PMID- 29197348 OWN - NLM STAT- MEDLINE DCOM- 20180718 LR - 20181113 IS - 1471-2369 (Electronic) IS - 1471-2369 (Linking) VI - 18 IP - 1 DP - 2017 Dec 2 TI - Hyperbaric oxygen treatment and nephrotoxicity induced by gentamicin in rats. PG - 347 LID - 10.1186/s12882-017-0768-2 [doi] LID - 347 AB - BACKGROUND: Nephrotoxicity is a significant adverse side effect of gentamicin. Previous preclinical studies showed that hyperbaric oxygen treatment (HBOT) may have beneficial effects by attenuating renal damage in rats subjected to renal injury. We evaluated the effect of HBOT on acute renal failure caused by gentamicin. METHODS: Thirty-six rats were divided into four groups. Gentamicin (150 mg/kg for 5 consecutive days) was administered in 30 rats, 10 rats received only gentamicin, 10 rats received 100% oxygen therapy on days 1-5 of the experiment, 10 received daily HBOT on days 1-5 of the experiment, and the remaining six served as a control group. On day 6, renal function tests and renal pathological examinations were performed. RESULTS: Body weight and biochemical parameters were similar in all groups except for higher plasma levels of calcium in the 100% oxygen group (P = 0.03). All the rats in the experimental group showed biochemical parameters compatible with renal failure (high serum levels of urea and creatinine). All the rats in the control group had normal renal function tests. Two rats from the HBOT group died on the fifth day of the experiment. All rats in the control group demonstrated normal renal morphology. All 28 intoxicated rats showed moderate to severe histopathological changes without significant differences between the groups. CONCLUSIONS: Treatment of gentamicin-induced nephrotoxicity with either HBOT or 100% oxygen for 5 days had no beneficial renal effect. Mortality was observed only in the HBOT group. FAU - Berkovitch, Matitiahu AU - Berkovitch M AD - Pediatric Division, Assaf Harofeh Medical Center, 70300, Zerifin, Israel. AD - Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel. FAU - Shain, Yossi AU - Shain Y AD - Pediatric Division, Assaf Harofeh Medical Center, 70300, Zerifin, Israel. AD - Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel. FAU - Kozer, Eran AU - Kozer E AD - Pediatric Division, Assaf Harofeh Medical Center, 70300, Zerifin, Israel. AD - Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel. FAU - Goldman, Michael AU - Goldman M AD - Pediatric Division, Assaf Harofeh Medical Center, 70300, Zerifin, Israel. AD - Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel. FAU - Abu-Kishk, Ibrahim AU - Abu-Kishk I AD - Pediatric Division, Assaf Harofeh Medical Center, 70300, Zerifin, Israel. ibrahima@asaf.health.gov.il. AD - Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel. ibrahima@asaf.health.gov.il. LA - eng PT - Journal Article DEP - 20171202 PL - England TA - BMC Nephrol JT - BMC nephrology JID - 100967793 RN - 0 (Anti-Bacterial Agents) RN - 0 (Gentamicins) SB - IM MH - Acute Kidney Injury/*chemically induced/pathology/*therapy MH - Animals MH - Anti-Bacterial Agents/*toxicity MH - Gentamicins/*toxicity MH - Hyperbaric Oxygenation/*methods MH - Kidney Function Tests/methods MH - Male MH - Pilot Projects MH - Rats MH - Rats, Sprague-Dawley PMC - PMC5712188 OTO - NOTNLM OT - Gentamicin OT - Hyperbaric oxygen therapy OT - Nephrotoxicity OT - Rat model COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: This study was approved by the Assaf Harofeh Medical Center Animal Care Committee. The rats were handled according to the guidelines of the Local Ethics Committee for Animal Experimentation. CONSENT FOR PUBLICATION: Not applicable. COMPETING INTEREST: The authors declare that they have no competing interest. PUBLISHER'S NOTE: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. EDAT- 2017/12/05 06:00 MHDA- 2018/07/19 06:00 PMCR- 2017/12/02 CRDT- 2017/12/04 06:00 PHST- 2017/06/03 00:00 [received] PHST- 2017/11/20 00:00 [accepted] PHST- 2017/12/04 06:00 [entrez] PHST- 2017/12/05 06:00 [pubmed] PHST- 2018/07/19 06:00 [medline] PHST- 2017/12/02 00:00 [pmc-release] AID - 10.1186/s12882-017-0768-2 [pii] AID - 768 [pii] AID - 10.1186/s12882-017-0768-2 [doi] PST - epublish SO - BMC Nephrol. 2017 Dec 2;18(1):347. doi: 10.1186/s12882-017-0768-2.