論文

査読有り
2019年

High-Dose Vitamin C Preadministration Reduces Vancomycin-Associated Nephrotoxicity in Mice.

J Nutr Sci Vitaminol.
  • Masaki Takigawa
  • Tomofumi Yatsu
  • Yuka Takino
  • Shigekiyo Matsumoto
  • Takaaki Kitano
  • Jaewon Lee
  • Tomio Arai
  • Hiroyuki Tanaka
  • Toshihiro Ishii
  • Yoshiko Mori
  • Akihito Ishigami
  • 全て表示

65
5
開始ページ
399
終了ページ
404
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.3177/jnsv.65.399

Vancomycin is recommended for treating severe infections caused by Gram-positive cocci, including methicillin-resistant Staphylococcus aureus. However, renal damage often occurs as a side effect because vancomycin is mainly excreted via the kidneys. The mechanism of vancomycin-associated nephrotoxicity is thought to involve the elevation of oxidative stress in the kidneys. Vitamin C (VC) has strong antioxidant properties; therefore, we evaluated the effect of high-dose VC preadministration on vancomycin-associated nephrotoxicity. Vancomycin was intraperitoneally injected into mice once daily for 7 d. Additionally, high-dose VC was intraperitoneally injected into mice at 30 min before vancomycin administration for 7 d. The plasma creatinine and urea nitrogen levels were increased by vancomycin treatment; however, high-dose VC preadministration suppressed the increase in these levels. Histological examination also revealed that high-dose VC preadministration reduced the characteristics of vancomycin-associated nephrotoxicity, such as dilated renal tubules with casts, the dilation of renal proximal tubules, and tubular epithelial desquamation. Furthermore, high-dose VC preadministration reduced the appearance of apoptotic cells presumably derived from the epithelial cells in the dilated proximal tubules. Thus, intraperitoneally injected high-dose VC preadministration reduced vancomycin-associated nephrotoxicity in mice. These novel findings may indicate that vancomycin-associated nephrotoxicity in humans may be reduced by high-dose VC preadministration.

リンク情報
DOI
https://doi.org/10.3177/jnsv.65.399
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/31666476
ID情報
  • DOI : 10.3177/jnsv.65.399
  • PubMed ID : 31666476

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