mice were divided into four groups and administered Ceftriaxone, Vancomycin, VRP 1020 with Immunox-V, or a control.
  • Liver and kidney tissues were analyzed for malondialdehyde (MDA) levels as a marker of lipid peroxidation.
  • Activities of antioxidant enzymes, including superoxide dismutase (SOD) and catalase, were measured.
  • Levels of extracellular antioxidants, creatinine, and uric acid were assessed.

Main Results:

  • Ceftriaxone or Vancomycin administration significantly increased MDA levels and decreased SOD and catalase activities.
  • Co-administration of VRP 1020 with Immunox-V significantly reduced MDA levels and restored SOD and catalase activities in liver and kidney tissues.
  • The Immunox-V group showed significantly lower levels of creatinine and uric acid compared to groups receiving Ceftriaxone or Vancomycin alone.

Conclusions:

  • High-dose Ceftriaxone and Vancomycin induce significant oxidative stress in the liver and kidneys.
  • VRP 1020, in combination with Immunox-V, demonstrates a protective effect against drug-induced nephrotoxicity and hepatotoxicity.
  • This protective mechanism involves reducing reactive oxygen species and enhancing the activity of free radical scavenging enzymes.