PMID- 1203171 OWN - NLM STAT- MEDLINE DCOM- 19760318 LR - 20181113 IS - 0007-1021 (Print) IS - 0007-1021 (Linking) VI - 56 IP - 1 DP - 1975 Feb TI - The induction of renal papillary necrosis in Gunn rats by analgesics and analgesic mixtures. PG - 92-7 AB - Homozygous members of the mutant Gunn strain of Wistar rats genetically lack the enzyme uridine diphosphate glucuronyl transferase. "High" and "low" dose gavage feeding for 18-34 days of an analgesic mixture containing aspirin, phenacetin and caffeine (APC) confirmed the previously reported susceptibility of these animals to analgesic induced renal papillary necrosis. Heterozygotes do not share the gross enzyme deficiency of homozygotes and, when treated with APC under identical conditions, failed to develop renal papillary necrosis. Groups of homozygotes were dosed by gavage with aspirin, phenacetin and paracetamol for 4 weeks. Renal papillary necrosis was produced by all 3 drugs, the lowest frequency of lesions occurring with phenacetin. It is postulated that the enzyme deficiency of homozygous Gunn rats influences the metabolism of analgesics to favour the excretion of nephrotoxic metabolites. The renal papillary necrosis appearing in these experiments is essentially an acute lesion, differing both in natural history and morphology from the renal papillary necrosis of analgesic nephropathy, suggesting that the pathogeneses of the experimental and human lesions differ. FAU - Axelsen, R A AU - Axelsen RA LA - eng PT - Journal Article PL - England TA - Br J Exp Pathol JT - British journal of experimental pathology JID - 0372543 RN - 0 (Analgesics) RN - 362O9ITL9D (Acetaminophen) RN - 3G6A5W338E (Caffeine) RN - ER0CTH01H9 (Phenacetin) RN - R16CO5Y76E (Aspirin) SB - IM MH - Acetaminophen/toxicity MH - Analgesics/*toxicity MH - Animals MH - Aspirin/toxicity MH - Caffeine/toxicity MH - Female MH - Heterozygote MH - Homozygote MH - Kidney Papillary Necrosis/*chemically induced/pathology MH - Male MH - Phenacetin/toxicity MH - Rats MH - Rats, Inbred Strains PMC - PMC2072714 EDAT- 1975/02/01 00:00 MHDA- 1975/02/01 00:01 PMCR- 1975/02/01 CRDT- 1975/02/01 00:00 PHST- 1975/02/01 00:00 [pubmed] PHST- 1975/02/01 00:01 [medline] PHST- 1975/02/01 00:00 [entrez] PHST- 1975/02/01 00:00 [pmc-release] PST - ppublish SO - Br J Exp Pathol. 1975 Feb;56(1):92-7.