Renal protective effects of vitamin E for drug-induced kidney injury: a meta-analysis

IntroductionAcute kidney injury (AKI) is a key clinical condition that has puzzled clinicians for many years since there is currently no efficient drug therapy. Vitamin E is found to exert a vital antioxidant role and can protect the kidney. However, clinical studies that analyze the correlation bet...

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Main Authors: Lingfei Meng, Shengmao Liu, Wenpeng Cui
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Pharmacology
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Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2025.1461792/full
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author Lingfei Meng
Shengmao Liu
Wenpeng Cui
author_facet Lingfei Meng
Shengmao Liu
Wenpeng Cui
author_sort Lingfei Meng
collection DOAJ
description IntroductionAcute kidney injury (AKI) is a key clinical condition that has puzzled clinicians for many years since there is currently no efficient drug therapy. Vitamin E is found to exert a vital antioxidant role and can protect the kidney. However, clinical studies that analyze the correlation between vitamin E and AKI are scarce, and no consistent conclusions are reported from current studies. Therefore, this study was performed to evaluate the impact of vitamin E on treating AKI.MethodsThe PubMed, Embase, and Cochrane Library databases were comprehensively searched on 27 December 2023. Qualified studies were selected following the eligibility criteria. The incidence of AKI, serum creatinine, and urea nitrogen levels after vitamin E treatment were evaluated. Then, the data were combined with a fixed- or random-effects model, depending on the heterogeneity test results.ResultsSix eligible randomized controlled trials that used vitamin E for the prevention of kidney injury were included. According to our pooled analysis, vitamin E elevated eGFR levels [MD: 0.36; 95% CI (0.19, 0.53), p = 0.000], reduced serum creatinine levels [MD: −0.32; 95% CI (−0.48, 0.16), p = 0.000], and effectively inhibited the occurrence of AKI [RR: 0.69; 95% CI (0.49, 0.98), p = 0.036].ConclusionVitamin E elevates eGFR levels, reduces serum creatinine levels, and efficiently suppresses AKI occurrence.Systematic Review Registration:https://www.crd.york.ac.uk/PROSPERO/view/CRD42024499597, identifier CRD42024499597
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spelling doaj-art-e9e4f3df40c04669b988fc83a70660052025-08-20T03:06:47ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122025-04-011610.3389/fphar.2025.14617921461792Renal protective effects of vitamin E for drug-induced kidney injury: a meta-analysisLingfei MengShengmao LiuWenpeng CuiIntroductionAcute kidney injury (AKI) is a key clinical condition that has puzzled clinicians for many years since there is currently no efficient drug therapy. Vitamin E is found to exert a vital antioxidant role and can protect the kidney. However, clinical studies that analyze the correlation between vitamin E and AKI are scarce, and no consistent conclusions are reported from current studies. Therefore, this study was performed to evaluate the impact of vitamin E on treating AKI.MethodsThe PubMed, Embase, and Cochrane Library databases were comprehensively searched on 27 December 2023. Qualified studies were selected following the eligibility criteria. The incidence of AKI, serum creatinine, and urea nitrogen levels after vitamin E treatment were evaluated. Then, the data were combined with a fixed- or random-effects model, depending on the heterogeneity test results.ResultsSix eligible randomized controlled trials that used vitamin E for the prevention of kidney injury were included. According to our pooled analysis, vitamin E elevated eGFR levels [MD: 0.36; 95% CI (0.19, 0.53), p = 0.000], reduced serum creatinine levels [MD: −0.32; 95% CI (−0.48, 0.16), p = 0.000], and effectively inhibited the occurrence of AKI [RR: 0.69; 95% CI (0.49, 0.98), p = 0.036].ConclusionVitamin E elevates eGFR levels, reduces serum creatinine levels, and efficiently suppresses AKI occurrence.Systematic Review Registration:https://www.crd.york.ac.uk/PROSPERO/view/CRD42024499597, identifier CRD42024499597https://www.frontiersin.org/articles/10.3389/fphar.2025.1461792/fullvitamin Enephrotoxinacute kidney injuryanti-oxidationmeta
spellingShingle Lingfei Meng
Shengmao Liu
Wenpeng Cui
Renal protective effects of vitamin E for drug-induced kidney injury: a meta-analysis
Frontiers in Pharmacology
vitamin E
nephrotoxin
acute kidney injury
anti-oxidation
meta
title Renal protective effects of vitamin E for drug-induced kidney injury: a meta-analysis
title_full Renal protective effects of vitamin E for drug-induced kidney injury: a meta-analysis
title_fullStr Renal protective effects of vitamin E for drug-induced kidney injury: a meta-analysis
title_full_unstemmed Renal protective effects of vitamin E for drug-induced kidney injury: a meta-analysis
title_short Renal protective effects of vitamin E for drug-induced kidney injury: a meta-analysis
title_sort renal protective effects of vitamin e for drug induced kidney injury a meta analysis
topic vitamin E
nephrotoxin
acute kidney injury
anti-oxidation
meta
url https://www.frontiersin.org/articles/10.3389/fphar.2025.1461792/full
work_keys_str_mv AT lingfeimeng renalprotectiveeffectsofvitaminefordruginducedkidneyinjuryametaanalysis
AT shengmaoliu renalprotectiveeffectsofvitaminefordruginducedkidneyinjuryametaanalysis
AT wenpengcui renalprotectiveeffectsofvitaminefordruginducedkidneyinjuryametaanalysis