The efficacy of oleuropein against non‐steroidal anti‐inflammatory drug induced toxicity in rat kidney

Indomethacin is generally used in clinical therapeutics as a non‐steroidal anti‐inflammatory drug. However, its use has been limited due to the gastrointestinal and renal toxic effects of this drug. These toxic effects were associated with not only the inhibition of prostaglandin synthesis but also drug‐elevated oxidative stress. To ameliorate these toxicities, natural antioxidants can be used as an alternative and/or combination therapies. Therefore, the current study was conducted to assess the renoprotective effects of oleuropein against indomethacin‐induced renal damages. Male Sprague‐Dawley rats were pretreated with oleuropein (75, 150, and 300 mg/kg), and then treated with indomethacin (25 mg/kg). To evaluate kidney function, serum blood urea nitrogen, uric acid, and creatinine were measured. In addition, prostaglandin E2, tumor necrosis factor‐alpha, endothelial nitric oxide synthase, caspase‐3, oxidant/antioxidant status, and 8‐Oxo‐2′‐deoxyguanosine levels were determined for the antioxidative and anti‐inflammatory effects of oleuropein. Tissue sections were also histopathologically assessed. The biochemical and histopathological analysis proved the toxic effects of indomethacin on kidney. However, the pretreatment with oleuropein (300 mg/kg) protects kidney from indomethacin‐induced damages. Our study proved that prior administration of oleuropein has renoprotective activity against indomethacin‐associated toxicities.

[1]  H. A. Mohammed,et al.  Influences of olive leaf extract in the kidney of diabetic pregnant mice and their offspring , 2018 .

[2]  E. Sabina,et al.  Suppressive effect of Spirulina fusiformis on diclofenac-induced hepato-renal injury and gastrointestinal ulcer in Wistar albino rats: A biochemical and histological approach. , 2017, Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie.

[3]  M. Jafari,et al.  Protective effects of oleuropein against renal injury oxidative damage in alloxan-induced diabetic rats; a histological and biochemical study , 2017, Journal of nephropathology.

[4]  A. El-Mashad,et al.  Comparative study of the efficacy and safety of paracetamol, ibuprofen, and indomethacin in closure of patent ductus arteriosus in preterm neonates , 2017, European Journal of Pediatrics.

[5]  A. Afshari,et al.  Ginger extract protects rat's kidneys against oxidative damage after chronic ethanol administration. , 2016, Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie.

[6]  Guangyuan Zhang,et al.  Sulodexide Protects Contrast-Induced Nephropathy in Sprague-Dawley Rats , 2016, Cellular Physiology and Biochemistry.

[7]  E. Bae,et al.  Altered Nitric Oxide System in Cardiovascular and Renal Diseases , 2016, Chonnam medical journal.

[8]  R. Domitrović,et al.  Oral administration of oleuropein attenuates cisplatin-induced acute renal injury in mice through inhibition of ERK signaling. , 2016, Molecular nutrition & food research.

[9]  H. Matsui,et al.  Reactive oxygen species induced by non-steroidal anti-inflammatory drugs enhance the effects of photodynamic therapy in gastric cancer cells , 2016, Journal of clinical biochemistry and nutrition.

[10]  M. Esmailidehaj,et al.  Prophylactic and Therapeutic Effects of Oleuropein on Reperfusion-Induced Arrhythmia in Anesthetized Rat , 2016, Iranian biomedical journal.

[11]  M. Jacob,et al.  Indomethacin induces endoplasmic reticulum stress, but not apoptosis, in the rat kidney. , 2015, European journal of pharmacology.

[12]  C. Fuentes-Orozco,et al.  Rectal indomethacin versus placebo to reduce the incidence of pancreatitis after endoscopic retrograde cholangiopancreatography: results of a controlled clinical trial , 2015, BMC Gastroenterology.

[13]  V. Jeyaseelan,et al.  Indomethacin inhibits activation of endothelial nitric oxide synthase in the rat kidney: possible role of this effect in the pathogenesis of indomethacin-induced renal damage. , 2014, Chemico-biological interactions.

[14]  G. Merlina,et al.  Evaluation of an aerobic treatment for olive mill wastewater detoxification , 2014, Environmental technology.

[15]  D. Kang,et al.  Cardiovascular effects of ethanol extract of Rubus chingii Hu (Rosaceae) in rats: an in vivo and in vitro approach. , 2014, Journal of physiology and pharmacology : an official journal of the Polish Physiological Society.

[16]  E. Levy,et al.  Deleterious effects of indomethacin in the mid-gestation human intestine. , 2013, Genomics.

[17]  N. Tanideh,et al.  Oleuropein prevents ethanol-induced gastric ulcers via elevation of antioxidant enzyme activities in rats , 2012, Journal of Physiology and Biochemistry.

[18]  R. Domitrović,et al.  Preventive and therapeutic effects of oleuropein against carbon tetrachloride-induced liver damage in mice. , 2012, Pharmacological research.

[19]  A. Fouad,et al.  Ameliorative effects of telmisartan in diabetic rats with indomethacin-induced gastric ulceration. , 2010, European journal of pharmacology.

[20]  S. Omar Oleuropein in Olive and its Pharmacological Effects , 2010, Scientia pharmaceutica.

[21]  R. Fabiani,et al.  Oxidative DNA damage is prevented by extracts of olive oil, hydroxytyrosol, and other olive phenolic compounds in human blood mononuclear cells and HL60 cells. , 2008, The Journal of nutrition.

[22]  P. Davis,et al.  Prolonged versus short course of indomethacin for the treatment of patent ductus arteriosus in preterm infants. , 2007, The Cochrane database of systematic reviews.

[23]  M. Gordon,et al.  Interactions of ferric ions with olive oil phenolic compounds. , 2005, Journal of agricultural and food chemistry.

[24]  A. Pulimood,et al.  Indomethacin-induced renal damage: role of oxygen free radicals. , 2004, Biochemical pharmacology.

[25]  G. FitzGerald,et al.  Cyclooxygenases and prostaglandins: shaping up the immune response. , 2002, International immunopharmacology.

[26]  F. Visioli,et al.  Antioxidant and other biological activities of phenols from olives and olive oil , 2002, Medicinal research reviews.

[27]  C. Hao,et al.  Selective targeting of cyclooxygenase-2 reveals its role in renal medullary interstitial cell survival. , 1999, American journal of physiology. Renal physiology.

[28]  E. Okajima,et al.  Inhibition by piroxicam of oxidative DNA damage, liver cirrhosis and development of enzyme-altered nodules caused by a choline-deficient, L-amino acid-defined diet in rats. , 1997, Carcinogenesis.

[29]  T. Berl,et al.  Prostaglandins: effects on blood pressure, renal blood flow, sodium and water excretion. , 1976, Kidney international.

[30]  Zhanjun Jia,et al.  Inhibition of COX-2/PGE2 cascade ameliorates cisplatin-induced mesangial cell apoptosis. , 2017, American journal of translational research.