Role of Cinnamon Extract in the Protection Against Co-amoxiclav-Induced Nephrotoxicity Damage in Male Albino Rats

Authors

  • Aesha Salem Abdulmawla Masud Laboratory of Medicine, Collage of Medical Technology- Darna, Libya Author
  • Khaled Salem Abdulmawla Masud Zoology Department, Science Faculty, Derna University, Derna, Libya Author
  • Khansa Mohammad Khalil Elsheikh Biomedical Sciences Microbiology Department Faculty of Medicine Benghazi University, Libya Author
  • Osama M El-barasi Zoology Department, Science Faculty, Derna University, Derna, Libya Author
  • Faried Abdel-Kader E. Hemieda Zoology Department, Faculty of Science Mansoura University, Egypt Author
  • Wafaa M. El-Kholy Zoology Department, Faculty of Science Mansoura University, Egypt Author

DOI:

https://doi.org/10.71147/wqsvre11

Keywords:

Co-amoxiclav, Cinnamon, Renal, 0xidative stress, Antioxidants

Abstract

Co-amoxiclav (CA), which is effectively used in the treatment of several number of bacterial infections, may cause nephrotoxicity. Cinnamon extract contains natural products which showed antioxidant, anti-inflammatory and anti-bacterial properties. In the present study, two doses of CA, therapeutic (30 mg/kg) and double therapeutic (60 mg/kg), were orally given to rats alone or in combination with cinnamon (200 mg/kg) for 10 consecutive days, to test the potential protective impact of cinnamon extract against CA-induced nephrotoxicity. Obtained results showed significant increases in serum concentration of creatinine (Cr), urea (Ur) and uric acid (UA) in rats treated with CA. Renal contents of malondialdehyde (MDA), protein carbonyl (PC), hydrogen peroxide (H2O2) and nitric oxide (NO) were also markedly increased following administration of CA. On contrary, treatment with CA produced significant decreases in the renal levels of superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GPx), glutathione reductase (GRd), glutathione-s-transferase (GST) and reduced glutathione (GSH). The drug was also found to induce up regulation of pro-apoptotic p53 and caspase-3 proteins expression, while it down regulated the expression of the anti-apoptotic protein Bcl-2 in the kidney of treated rats. CA-induced adverse effects in all investigated biochemical indices seemed to be dose-dependent. However, administration of cinnamon extract along with CA to rats reduced renal injury, oxidative stress and apoptosis caused by treatment with CA alone. It could be concluded that cinnamon extract may be useful in the protection against CA-induced renal damage in rats

Author Biographies

  • Aesha Salem Abdulmawla Masud , Laboratory of Medicine, Collage of Medical Technology- Darna, Libya

    Laboratory of Medicine, Collage of Medical Technology- Darna, Libya

  • Khaled Salem Abdulmawla Masud , Zoology Department, Science Faculty, Derna University, Derna, Libya

    Zoology Department, Science Faculty, Derna University, Derna, Libya 

  • Khansa Mohammad Khalil Elsheikh, Biomedical Sciences Microbiology Department Faculty of Medicine Benghazi University, Libya

    Biomedical Sciences Microbiology Department Faculty of Medicine Benghazi University, Libya

  • Osama M El-barasi, Zoology Department, Science Faculty, Derna University, Derna, Libya

    Zoology Department, Science Faculty, Derna University, Derna, Libya

  • Faried Abdel-Kader E. Hemieda , Zoology Department, Faculty of Science Mansoura University, Egypt

    Zoology Department, Faculty of Science Mansoura University, Egypt

      

  • Wafaa M. El-Kholy, Zoology Department, Faculty of Science Mansoura University, Egypt

    Zoology Department, Faculty of Science Mansoura University, Egypt

References

Abdelmegeed, M. A. and Song, B. J. (2014): Functional roles of protein nitration in acute and chronic liver diseases. Oxidative med cellular longev., PP21.

Aebi H. Catalase in vitro, Methods in enzymology: Elsevier.1984; 121-126.

Altin, E. and Ertekin, A. (2017): Amoksisilin Klavulanik Asit, Amoksisilin Klavulanik Asit+ Vitamin Uygulamasının Ratların Böbrek ve Karaciğer Dokularındaki Malondialdehit ve Antioksidan Düzeylerine Etkisi.Kocatepe Vet J., 10(3): 180-186.

Atanasov, A. G.; Waltenberger, B.; Pferschy-Wenzig, E. M.; Linder, T.; Wawrosch, C. et al. (2015): Discovery and resupply of pharmacologically active plant-derived natural products: a review. Biotechnol adv., 33(8): 1582-1614.

Ayala, A.; Muñoz, M. F.; Argüelles, S. J. and longevity, C. (2014): Lipid peroxidation: production, metabolism, and signaling mechanisms of malondialdehyde and 4-hydroxy-2-nonenal. Oxidative Med cellular longev., PP31.

