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.

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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