Hepatic cirrhosis increases sensitivity of kidney to endotoxin in rats.

Abstract:

BACKGROUND:Renal failure in cirrhotic patients is a severe complication and endotoxemia might be involved. We investigated the effect of endotoxin on renal function of cirrhotic rats and the potential protective role of N-acetylcysteine (NAC). MATERIAL/METHODS:Hepatic cirrhosis was generated in a rat model by carbon tetrachloride. Both cirrhotic and normal rats were insulted by endotoxin intravenously, while another cirrhotic group was pre-treated with NAC. Blood urea nitrogen (BUN) and creatinine were assayed eight hours later. The changes in serum tumor necrosis factor-a (TNF-a) were assayed by ELISA. The histological changes in the kidney were observed after hematoxylin and eosin staining. RESULTS:Endotoxin increased the BUN and creatinine levels in both normal and cirrhotic rats, with a much higher elevation in the latter group. TNF-a concentration was also increased by endotoxin; the changes are positively correlated with BUN and creatinine. NAC pretreatment significantly attenuates the effects of endotoxin on BUN, creatinine and TNF-a levels in cirrhotic rats with no improvement in systemic toxicity symptoms. There were no obvious histological changes in the kidney of these animals. CONCLUSIONS:Hepatic cirrhosis increased the sensitivity of renal function to endotoxemia, which may be protected by NAC.

journal_name

Med Sci Monit

authors

Liu JJ,Wang JY,Zhang C,Nilsson A,Duan RD

subject

Has Abstract

pub_date

2002-02-01 00:00:00

pages

BR56-60

issue

2

eissn

1234-1010

issn

1643-3750

pii

2287

journal_volume

8

pub_type

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