Effects of aqueous extract of Amblygonocarpus andongensis (Fabaceae) stem bark on acute kidney injury induced by unilateral ureteral obstruction in Wistar rats
Abstract
Objective: The aim of this study was to evaluate the mechanism of action of Amblygonocarpus andongensis on acute kidney injury (AKI) induced by unilateral ureteral obstruction (UUO). Methods: 36 rats were divided into six groups of six animals each. AKI was induced by UUO on all animals except those in the normal and sham control groups, under anaesthesia. The animals were treated with 5 ml/kg distilled water (normal, sham and negative controls), aqueous extract of A. andongensis stem bark (AEAASB) at doses of 125, 250 and 500 mg/kg (test groups), daily for 3 days. Urinary, haematological, serum and oxidative stress parameters were assessed. Histological sections of the kidneys were taken. Results: AEAASB caused a significant decrease in the mass of obstructed kidneys, leucocyte count (p < 0.001), urinary protein and serum creatinine levels and consequently increase urinary creatinine level and the value of renal creatinine clearance (p < 0.001). Additionally, this extract, significantly decreased malondialdehyde levels (p < 0.05) and increased superoxide dismutase, catalase, reduced glutathione and nitric oxide levels (p < 0.001). Microphotographs showed that this extract prevented renal tissue damage induced by UUO. Principal component analysis and agglomerative hierarchical clustering showed that AEAASB has therapeutic effects on AKI associated with UUO and that the 500 mg/kg dose was the most effective. Conclusion: AEAASB has nephroprotective effects which are thought to result from its vasodilatory and inhibitory action on the renin-angiotensin-aldosterone system, via an increase in nitric oxide production.
Keywords
Full Text:
PDFReferences
Martínez-Klimova E, Aparicio-Trejo OE, Tapia E, Pedraza-Chaverri J (2019) Unilateral ureteral obstruction as a model to investigate fibrosis-attenuating treatments. Biomol 9:1-28.
Yaxley J, Yaxley W. Obstructive uropathy-acute and chronic medical management (2023) World J Nephrol 12:1-9.
Ucero AC, Benito-Martin A, Izquierdo MC, Sanchez-Niño MD, Sanz AB, Ramos AM et al. (2014) Unilateral ureteral obstruction: beyond obstruction. Int Urol Nephrol 46:765-76.
Mourmouris P, Chiras T, Papatsoris A (2014) Obstructive uropathy: from etiopathology to therapy. World J Nephrol 3:1-6.
Ronco C, Bellomo R, Kellum JA (2019) Acute kidney injury. Lancet 394:1949-64.
Lewington AJ, Cerda J, Mehta RL (2013) Raising awareness of acute kidney injury: a global perspective of a silent killer. Kidney Int 84:457-67.
Rondeau E (2020) L’insuffisance rénale aiguë : enjeux actuels et défis futurs? RMGF 13:32-36.
Chávez-Iñiguez JS, Navarro-Gallardo GJ, Medina-González R, Alcantar-Vallin L, García-García G (2020) Acute Kidney Injury Caused by Obstructive Nephropathy. Int J Nephrol 1-10.
Tondi ZMM, Diongole HM, Abdou I, El MT, Aboubacar I (2015) Profil épidémiologique, clinique et thérapeutique de l’insuffisance rénale aiguë obstructive au Niger. Nephrol Ther 11:351.
Lanzy A, Voumbo MYVY, Ondziel OAS, Niama AC, Mouss RBB, Atipo AMO, et al. (2021) Épidémiologie et étiologies de l’insuffisance rénale aigue obstructive au centre hospitalier universitaire de Brazzaville. Health Sci Dis 22:98-102.
Halle MP, Toukep LN, Nzuobontane SE, Ebana HF, Ekane GH, Priso EB (2016) The profile of patients with obstructive uropathy in Cameroon: case of the Douala General Hospital. Pan Afr Med J 23:1-6.
Ichai C, Vinsonneau C, Souweine B, Armando F, Canet E, Clec'h C, et al. (2016) Insuffisance rénale aiguë en périopératoire et en réanimation (à l’exclusion des techniques d’épuration extrarénale). Recom formal exp 2:185-205.
Guerrot D, Tamion F (2013) Insuffisance rénale aiguë obstructive : le point de vue du réanimateur. Prog Urol- FMC 23:19-22.
Hammer GD, McPhee SJ (2019) Pathophysiology of disease: an introduction to clinical medicine, Eighth edition, McGraw-Hill Education: New York, USA.
Calop J, Limat S, Fernandez C (2008) Pharmacie clinique et thérapeutique. 3ème édition. Elsevier Masson : Paris France.
