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Ondansetron enhanced diclofenac-induced nephrotoxicity in mice
Mojtaba Shakibaie1,2, Hamid Forootanfar1,2, Atoosa Ghaseminejad3
1Pharmaceutics Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran.
Abstract:
This study was performed to investigate the effect of ondansetron, a serotonin receptor (5-HT3) antagonist, in the alleviation of diclofenac-induced kidney injuries. NMRI mice were randomly divided into six groups and treated with (A) untreated control group, (B) diclofenac (100 mg/kg), (C) ondansetron (1 mg/kg), (D to F) ondansetron (0.1, 0.5, and 1 mg/kg, respectively) and diclofenac (100 mg/kg) for last 3 days of experiment. The oxidative stress tests strongly demonstrated the negative synergistic effects of diclofenac and ondansetron, regarding the observation of dose-dependent enhancement of malondialdehyde concentration, and reduction of glutathione content, and superoxide dismutase and catalase activity. Histopathological analyses revealed dose-dependent tubular epithelial cells degeneration, outstanding mononuclear cells infiltration, clear necrosis at the papillary region of kidney, dilation, and vascular hyperemia in mice kidney tissues treated with ondansetron and diclofenac. Conclusively, these findings suggested the possible ondansetron-diclofenac interaction through the induction of oxidative stress.
Insights
Ondansetron worsens diclofenac-induced kidney injury by increasing oxidative stress. This drug combination led to significant kidney damage in mice, highlighting a negative interaction.
Area of Science:
- Pharmacology
- Toxicology
- Nephrology
Background:
- Diclofenac is a common nonsteroidal anti-inflammatory drug (NSAID) known to cause kidney injury.
- Ondansetron is a serotonin 5-HT3 receptor antagonist used to prevent nausea and vomiting.
Purpose of the Study:
- To investigate the potential protective or detrimental effects of ondansetron on diclofenac-induced kidney injury.
- To explore the underlying mechanisms, particularly oxidative stress, involved in this interaction.
Main Methods:
- NMRI mice were administered diclofenac and varying doses of ondansetron.
- Oxidative stress markers including malondialdehyde, glutathione, superoxide dismutase, and catalase were assessed.
- Kidney tissues were analyzed histopathologically for signs of damage.
Main Results:
- A synergistic negative effect was observed between diclofenac and ondansetron.
- Increased malondialdehyde and decreased glutathione, superoxide dismutase, and catalase levels indicated heightened oxidative stress.
- Histopathology revealed dose-dependent tubular degeneration, inflammation, necrosis, and vascular hyperemia in the kidneys.
Conclusions:
- Ondansetron exacerbates diclofenac-induced kidney injury.
- The interaction appears to be mediated through the induction of oxidative stress.
- Caution is advised when co-administering ondansetron and diclofenac due to potential nephrotoxicity.
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