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Antimicrobial Agents and Chemotherapy, March 2000, p. 665-675, Vol. 44, No. 3
Unités de Pharmacologie Cellulaire et
Moléculaire,1 de
Pharmacocinétique, Métabolisme, Nutrition et
Toxicologie,3 et de Chimie
Pharmaceutique et Radiopharmacie,4
Université Catholique de Louvain, B-1200 Brussels, and
Service d'Histologie et de Cytologie Expérimentale,
Université de Mons-Hainaut, B-7000 Mons,2
Belgium
Received 19 August 1999/Returned for modification 1 December
1999/Accepted 20 December 1999
Kidney cortex apoptosis was studied with female Wistar rats treated
for 10 days with gentamicin and netilmicin at daily doses of 10 or 20 mg/kg of body weight and amikacin or isepamicin at daily doses of 40 mg/kg. Apoptosis was detected and quantitated using cytological (methyl
green-pyronine) and immunohistochemical (terminal
deoxynucleotidyltransferase-mediated dUTP-biotin nick end labeling)
staining, in parallel with a measurement of drug-induced phospholipidosis (cortical phospholipids and phospholipiduria), cortical proliferative response (3H incorporation in DNA
and histoautoradiography after in vivo pulse-labeling with
[3H]thymidine), and kidney dysfunction (blood urea
nitrogen and creatinine). Gentamicin induced in proximal tubules a
marked apoptotic reaction which (i) was detectable after 4 days
of treatment but was most conspicuous after 10 days, (ii) was dose
dependent, (iii) occurred in the absence of necrosis, and (iv) was
nonlinearly correlated with the proliferative response (tubular and
peritubular cells). Comparative studies revealed a parallelism among
the extents of phospholipidosis, apoptosis, and proliferative
response for three aminoglycosides (gentamicin >> amikacin
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Apoptosis in Renal Proximal Tubules of Rats Treated
with Low Doses of Aminoglycosides
isepamicin). By contrast, netilmicin induced a marked phospholipidosis
but a moderate apoptosis and proliferative response. We
conclude that rats treated with gentamicin develop an apoptotic
process as part of the various cortical alterations induced by this
antibiotic at low doses. Netilmicin, and still more amikacin and
isepamicin, appears safer in this respect. Whereas a relation between
aminoglycoside-induced tubular apoptosis and cortical
proliferative response seems to be established, no simple correlation
with phospholipidosis can be drawn.
*
Corresponding author. Mailing address: Unité de
Pharmacologie Cellulaire et Moléculaire, Université
Catholique de Louvain, UCL 73.70 Avenue E. Mounier 73, B-1200 Brussels,
Belgium. Phone: 32-2-764.73.75. Fax: 32-2-764.73.73. E-mail:
elmouedden{at}facm.ucl.ac.be.
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