Nephroprotective Effects of Exercise on Cisplatin Induced Acute Kidney Injury
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Keywords

Acute Kidney injury
cisplastin
exercise
cystatin-C

How to Cite

Eiya, B. O., Eru, E. E., & Inneh , C. .A. (2023). Nephroprotective Effects of Exercise on Cisplatin Induced Acute Kidney Injury. African Journal of Biomedical Research, 26(3), 425–432. https://doi.org/10.4314/ajbr.v26i3.18

Abstract

The relationship between exercise and renal function is a rather controversial topic. This study is aimed at investigating the overall effect of exercise as a preventive as well treatment option in the management of cisplatin-induced acute kidney injury (AKI). 25 male albino Wistar rats were acclimatized for two weeks then randomly divided into five groups (n=5): Group 1 (Control), Group 2 (Exercise group), Group 3 (cisplatin-induced), Group 4 (cisplatin +Exercise), Group 5 (Exercise+cisplatin). The animals in group 3, 4 and 5 were induced with AKI using intraperitoneal administration 3.0mg/kg Cisplatin which was administered for 3 days with a daily interval between each dose. The rats in group 2, 4 and 5 were subjected to aerobic exercise as a moderate regular exercise on a treadmill machine at the speed of 3km/h for 5 minutes at 0% inclination for 5 days/week for 3 week. After which the rats were sacrificed and blood, urine and kidney samples were obtained for laboratory analysis. Urine and serum electrolyte, creatinine and urea concentrations as well as urine albumin and serum cystatin C (Cys-C) concentration were analyzed. The finding of this study indicates that exercise when used as a treatment measure for cisplatin-induced AKI produced a mild functional and structural improvement. However, exercise as a preventive measure demonstrated a stronger tolerance to the toxicity ofcisplatin structurally but not functionally. This study also showed cys-C was a poor biomarker for the detection of AKI in rat subjects

 

https://doi.org/10.4314/ajbr.v26i3.18
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References

Afolayan, F.M., Adedoyin, O.T., Abdulkadir, M.B., Ibrahim, O.R., Biliaminu, S.A., Mokuolu, O.A.,&Ojuawo, A. (2020). Acute Kidney Injuries in Children with Severe Malaria A comparative study of diagnostic criteria based on serum cystatin C and creatinine levels. SQU Med J; 20(4): 312–317.

Ahmad, G.R.,& Ahmad, D.R. (2003).Electrolytes analysis.Ency.Food Sci. Nutr.;2:2036-2038

Aldossary, S.A. (2019). Review on Pharmacology of Cisplatin: Clinical Use, Toxicity and Mechanism of Resistance of Cisplatin. Biomed.&Pharmacol. J;12(1): 7-15.

Ali, T., Khan, I., Simpson, W., Prescott, G., Townend, J., Smith, W., & Macleod, A. (2007) Incidence and outcomes in acute kidney injury: a comprehensive population-based study.J Am SocNephrol; 18: 1292–1298.

Asad, A., Burton, J.O.,& March, D.S. (2020). Exercise as a therapeutic option for acute kidney injury: mechanisms and considerations for the design of future clinical studies. BMC Nephrol; 21:446.

Baranowski, M., Zabielski, P., Blachnio-Zabielska, A.U., Harasiuk, D., &Gorski, J. (2011) LXR activation prevents exhaustive exercise-induced hypoglycemia and spares muscle glycogen but does not en¬hance running endurance in untrained rats. ActaPhysiol (Oxf); 201(3):373–379.

Bongiovanni, C., Magrini, L., Salerno, G., Gori, C.S., Cardelli, P., Hur, M., Buggi, M., &Somma, S.D. (2015). Serum Cystatin C for the Diagnosis of Acute Kidney Injury in Patients Admitted in the Emergency Department. Disease Markers; Article ID 416059: 1-7.

Bonsnes, R.W., &Taussky, H.H. (1945) On the colorimetric determination of creatinine by the JAFFE reaction. J. BioChem;158(3): 581-591

Booth, F.W., Roberts, C.K., &Laye, M.J. (2012) Lack of exercise is a major cause of chronic diseases. ComprPhysiol; 2:1143-1211.

Brozovic, A., Ambriovic-Ristov, A., &Osmak, M. (2010).The relationship between cisplatin-induced reactive oxygen species, glutathione, and BCL-2 and resistance to cisplatin.Crit Rev Toxicol; 40(4): 347-359.

