RESUMEN
Dietary polyphenol caffeic acid (1) has been reported for various pharmacological activities. The aim of the current study was to investigate the effect of caffeic acid (1) on ethylene glycol-induced renal stones in rats. For the study, male Wistar rats were divided into seven groups; normal, pathological, and standard drug controls, and preventive and curative groups. Normal control group received drinking water for 8 weeks. Pathological, standard drug, preventive, and curative groups received 0.75% ethylene glycol in drinking water for the induction of calcium oxalate stone formation, along with the regular diet. Standard drug group received Urocit-K by gavage from day 1, while preventive and curative groups received caffeic acid (1) by gavage at doses of 20 and 40 mg/kg on day 1 and day 14, respectively. At the end of the experiment, urine analysis and kidney histopathology were performed. Real-time PCR was performed to evaluate the renal expression of the most important genes involved in urolithiasis, i.e., osteopontin, Tamm-Horsfall, prothrombin fragment 1, and bikunin genes. The results indicated that in both the preventive and curative groups, treatment of rats with caffeic acid (1) significantly regulated the altered biochemical parameters, along with the remarkable reduction of calcium oxalate deposits in the kidneys, as compared to the pathological group. Treatment with compound 1 also resulted in down-regulation of the osteopontin gene, and up-regulation of the prothrombin fragment 1, Tamm-Horsfall, and bikunin genes. These results suggest that caffeic acid (1) can be further investigated for the prevention, and treatment of kidney stones.
Asunto(s)
Antioxidantes/uso terapéutico , Ácidos Cafeicos/uso terapéutico , Oxalato de Calcio/metabolismo , Cálculos Renales/tratamiento farmacológico , Animales , Antioxidantes/farmacología , Ácidos Cafeicos/farmacología , Oxalato de Calcio/orina , Modelos Animales de Enfermedad , Glicol de Etileno/toxicidad , Regulación de la Expresión Génica/efectos de los fármacos , Humanos , Riñón/efectos de los fármacos , Riñón/metabolismo , Riñón/patología , Cálculos Renales/inducido químicamente , Cálculos Renales/orina , Masculino , Citrato de Potasio/uso terapéutico , Ratas , Ratas Wistar , Eliminación Renal/efectos de los fármacosRESUMEN
Crystallization process has a major role in urolithiasis. In the present study, effect of two indigenous plants extracts namely Boerhavia diffusa and Bryophyllum pinnatum extract was determined on the crystallization of calcium oxalate crystals. Effect on the number, size and type of calcium oxalate crystals was observed. Results showed significant activity of both extracts against calcium oxalate crystallization at different concentrations (P < 0.05). Size of the crystals gradually reduced with the increasing concentration of both extracts. The number of calcium oxalate monohydrate crystals which are injurious to epithelial cells gradually reduced and at the highest concentration of extracts (100 mg/ml) completely disappeared (P < 0.05). These results confirm that B. diffusa and B. pinnatum extracts have antiurolithic activity and have the ability to reduce crystal size as well as to promote the formation of calcium oxalate dihydrate (COD) crystals rather than monohydrate (COM) crystals. Control of crystal size and formation of COD rather than COM crystals, in combination with the diuretic action of extracts is an important way to control urolithiasis.
