Valeria Cernaro
valecern82@virgilio.it
1
Chair of Nephrology, Department of Clinical
and Experimental Medicine, University of Messina,
Via Consolare Valeria n. 1, 98124 Messina, Italy
2
Department of Veterinary Science, University of Messina,
98100 Messina, Italy
3
IAMC (Institute for Coastal Marine Environment), CNR,
U.O.S. Messina, Spianata S. Raineri, 86, 98122 Messina,
Italy
Received: 11 June 2016 / Accepted: 11 September 2016
© Italian Society of Nephrology 2016
Renoprotective effect of erythropoietin in zebrafsh after
administration of gentamicin: an immunohistochemical study
for β-catenin and c-kit expression
Valeria Cernaro · Alessandra Sfacteria · Claudia Rifci · Francesco Macrì
Giulia Maricchiolo · Antonio Lacquaniti · Carlo Alberto Ricciardi
Antoine Buemi · Giuseppe Costantino · Domenico Santoro · Michele Buemi
J Nephrol
DOI 10.1007/s40620-016-0353-y
The expression of c-kit and β-catenin sug-
gests that erythropoietin may exert a role in regener
reducing the extent of tubular damage from the outset a
gentamicin administration.
Keywords β-Catenin · c-Kit · Erythropoietin ·
Gentamicin · Tubule regeneration · Zebrafsh
Introduction
Gentamicin is an aminoglycoside antibiotic widely used
against infections caused by Gram-positive and Gram-nega -
tive aerobic bacteria. The major factor leading to clinician
caution about the use of this drug is its potential neph -
toxicity. This occurs in up to 30 % of treated patients
can induce a variety of histopathological lesions and clinica
pictures [ 1]. The main mechanism responsible for amino -
glycoside nephrotoxicity is proximal tubule damage [ 2] that
may range from the loss of the epithelial cell brush border t
overt tubular necrosis. Tubular obstruction and dysfunc
result in their turn in tubuloglomerular feedback activat
but this is not suffcient to completely explain the reduced
glomerular fltration rate observed in these patients [3].
Indeed, gentamicin also induces renal vasoconstriction and
has glomerular effects including mesangial contraction [ 4]
and loss of glomerular fltration barrier selectivity, caused
by the neutralization of its negative charges [ 5].
Plenty of substances have been examined in a variety
of experimental models in order to identify those able t
improve the nephrotoxic effects induced by aminoglyco -
sides. The purpose of the present study was to evaluat
the potential ability of erythropoietin to protect the ki
against the damage produced by gentamicin administra -
tion in an experimental model of zebrafsh (Danio rerio),
Abstract
Gentamicin is an aminoglycoside antibiotic
widely used in the treatment of infections caused by Gram-
negative bacteria. The main limitation to its therapeutic
effectiveness is the potential nephrotoxicity. Erythropoi -
etin has a tissue protective effect widely demonstrated in
the kidney. The aim of the present study was to evaluate
the renoprotective effects of erythropoietin in a model of
zebrafsh ( ) after administration of gentamicin.
Sixty adult zebrafsh were subdivided into three
groups: group A was treated with gentamicin; group B
received gentamicin and, 24 h later, epoetin alpha; group C
received drug diluent only. In order to analyze the renopro -
tective activity of erythropoietin, the expression of c-kit and
β-catenin was evaluated by immunohistochemistry.
Generally, the zebrafsh renal tubule regenerates
15 days after an injury. Conversely, 7 days after gentamicin
administration, animals treated with erythropoietin (group
B) showed a better renal injury repair as documented by:
increased expression of β-catenin, less degenerated tubules,
greater number of centers of regeneration, positivity for
c-kit only in immature-looking tubules and lymphohema -
topoietic cells.
1 3