Chawla, L.S., &Kimmel, P.L. (2012) Acute kidney injury and chronic kidney disease: an integrated clinical syndrome. Kidney Int.; 82: 516–524.

Chertow, G.M., Burdick, E., Honour, M., Bonventre, J.V., &Bates, D.W. (2005) Acute kidney injury, mortality, length of stay, and costs in hospitalized patients. J. Am. Soc. Nephrol. 16, 3365–3370.

De Lima, W.V., Visona, I., Schor, N., &Almeida, W.S. (2019). Preconditioning by aerobic exercise reduces acute ischemic renal injury in rats. Physiol Rep; 7(14): e14176.

Dehne, M.G., Hartmann, B., Katzer, C., &Röhrig, R. (2010) Early diagnosis of acute kidney injury. Cent. Eur. J. Med.5(5) 527-534

Dmitriev, O.Y. (2011). Mechanism of tumor resistance to cisplatin mediated by the copper transporter ATP7B.Biochem Cell Biol; 89(2): 138-147.

Domon, B., &Aebersold, R. (2006).Mass Spectrometry and Protein Analysis.Sci.; 312: 212-217

Dulz, S., Asselborn, N.H., Dieckmann, K.P., Matthies, C., Wagner, W., Weidmann, J., Seidel, C., Oing, C., Berger, L.A., Alsdorf, W., Mankichian, B., Meyer, C., Vetterlein, M.W., Gild, P., & Ludwig, T.A. (2017). Retinal toxicity after cisplatin-based chemotherapy in patients with germ cell cancer.J Cancer Res ClinOncol; 143(7): 1319-1325.

Engvall, E., &Perlmann, P. (1971) Enzyme-linked immunosorbent assay (ELISA). Quantitative assay of immunoglobulin G. Immunochemistry;8(9): 871-874

Francescato, H.D.C., Almeida, L.F., Reis, N.G., Faleiros, C.M., Papoti, M., Costa, R.S., &Coimbra, T.M. (2018).Previous Exercise Effects in Cisplatin-Induced Renal Lesions in Rats.Kidney Blood Press Res; 43:582-593.

Friedewald, J.J., &Rabb, H. (2004). Inflammatory cells in ischemic acute renal failure. Kidney Int; 66(2):486–491.

Hamed, H.M., El-Sherbini, S.A., Barakat, N.A., Farid, T.M., &Rasheed, E.A. (2013). Serum cystatin C is a poor biomarker for diagnosing acute kidney injury in critically-ill children. Indian J Crit Care Med; 17:92-98.

Hessels, L., Koopmans, N., Neto, A.W.G., Volbeda, M., Koeze, J., Lansink Hartgring, A.O., Bakker, S.J., Straaten, H.M.O., &Nijsten, M.W. (2018). Urinary creatinine excretion is related to short-term and long-term mortality in critically ill patients. Intensive Care Med;44:1699–1708

Hoste, E.A.J., Kellum, J.A., Selby, N.M., Zarbock, A., Palevsky, P.M., &Bagshaw, S.M.(2018) Global epidemiology and outcomes of acute kidney injury.Nat Rev Nephrol; 14(10):607–625

Jefferson, J.A., Thurman, J.M., &Schrier, R.W. (2010).Pathophysiology and etiology of acute kidney injury.Com ClinNephrol; 797-812.

Joyce, E. L., Kane- Gill, S. L., Priyanka, P.,Juett, L.A., James, L.J., &Mears, S.A. (2020).Effects of Exercise on Acute Kidney Injury Biomarkers and the Potential Influence of Fluid Intake.Ann NutrMetab; 76(1):53–59.

KDIGO AKI Work Group. (2012) KDIGO clinical practice guideline for acute kidney injury.Kidney Int. Suppl. 2, 1–138.

Kellum, J.A., Romagnani, P., Ashuntantang, G., Ronco, C., Zarbock, A., &Anders, H.J. (2021) Acute kidney injury. Nat.Rev.; 7:52.

Kim, H.J., Park, D.J., Kim, J.H., Jeong, E.Y., Jung, M.H., Kim, T.H., Yang, J.I., Lee, G.W., Chung, H.J., & Chang, SH. (2015). Glutamine protects against cisplatin-induced nephrotoxicity by decreasing cisplatin accumulation. J PharmacolSci; 127(1): 117-126. ISSN 1347-8613.

