Abstract

Introduction: Cisplatin (CP) is a major antineoplastic drug for treatment of solid tumors. CP-induced nephrotoxicity may be gender-related. This is while gamma-aminobutyric acid (GABA) is an inhibitory neurotransmitter in the central nervous system that has renoprotective impacts on acute renal injury. Objectives: This study was designed to investigate the protective role of GABA against CP-induced nephrotoxicity in male and female rats. Materials and Methods: Sixty Wistar male and female rats were used in eight experimental groups. Both genders received GABA (50 μg/kg/day; i. p.) for 14 days and CP (2.5 mg/kg/day; i. p.) was added from day 8 to the end of the study, and they were compared with the control groups. At the end of the study, all animals were sacrificed and the serum levels of blood urea nitrogen (BUN), creatinine (Cr), nitrite, malondialdehyde (MDA), and magnesium (Mg) were measured. The kidney tissue damage was also determined via staining. Results: CP significantly increased the serum levels of Cr and BUN, kidney weight, and kidney tissue damage score in both genders (P<0.05). GABA did not attenuate these markers in males; even these biomarkers were intensified in females. Serum level of Mg, and testis and uterus weights did not alter in the groups. However, the groups were significantly different in terms of nitrite and MDA levels. Conclusion: It seems that GABA did not improve nephrotoxicity induced by CP-treated rats, and it exacerbated renal damage in female rats.

Highlights

  • Cisplatin (CP) is a major antineoplastic drug for treatment of solid tumors

  • Implication for health policy/practice/research/medical education: In an experimental study, we found, gamma-aminobutyric acid did not improve nephrotoxicity induced by CP-treated rats, and it exacerbated renal damage in female rats

  • Administration of gamma-aminobutyric acid (GABA) aggravated the increasing levels of blood urea nitrogen (BUN), Cr, and Kidney tissue damage score (KTDS) induced by CP in comparison with the CP group in female gender (P < 0.05), while such observation was not seen in males (Figure 1, Table 1)

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Summary

Introduction

This is while gamma-aminobutyric acid (GABA) is an inhibitory neurotransmitter in the central nervous system that has renoprotective impacts on acute renal injury. Materials and Methods: Sixty Wistar male and female rats were used in eight experimental groups One of the side effects of CP is nephrotoxicity which is specified by decreasing in glomerular filtration rate and renal blood flow [2], increaseing serum levels of blood urea nitrogen (BUN) and creatinine (Cr), and enhancing kidney weight (KW) and histopathological changes [3,4]. On the other hand sex-related differences have been reported in CP-induced nephrotoxicity in animal models [7,8] This is while clinically men with chronic renal disease exhibit more rapid reduction in kidney function [9]. GABA induces regenerative and immunoinhibitory effects of β-cell in diabetes type 1 [15] and protects kidney against injury induced by renal ischemia reperfusion [16]

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