Nedjim AS, Abdie EM, Larrache Y, Mahanna AITH, Nachid A, Moatz A, et al. (2020) Les insuffisances rénales obstructives : une analyse portant sur 59 cas. Rev Afr Urol Androl 2:95-98.
Bao YW, Yuan Y, Chen JH, Lin WQ (2018) Kidney disease models: tools to identify mechanisms and potential therapeutic targets. Zool Res 39:72-86.
Arbonnier M (2002) Arbres, arbustes et lianes des zones sèches d'Afrique de l'Ouest. CIRAD ; MNHN. UICN.
Dubey NK (2015) Plants as a source of natural antioxidants, CAB International. Boston USA.
Odukoya JO, Odukoya JO, Mmutlane EM, Ndinteh DT (2022) Ethnopharmacological Study of Medicinal Plants Used for the Treatment of Cardiovascular Diseases and Their Associated Risk Factors in sub-Saharan Africa. Plants 11:1-133.
Oluranti AC, Michael UO, Jane UOC, Ayembe NA (2012) Ethnobotanical studies of medicinal plants used in the management of Peptic ulcer disease in Sokoto State, North Western Nigeria. Int Res J Pharm 2:225-230.
Anderson D (2004) Revision of Council of Europe Convention ETS 123 Guidelines for the Accommodation and Care of Animals Used for Experimental and Other Scientific Purposes. Altern Lab Anim 32:183-5.
Kaeidi A, Taghipour Z, Allahtavakoli M, Fatemi I, Hakimizadeh E, Hassanshahi J (2020) Ameliorating effect of troxerutin in unilateral ureteral obstruction induced renal oxidative stress, inflammation, and apoptosis in male rats. Arch Pharmacol 393:879-88.
Govindappa PK, Gautam V, Tripathi SM, Sahni YP, Raghavendra HLS (2019) Effect of Withania somnifera on gentamicin induced renal lesions in rats. Braz J Pharmacogn 29:234-40.
Suzuki Y, Imada T, Yamaguchi I, Yoshitake H, Sanada H, Kashiwagi T, Takaba K (2012) Effects of prolonged water washing of tissue samples fixed in formalin on histological staining. Biotech Histochem 87:241-8.
Delanghe JR, Speeckaert MM (2011) Creatinine determination according to Jaffe-what does it stand for? Nephrol Dial Transplant 4:83-86.
Bazzano T, Restel TI, Porfrio LC, Schiaveto A, Souza AS, Silva IS (2015) Renal biomarkers of male and female Wistar rats (Rattus norvegicus) undergoing renal ischemia and reperfusion. Acta Cir Bras 30:277-88.
Henry RJ, Canon DC, Winkelman JW (1974) Determination of total protein by colorimetric method, Clinical chemistry, principles and techniques. Harper and Row; New York.
Wilbur KM, Bernheim F, Shapiro OW (1949) Determination of lipid peroxidation. Arch Biochem Biophys 24:305-10.
Misra HP, Fridovich I (1972) The role of superoxide anion in the auto oxidation of epinerine to adrenochrome and a simple assay for superoxide dismutase. J Biol Chem 247:3170-5.
Sinha AK (1972) Colorimetric assay of catalase. Anal Biochem 47:389-94.
Ellman GL (1959) Tissue sulfhydryl group. Arch Biochem Biophys 82:70-77.
Montgomery H, Dymock JF (1961) Determination of nitrite in water. Royal Soc Chemistry Thomas Graham House, Science Park, Milton Rd, Cambridge. J Med Lab Tech 22:111-8.
Eroschenko VP (2017) Atlas of histology with functional correlations, 13th edition Wolters kluwer; Philadelphia, United States.
Chaabane W, Praddaude F, Buleon M, Jaafar A, Vallet M, Rischmann P, et al. (2013) Renal functional decline and glomerulotubular injury are arrested but not restored by release of unilateral ureteral obstruction (UUO). Am J Physiol Renal Physiol 304:F432-9.
Nilsson L, Palm F, Nørregaard R (2017) 15-Deoxy-Δ12,14 -prostaglandin J2 Exerts Antioxidant Effects While Exacerbating Inflammation in Mice Subjected to Ureteral Obstruction. Mediators Inflamm 1-10.
Gowda S, Desai PB, Kulkarni SS, Hull VV, Math AA, Vernekar SN (2010) Markers of renal function tests. N Am J Med Sci 2:170-3.