Barnett, L. M. and Cummings, B. (2018): Nephrotoxicity and renal pathophysiology: a contemporary perspective.Toxicol Sci., 164(2): 379-390.

Berman, A. Y.; Motechin, R. A.; Wiesenfeld, M. Y. and Holz, M. K. (2017): The therapeutic potential of resveratrol: a review of clinical trials. NPJ precision oncology., 1: 35.

Carvounis, C. P.; Nisar, S. and Guro-Razuman, S. J. (2002): Significance of the fractional excretion of urea in the differential diagnosis of acute renal failure.Kidney Int., 62(6): 2223-2229.

Dalle-Donne I, Rossi R, Giustarini D, Milzani A, Colombo R. Protein carbonyl groups as biomarkers of oxidative stress. Clinica chimica acta, 2003; 329: 23-38.

Deavall, D. G.; Martin, E. A.; Horner, J. M. and Roberts, R. (2012): Drug-induced oxidative stress and toxicity.J Toxicol., 2012:645460.

Eidi, A.; Mortazavi, P.; Bazargan, M. and Zaringhalam, J. (2012): Hepatoprotective activity of cinnamon ethanolic extract against CCI4-induced liver injury in rats.EXCLI J., 11: 495-507.

El-Hosseiny, L.; Alqurashy, N. and Sheweita, S. (2016): Oxidative stress alleviation by sage essential oil in co-amoxiclav induced hepatotoxicity in rats. Int J Biomed Sci: IJBS., 12(2): 71-78.

ElKady, A. I. and Ramadan, W. S. (2016): The aqueous extract of cinnamon bark ameliorated cisplatin-induced cytotoxicity in vero cells without compromising the anticancer efficiency of cisplatin.Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub., 160(3):363-371.

Finlay J, Miller L, Poupard J A. A review of the antimicrobial activity of clavulanate. J. Antimicrob. Chemother. 2003; 52: 18-21.

Fossati, P.; Prencipe, L. and Berti, G. (1983): Enzymic creatinine assay: a new colorimetric method based on hydrogen peroxide measurement. Clin chem., 29(8): 1494-1496.

Ginès, P.; Cárdenas, A. and Schrier, R. W. (2013): Renal failure in cirrhosis, Seldin and Giebisch's The Kidney (Fifth Edition): Elsevier, 2633-2644.

Goldberg D, Spooner R. Glutathione reductase. U: Bergmayer HU, urednik. Methods of Enzymatic Analysis. Basel: Weinheim.1983.

Gong J, Qian L, Kong X, Yang R, Zhou L, Sheng Y. Cardiomyocyte apoptosis in the right auricle of patients with ostium secundum atrial septal defect diseases. Life Sci, 2007; 80: 1143-1151.

Habig W, Pabst M, Jakoby W. Glutathione S-transferase, the first step in mercapturic acid biosynthesis. J Biol Chem, 1974; 249: 7130-7139.

Iwakiri, Y. and Kim, M. Y. (2015): Nitric oxide in liver diseases.Trends PharmacolSci., 36(8): 524-536.

Ketterer, B.; Fraser, G and Meyer, D. J. (1990): Nuclear glutathione transferases which detoxify irradiated DNA. Adv Exp Med Biol., 264: 301-310.

Kroemer, G.; Galluzzi, L. and Brenner, C. (2007): Mitochondrial membrane permeabilization in cell death.Physiol Rev., 87(1) :99-163.

Labia R,Peduzzi J. Kinetics of beta-lactamase inhibition by clavulanic acid. Biochem Biophys Acta. 1978; 526: 572-579.

Larrey D, Vial T, Micaleff A , Babany G, Morichau-Beauchant M, Michel H, Benhamou J P. Hepatitis associated with amoxycillin-clavulanic acid combination report of 15 cases. Gut. 1992; 33: 368-371.

Lobo, V.; Patil, A.; Phatak, A. and Chandra, N. (2010): Free radicals, antioxidants and functional foods: Impact on human health.Pharmacogn Rev., 4(8):118-126.

Mathew S, Abraham T E. Studies on the antioxidant activities of cinnamon (Cinnamomum verum) bark extracts, through various in vitro models. Food Chem, 2006; 94(4): 520–528.

Meguro, M.; Katsuramaki, T.; Kimura, H.; Isobe, M.; Nagayama, M.; Kukita, K. et al. (2003): Apoptosis and necrosis after warm ischemia-reperfusion injury of the pig liver and their inhibition by ONO-1714. PMC., 75(5) 703-710.

Meister, A. (1994): Glutathione-ascorbic acid antioxidant system in animals. J Bio Chem., 269(3) 9397-9400.