Lassnigg, A., Schmidlin, D., Mouhieddine, M., Bachmann, L.M., Drumi, W., Bauer, P., &Hiesmayr, M. (2004) Minimal changes of serum creatinine predict prognosis in patients after cardiothoracic surgery: a prospective cohort study.J. Am. Soc. Nephrol. 15(6), 1597–1605.

Leem, A.Y., Park, M.S., Park, B.H., Jung, W.J., Chung, K.S., Kim, S.Y., Kim, E.Y., Jung, J.Y., Kang, Y.A., Kim, Y.S., Kim, S.K., Chang, J., &Song, J.H. (2017). Value of Serum Cystatin C Measurement in the Diagnosis of Sepsis-Induced Kidney Injury and Prediction of Renal Function Recovery.Yonsei Med J; 58(3):604-612

Miyagi, M.Y., Seelaender, M., Castoldi, A., de Almeida, D.C., Bacurau, A.V., &Andrade-Oliveira, V. (2014). Long-term aerobic exercise protects against cisplatin-induced nephrotoxicity by modulating the expression of IL-6 and HO-1. PLoS One; 9(10): e108543

Murty, M., Sharma, U.K., Pandey, V.B., &Kankare, S.B. (2013) Serum cystatin C as a marker of renal function in detection of early acute kidney injury.Indian J Nephrol; 23(3):180-183.

Murugan, R., &Kellum J.A. (2011) Acute kidney injury: what’s the prognosis? Nat Rev Nephrol; 7: 209–217.

National Research Council (NRC).(1996). National science education standards. No. National Academy Press. Washington: D.C.

Noroozi, J., Zeynali, F., Nematbakhsh, M., Pezeshki, Z., &Talebi, A. (2015).Nonpreventive role of aerobic exercise against cisplatin-induced nephrotoxicity in female rats.Int J Prev Med; 6:58.

Oliveira, C.S., Rodrigues, A.M., Nogueira, G.B., Nascimento, M.A., Punaro, G.R., &Higa, E.M. (2017).Moderate aerobic exercise on the recovery phase of gentamicin-induced acute kidney injury in rats.Life Sci; 169:37–42.

Pechter, U., Ots, M., Mesikepp, S., Zilmer, K., Kullissaar, T., &Vihalemm, T.(2003) Beneficial effects of water-based exercise in patients with chronic kidney disease. Int J Rehabil Res; 26(2):153–156.

Ristikankare, A. Pöyhiä, R., Kuitunen, A., Skrifvars, M., Hämmäinen, P., Salmenperä, M., &Suojaranta-Ylinen, R. (2010) Serum Cystatin C in Elderly Cardiac Surgery Patients.Ann ThoracSurg; 89:689 –695

Safdar, O.Y., Shalaby, M., Khathlan, N., Elattal, B., Joubah, M.B., Bukahri, E., Saber, M., Alahadal, A., Aljariry, H., Gasim, S., Hadadi, A., Alqahtani, A., Awleyakhan, R., &Kari, J.A. (2016). Serum cystatin is a useful marker for the diagnosis of acute kidney injury in critically ill children: prospective cohort study. BMC Nephrol; 17(130): 1-8.

Sarin, N., Engel, F., Rothweiler, F., Cinatl, J., Michaelis, M., Frohlich, H., &Kalayda, G.V. (2018). Key Players of Cisplatin Resistance: Towards a Systems Pharmacology Approach. Int J MolSci; 19(3).ISSN 1422-0067.

Swaminathan, M., Stafford-Smith, M., Chertow, G.M., Warnock, D.G., Paragamian, V., &Brenner, R.M. (2018).Allogeneic Mesenchymal stem cells for treatment of AKI after cardiac surgery.J Am SocNephrol; 29(1):260–267.

Traynor, J., Mactier, R., Geddes, C.C., &Fox, J.G. (2006) How to measure renal function in clinical practice. BMJ333:733

Zawada, R.J.X., Kwan, P., Olszewski, K.L., Llinas, M., &Huang, S.G. (2009).Quantitative determination of urea concentrations in cell culture medium.Biochem Cell Biol; 87(3): 541–544

Zeynali, F., Nematbakhsh, M., Mojtahedi, H., Poorshahnazari, A., Talebi, A., Pezeshki, Z., Mazaheri, S., &Moslemi, F. (2015). Protective Role of Aerobic Exercise AgainstCisplatin-Induced Nephrotoxicity in Rats. Asian J Sports Med; 6(3): e24901.

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