Key result
The combination of telmisartan and quercetin significantly attenuated markers of kidney injury and inflammation in 5-FU induced nephrotoxicity in rats.
Why the study?
The study was designed to evaluate the possible synergistic effects of telmisartan and quercetin in 5-fluorouracil-induced nephrotoxicity in rats.
Does the combination of telmisartan and quercetin prevent 5-fluorouracil-induced renal toxicity in rats?
RCT (n=40)
randomly divided
Does the combination of telmisartan and quercetin prevent 5-fluorouracil-induced renal toxicity in rats?
The combination of telmisartan and quercetin demonstrates synergistic renoprotective effects against 5-fluorouracil-induced nephrotoxicity in a rat model.
Purpose: The present study was designed to evaluate the possible synergistic effects of telmisartan and quercetin in 5 fluorouracil (5-FU) induced nephrotoxicity in rats. Methodology: Forty male rats were randomly divided into five groups: The negative control group, the positive control group that received 5-FU, the telmisartan group, receiving 10 mg/kg, the quercetin group, receiving 80 mg/kg, and the combination of telmisartan and quercetin group. All the treatments were given orally for 14 days. A single intraperitoneal injection of 5-FU (150 mg/kg) on day 13 of the experiment was given except for the negative control group. On the 15th day after scarification, approximately 5 mL of blood was collected and used for measurement of CBC, urea, creatinine, and uric acid. The kidneys were used for histopathological examination and for the measurement of kidney injury molecule-1 (KIM-1), neutrophil gelatinase-associated lipocalin (NGAL), Cystatin C (Cys-C), and total antioxidant capacity (TAOC). Results: The combination therapy significantly attenuated the levels of tissue KIM-1, NGAL, Cys-C, and serum uric acid as well as blood inflammatory markers, Neutrophil/Lymphocyte (NLR), Monocyte/Lymphocyte (MLR), and Platelets/Lymphocyte ratios (PLR), and restored the TAOC. The histopathological findings greatly support the biochemical tests. Conclusion: The results strongly suggest the renoprotective effects of telmisartan and quercetin in combination against the nephrotoxic effect of 5-FU through decreasing the levels of KIM-1, NGAL, and cys-C, and the novel inflammatory markers of kidney injury like NLP, MLR, and PLR, as well as decreasing uric acid and restoring the TAOC. The proposed mechanism could be the additive inhibitory effect on RAS provided by both telmisartan and quercetin.
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Ali et al. (2022) conducted an RCT in 5 fluorouracil-induced nephrotoxicity (n=40). Telmisartan and quercetin vs. 5-FU alone (positive control) was evaluated on Tissue KIM-1, NGAL, Cys-C, serum uric acid, and blood inflammatory markers. The combination of telmisartan and quercetin significantly attenuated markers of kidney injury and inflammation in 5-FU induced nephrotoxicity in rats.
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