Montogomery H, Dymock J. The determination of nitrite in water: colorimetric method of nitric oxide assay. Analyst, 1961; 86: 414.

Moselhy, S. S. and Ali, H. K. (2009): Hepatoprotective effect of cinnamon extracts against carbon tetrachloride induced oxidative stress and liver injury in rats. Bio Res., 42: 93-98.

Nabavi S F, Lorenzo A D, Izadi M, Sobarzo-Sánchez E, Daglia M, Nabavi S M. Antibacterial Effects of Cinnamon: From Farm to Food, Cosmetic and Pharmaceutical Industries. Nutrients, 2015; 7(9): 7729–7748.

Nicolai, S.; Rossi, A.; Daniele, N. D.; Melino, G.; Annicchiarico-Petruzzelli, M. and Raschellà, G. (2015): DNA repair and aging: the impact of the p53 family. Aging (Albany N Y)., 7(12): 1050-1065.

Nishanthi, R.; Karpanai, S.; Sobana, P.; Logeswari, V.; Kathiresan, E.; Tamilselvi, A. and John, V. (2014): Phytochemicals, antimicrobial and antioxidant screening from five different marine microalgae., J Chem Pharm., 0974-2115.

Nishikimi M, Rao N A, Yagi K. The occurrence of superoxide anion in the reaction of reduced phenazine methosulfate and molecular oxygen. Biochem Bioph Res commun. 1972; 46: 849-854.

Ohara, T.; Morishita,T.; Suzuki, H.; Massaoka,T.; Ishii, H. andHibi, T.(2004): Antibiotics directly apoptosis in B cell lymphoma cells derived form BALB/c mic. Anticancer Res., 24(6): 3723-3730

Ohkawa H, Ohishi N, Yagi K. Assay for lipid peroxides in animal tissues by thiobarbituric acid reaction. Analyt Biochem, 1979; 95:351-358.

Olayinka, E. T. and Olukowade, I. (2010): Effect of amoxycillin/clavulanic acid (Augmentin 625) on antioxidant indices and markers of renal and hepatic damage in rats. J Toxicol Environ Health Sci., 2(6): 85-92.

Olayinka, E. T.; Olukowade, I. and Oyediran, O. (2012): Amoxycillin/clavulanic acid combinations (Augmentin 375 and 625 tablets) induce-oxidative stress, and renal and hepatic damage in rats. Af J Pharm Pharmacol., 6: 2441-2449.

Ozben, T. (2007): Oxidative stress and apoptosis: impact on cancer therapy. J Pharm Sci., 96(9): 2181-2196.

.Paglia D E, Valentine W N. Studies on the quantitative and qualitative characterization of erythrocyte glutathione peroxidase. J Lab Clin Med, 1967; 70:158-169.

Peng X, Cheng K W, Ma J et al. Cinnamon bark proanthocyanidins as reactive carbonyl scavengers to prevent the formation of advanced glycation end products. J Agricul Food Chem, 2008; 56(6): 1907-1911.

Perazella, M. A. (2009): Renal vulnerability to drug toxicity. Clin J the Am Soc Nephrol., 4(7): 1275-1283.

Sakr, S. A. and Albarakai, A. Y. (2014): Effect of cinnamon on cypermethrin-induced nephrotoxicity in albino rats. Int J Adv Res,. 2(7): 578-586.

Sharma, J.; Al-Omran, A. and Parvathy, S. J. (2007): Role of nitric oxide in inflammatory diseases. Inflammopharma., 15(6): 252-259.

Shokri G, Fathi H, Jafari Sabet M, Nasri Nasrabadi N, Ataee R. Evaluation of anti-diabetic effects of hydroalcoholic extract of green tea and cinnamon on Streptozotocin-induced diabetic rats. Pharm Biomed Res, 2015; 1(2): 20-29.

Vangalapati M, SreeSatya N, Surya Prakash D,Avanigadda S. A review on pharmacological activities and clinicaleffects of cinnamon species,” Res J Pharmaceu Biol Chem Sci, 2012; 3(1): 653–663.

Vodovar, D.; Thomas, L.; Mongardon, N.; Lepeule, R.; Lebrun-Vignes, B.; Biour, M. et al. (2018): Dramatic Increase of Amoxicillin-Induced Crystal Nephropathy Found in a Cohort Study of French Pharmacovigilance Centers. Antimicrob agents chemother., 62(3): e01630-01617.

Young, D. S. (2001): Effects of diseases on clinical laboratrory tests. clin.chem,. 4: 17-18.

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Published

2025-08-30

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How to Cite

Role of Cinnamon Extract in the Protection Against Co-amoxiclav-Induced Nephrotoxicity Damage in Male Albino Rats. (2025). Derna Academy Journal for Applied Sciences, 4(2), 39-50. https://doi.org/10.71147/wqsvre11

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