The ameliorative effect of gallic acid and/or Lasix on topiramate-induced renal impairment in male rats

Background: Topiramate (TPM) is commonly used for migraine prophylaxis; nonetheless, it is linked to nephrotoxicity, which mostly results from oxidative stress and inflammatory mechanisms. Aim: This study aimed to assess the preventive effects of gallic acid (GA) and furosemide (Lasix) against r...

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Main Authors: Rana Ramadan, El-Said El-Sherbini, Gehad Elsayed, Mohamed El-Adl
Format: Article
Language:English
Published: Tripoli University 2025-04-01
Series:Open Veterinary Journal
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Online Access:http://www.ejmanager.com/fulltextpdf.php?mno=249146
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Summary:Background: Topiramate (TPM) is commonly used for migraine prophylaxis; nonetheless, it is linked to nephrotoxicity, which mostly results from oxidative stress and inflammatory mechanisms. Aim: This study aimed to assess the preventive effects of gallic acid (GA) and furosemide (Lasix) against renal damage caused by TPM in rats. Methods: Sixty male albino rats were categorized into six groups: control, TPM-only, TPM + Lasix, Lasix-only, TPM + GA, and GA-only. The investigation lasted 60 days, evaluating renal function, oxidative stress indicators, and histological and immunohistochemical alterations. Results: The TPM-treated group exhibited considerable renal impairment, as indicated by increased levels of creatinine, urea, blood urea nitrogen (BUN), and interleukin (IL)-6, as well as reduced activity of antioxidant enzymes (catalase (CAT), superoxide dismutase (SOD)). Histopathological examination revealed tubular necrosis and inflammation, whilst immunohistochemistry results showed elevated expression of caspase3 and IL-6. The co-administration of GA or Lasix mitigated these effects. The TPM+GA group exhibited improved kidney function, less oxidative stress, and enhanced histological structure, underscoring GA's powerful antioxidant and anti-inflammatory characteristics. Likewise, Lasix exerted protective effects by alleviating TPM-induced kidney injury. Conclusion: These data highlight the therapeutic efficacy of GA and Lasix against TPM-induced nephrotoxicity, indicating their clinical relevance in addressing drug-induced kidney damage. [Open Vet J 2025; 15(4.000): 1823-1835]
ISSN:2226-4485
2218-6050