Zuo Y, Wang C, Zhou J, Sachdeva A, Ruelos VC (2008) Simultaneous Determination of Creatinine and Uric Acid in Human Urine by High-Performance Liquid Chromatography. Anal Sci 24:1589-92.
Shabaz H, Gupta M (2024) Creatinine clearance. StatPearls [Internet]. Treasure Island, Publishing.
Mohammadi-Sichani M, Radmanesh F, Taheri S, Ghadimi K, Khodadadi S, Salehi H, et al. (2022) Evaluation of glomerular filtration rate decline in patients with renal colic. Am J of Clin Exp Urol 10:31-6.
Chalisey A, Karim M (2012) Hypertension and Hydronephrosis: Rapid Resolution of High Blood Pressure Following Relief of Bilateral Ureteric Obstruction. J Gen Intern Med 28:478-81.
Johns EJ, Ahmeda AF (2014) Renal Circulation, Reference Module in Biomedical Sciences. Elsevier.
Gao P, Xu TT, Lu J, Li L, Xu J, Hao DL, et al. (2014) Overexpression of SIRT1 in vascular smooth muscle cells attenuates angiotensin II-induced vascular remodeling and hypertension in mice. J Mol Med 92:347-57.
Pojoga LH, Yao TM, Opsasnick LA, Siddqui WT, Reslan OM, Adler GK, et al. (2015) Cooperative Role of Mineralocorticoid Receptor and Caveolin-1 in Regulating the Vascular Response to Low Nitric Oxide-High Angiotensin II-Induced Cardiovascular Injury. J of Pharmacol Exp Ther 355:32-47.
Shier D, Butler J, Lewis R (2016) Hole’s human anatomy & physiology, 14th edition. Graw-Hill Education; New York USA.
Patzak A, Mrowka R, Storch E, Hocher B, Persson PB (2001) Interaction of angiotensin II and nitric oxide in isolated perfused afferent arterioles of mice. J Am Soc Nephrol 12:1122-7.
Carlstrom M, Brown RD, Edlund J, Sällström J, Larsson E, Teerlink T, et al. (2008) Role of nitric oxide deficiency in the development of hypertension in hydronephrotic animals. Am J Physiol Renal Physiol 294:F362-70.
Hegarty NJ, Watson RWG, Young LS, O’neill AJ, Brady HR, Fitzpatrick JM (2002) Cytoprotective effects of nitrates in a cellular model of hydronephrosis. Kidney Int 62:70-7.
Du T, Zhu YJ (2014) The regulation of inflammatory mediators in acute kidney injury via exogenous mesenchymal stem cells. Mediators Inflamm 1-10.
Kinter M, Wolstenholme JT, Thornhill BA, Newton EA, McCormick ML, Chevalier RL (1999) Unilateral ureteral obstruction impairs renal antioxidant enzyme activation during sodium depletion. Kidney Int 55:1327-34.
Aranda-Rivera AK, Cruz-Gregorio A, Aparicio-Trejo OE, Ortega-Lozano AJ, Pedraza-Chaverri J (2021) Redox signaling pathways in unilateral ureteral obstruction (UUO)-induced renal fibrosis. Free radic boil med 17265-81.
Manucha W, Carrizo L, Ruete C, Molina H, Valle’s P (2005) Angiotensin II type I antagonist on oxidative stress and heat shock protein 70 (HSP 70) expression in obstructive nephropathy. Cell mol biol (Noisy-le-grand) 51:547-55.
Sugiyama H, Kobayashi M, Wang DH, Sunami R, Maeshima Y, Yamasaki Y, et al. (2005) Telmisartan inhibits both oxidative stress and renal fibrosis after unilateral ureteral obstruction in acatalasemic mice. Nephrol Dial Transplant 20:2670-80.
Makris K, Spanou L (2016) Acute kidney injury: definition, pathophysiology and clinical phenotypes. Clin Biochem Rev 37:85-98.
Jin Y, Shao X, Sun B, Miao C, Li Z, Shi Y (2017) Urinary kidney injury molecule-1 as an early diagnostic biomarker of obstructive acute kidney injury and development of a rapid detection method. Mol Med Rep 15:1229-35.
Sinha A, Bajpai M, Shashank P, Ranjan S, Sharma MC (2012) Unilateral ureteric obstruction: Role of renin angiotensin system blockade on renal recovery: an experimental study. J Indian Assoc Pediatr Surg 7:49-53.
DOI: http://dx.doi.org/10.52155/ijpsat.v49.1.6988
Refbacks
- There are currently no refbacks.
Copyright (c) 2025 Odile Baponwa

This work is licensed under a Creative Commons Attribution 4.0 International License.