ABSTRACT
Introduction: macrolide antibiotics are a class of potent and well established antimicrobials that also possess anti-inflammatory and/or immunomodulatory properties. Because of their size, lower levels of macrolides are able to reach the developing fetuses
Materials and method: the pregnant rats were orally administered with clarithromycin at early and late gestational periods. The 20 day-old fetuses were dissected for excision of the kidney. Half of the kidney was processed and stained with H and E, PAS, Masson's trichrome and Feulgen techniques then followed by morphometric measurements and statistical study. The other half of the kidney was preserved for DNA fragmentation assay.Results: This study revealed that clarithromycin administration to pregnant rats showed different histopathological, histochemical and DNA changes in the kidneys of their fetuses
Conclusion: Administration of the antimicrobial agent; clarithromycin at early and late gestational periods exhibits nephrotoxicity in the developing fetuses
Subject(s)
Animals, Laboratory , Kidney/drug effects , DNA/drug effects , Rats , Fetus , Anti-Infective AgentsABSTRACT
Background: clarithromycin is a semisynthetic macrolide antibiotic, exhibits broad-spectrum activity against gram-positive and gram-negative aerobes. Macrolides are bacteriostatic antibiotics that inhibit protein biosynthesis via reversible binding to the bacterial 50S ribosomal subunit. Macrolides are able to cross placenta and reach the fetus
Aim of the work: the present study is focused on evaluating the effects of antimicrobial drug, clarithromycin on the kidneys of pregnant rats
Material and methods: clarithromycin is orally given to the treated groups of the pregnant rats once daily at different periods of gestation by gastric tube at a dose of 45 mg/kg/day. The excised kidneys were dissected, processed and stained with H and E, PAS, Masson's trichrome, Feulgen reaction and anti-CD68 immunohistochemical stain then followed by morphometric measurements and statistical analysis. The kidneys were also preserved for DNA fragmentation assay
Results: this study revealed that clarithromycin administration especially to pregnant rats showed different histopathological and histochemical changes in kidney tissues and cellular DNA. Also immunohistochemical anti-inflammatory marker CD68 showed positive reactivity in all treated groups
Conclusion: The presence of histopathological and histochemical changes revealed nephrotoxicity in the pregnant rats after administration of the antimicrobial drug, clarithromycin