[Renoprotective efficacy of different doses of statins in experimental acute renal failure].

V. H. Zeleniuk, I. I. Zamors'kyĭ, O. Horoshko
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引用次数: 3

Abstract

The effect of three statins (atorvastatin, lovastatin, simvastatin) on the renal function under conditions of experimental acute renal failure in rats was studied. The relatively effective doses were found to possess the most considerable renoprotective properties. All the statins were established to cause the restoration of functional activity of the kidneys under conditions of experimental rhabdomyolytic acute renal failure at various doses, but with the dose of 20 mg/kg they showed the most significant improvement in key indices of kidney function: an increase in diuresis by an average of 32% and glomerular filtration rate by an average of 90%, reduction of proteinuria in more than twice. At the same time, in the animals with acute renal failure the level of creatine phosphokinase was increased by 141%. However, the activity of blood plasma creatine phosphokinase of all animals treated with statins was 14% higher than in the intact control, indicating the minor myotrphic activity of statins in selected mode of administration. Thus, the use of 20 mg/kg dose is the most reasonable from the standpoint of renoprotective efficacy and safety.
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不同剂量他汀类药物对实验性急性肾功能衰竭的肾保护作用。
研究了3种他汀类药物(阿托伐他汀、洛伐他汀、辛伐他汀)对实验性急性肾功能衰竭大鼠肾功能的影响。研究发现,相对有效的剂量具有最显著的肾保护特性。所有他汀类药物在不同剂量下均能恢复实验性横纹肌溶解性急性肾功能衰竭的肾脏功能活动,但在20 mg/kg剂量下,肾功能关键指标的改善最为显著:利尿平均增加32%,肾小球滤过率平均增加90%,蛋白尿减少2倍以上。同时,急性肾衰动物肌酸磷酸激酶水平升高141%。然而,所有接受他汀类药物治疗的动物血浆肌酸磷酸激酶活性比未受影响的对照组高14%,这表明他汀类药物在选择的给药方式下具有轻微的肌萎缩活性。因此,从保护肾的有效性和安全性来看,使用20mg /kg的剂量是最合理的。
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