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Antimicrobial Agents and Chemotherapy, March 2000, p. 665-675, Vol. 44, No. 3
0066-4804/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.

Apoptosis in Renal Proximal Tubules of Rats Treated with Low Doses of Aminoglycosides

Mohammed El Mouedden,1 Guy Laurent,2 Marie-Paule Mingeot-Leclercq,1 Henryk S. Taper,3 Jean Cumps,4 and Paul M. Tulkens1,*

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 congruent  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.


Antimicrobial Agents and Chemotherapy, March 2000, p. 665-675, Vol. 44, No. 3
0066-4804/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.



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