Why the study?
Methotrexate can cause significant oxidative and functional renal impairment, while Lactobacillus rhamnosus GG supports antioxidant balance, prompting investigation into its impact on methotrexate-induced kidney damage.
Does Lactobacillus rhamnosus GG prevent methotrexate-induced oxidative renal toxicity in a rat model?
Does Lactobacillus rhamnosus GG prevent methotrexate-induced oxidative renal toxicity in a rat model?
Lactobacillus rhamnosus GG supplementation provides significant protection against methotrexate-induced oxidative renal toxicity in a rat model by restoring antioxidant balance and renal function.
LGG attenuated MTX-induced renal injury in rats; leaves open translation to human MTX nephroprotection.
Methotrexate (MTX) is commonly prescribed for various malignant and autoimmune conditions, but it can cause significant oxidative and functional impairment in renal tissue. Lactobacillus rhamnosus GG. (LGG) is a well-known probiotic with biological activities that support antioxidant balance. This study investigated the impact of LGG on MTX-induced kidney damage. Male Sprague–Dawley rats were divided into four groups: physiological saline-treated control group; a group receiving MTX alone; a group receiving MTX alongside a low dose of LGG; and a group receiving MTX alongside a high dose of LGG. MTX was administered as single dose (20 mg/kg/bw) intraperitoneally and LGG (low dose 1 x 10 9 CFU/day and high dose 5 × 10 9 CFU/day, respectively) orally for five days. On day six, blood and kidney samples were collected and examined for oxidative indicators, enzymatic antioxidant responses, and renal functional markers. MTX significantly increased in glomerular filtration markers in serum and elevated key indicators of oxidative stress in renal tissues. More so, MTX demonstrated to disrupt renal ionic homeostasis, such as declined sodium/potassium-ATPase, paraoxonase, and increased lactate dehydrogenase, carbonic anhydrase, xanthine oxidase, myeloperoxidase, and arginase activities. In contrast, LGG supplementation has been shown to effectively reverse all MTX-induced biochemical alterations in both serum and renal tissue. We can suggest that LGG can provide significant protection against oxidative renal toxicity induced by MTX in rats.
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A 2026 study studied this question.
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