The Efficacy of Mumijo Extract in Protecting Against Amoxicillin/Clavulanate-Induced Apoptotic Damage in Renal

Hasan Mansur Durgun1, Eda Yildizhan2

  • 1Department of Emergency, Dicle University, Faculty of Medicine Hospital, Sur, Diyarbakır, Turkey.

Abstract

Insights

Mumijo extract (PS) protects against amoxicillin/clavulanate (A/C)-induced kidney damage by reducing oxidative stress and apoptosis. This study shows PS can preserve renal function and tissue integrity when A/C causes nephrotoxicity.

Area of Science:

  • Pharmacology
  • Toxicology
  • Nephrology

Background:

  • Amoxicillin/Clavulanate (A/C) antibiotic therapy can cause kidney damage via oxidative stress and apoptosis.
  • Mumijo extract (PS) possesses antioxidant and anti-inflammatory properties, suggesting potential protective effects.
  • Investigating PS efficacy against A/C-induced nephrotoxicity is crucial for managing drug-induced kidney injury.

Purpose of the Study:

  • To evaluate the protective effects of Mumijo extract (PS) against amoxicillin/clavulanate (A/C)-induced renal damage in a rat model.
  • To assess the impact of PS on oxidative stress markers, apoptosis, and renal function following A/C administration.
  • To determine the potential of PS as a therapeutic intervention for drug-induced nephrotoxicity.

Main Methods:

  • Wistar albino rats were divided into four groups: Sham, A/C, PS, and A/C+PS, treated orally for 21 days.
  • Evaluated renal function (urea, creatinine), oxidative stress (TAS, TOS, MDA), and histopathology.
  • Assessed apoptosis markers (Bax, Bcl-2 protein expression) to quantify cellular damage.

Main Results:

  • A/C significantly elevated urea, creatinine, TOS, and MDA, while decreasing TAS, indicating kidney damage and oxidative stress.
  • Histopathology showed tubular damage and inflammation in A/C-treated rats.
  • PS supplementation in the A/C+PS group reversed these effects, improving TAS, reducing oxidative stress, enhancing histopathology, and modulating apoptosis markers (increased Bcl-2, decreased Bax).

Conclusions:

  • Mumijo extract (PS) effectively mitigates amoxicillin/clavulanate (A/C)-induced oxidative stress and renal apoptosis.
  • PS preserves renal tissue integrity and function, suggesting its potential as a therapeutic agent for drug-induced nephrotoxicity.
  • PS demonstrates a favorable safety profile, with no adverse effects observed when administered alone.

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