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Gentamicin gradient patterns and morphological changes in human kidneys

F C Luft, M N Yum, P D Walker

    Nephron
    |January 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

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    Gentamicin concentrates in the kidney cortex, forming a gradient pattern similar to animal studies. This pattern was observed in human patients without causing apparent kidney damage.

    Area of Science:

    • Nephrology
    • Pharmacology
    • Toxicology

    Background:

    • Gentamicin is an antibiotic commonly used for bacterial infections.
    • Previous studies in animals suggested gentamicin accumulates in the kidney.
    • The distribution and effects of gentamicin in the human kidney were not fully understood.

    Purpose of the Study:

    • To investigate the gentamicin gradient pattern in human kidneys.
    • To examine morphological changes associated with gentamicin accumulation.
    • To compare human kidney findings with experimental animal models.

    Main Methods:

    • Studied gentamicin concentrations in kidney cortex, medulla, and serum from ten deceased patients treated with gentamicin.
    • Analyzed correlations between cortical concentrations and drug dose, time to death, and plasma creatinine.

    Related Experiment Videos

  • Examined kidney specimens using electron microscopy.
  • Main Results:

    • Gentamicin concentrations were significantly higher in the kidney cortex than in the medulla or serum.
    • No correlation was found between cortical gentamicin levels and total dose, time since last injection, or plasma creatinine.
    • Electron microscopy revealed cytosegrosomes and myeloid bodies in kidney specimens, similar to those seen in animal studies.
    • No cases of gentamicin-related nephrotoxicity were identified despite acute renal failure in two patients.

    Conclusions:

    • Gentamicin forms a concentration gradient in the human kidney, with higher levels in the cortex.
    • The observed morphological changes in human kidneys mirror those found in experimental animals.
    • Gentamicin accumulation in the human kidney does not necessarily correlate with dose or time and may not cause overt toxicity in all cases.