Investigation of the Effects of Fosfomycin in Kidney Damage Caused by CLP-Induced Sepsis

Sepsis, a life-threatening condition characterized by dysregulated host responses to infection, often leads to multi-organ dysfunction, including kidney injury. Kidney damage in sepsis can have severe consequences and is associated with high mortality rates. This study aimed to investigate the poten...

Full description

Saved in:
Bibliographic Details
Main Authors: Ilknur Esen Yildiz, Tolga Mercantepe, Ilkay Bahceci, Medeni Arpa, Sule Batcik, Yasin Yildiz, Levent Tumkaya
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Life
Subjects:
Online Access:https://www.mdpi.com/2075-1729/15/1/2
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832588106833854464
author Ilknur Esen Yildiz
Tolga Mercantepe
Ilkay Bahceci
Medeni Arpa
Sule Batcik
Yasin Yildiz
Levent Tumkaya
author_facet Ilknur Esen Yildiz
Tolga Mercantepe
Ilkay Bahceci
Medeni Arpa
Sule Batcik
Yasin Yildiz
Levent Tumkaya
author_sort Ilknur Esen Yildiz
collection DOAJ
description Sepsis, a life-threatening condition characterized by dysregulated host responses to infection, often leads to multi-organ dysfunction, including kidney injury. Kidney damage in sepsis can have severe consequences and is associated with high mortality rates. This study aimed to investigate the potential therapeutic effects of fosfomycin (FOS), a broad-spectrum antibiotic with immunomodulatory properties, on kidney damage induced by cecal ligation and puncture (CLP)-induced sepsis in a rodent model. In total, 24 rats were randomly divided into three groups. Group 1 (<i>n</i> = 8), the healthy control group (C), received a single dose of 0.9% NaCl (saline) solution via an intraperitoneal (i.p.) route. To group 2 (<i>n</i> = 8), the CLP group, CLP-induced sepsis was applied without medication, and a single dose of 0.9% NaCl (saline) solution was applied i.p. before induction. To group 3 (<i>n</i> = 8), the CLP + FOS (500 mg/kg) group, a single dose of 500 mg/kg FOS was administered i.p. before sepsis induction. The effects of fosfomycin on kidney function, histopathological changes, inflammatory markers, oxidative stress, and apoptosis were assessed. In the fosfomycin-treated group, the histological analysis results demonstrated reduction in kidney tissue damage and inflammation. Additionally, fosfomycin attenuated the upregulation of pro-inflammatory cytokines and reduced oxidative stress markers in kidney tissue. Furthermore, fosfomycin treatment was associated with a decrease in apoptotic cell death in the kidney. These findings suggest that fosfomycin may have a protective effect on kidney damage caused by CLP-induced sepsis. The potential mechanisms underlying this protection include the modulation of inflammation, reduction of oxidative stress, and inhibition of apoptosis.
format Article
id doaj-art-069c1ebdc9b34962a4e539cca31adfc1
institution Kabale University
issn 2075-1729
language English
publishDate 2024-12-01
publisher MDPI AG
record_format Article
series Life
spelling doaj-art-069c1ebdc9b34962a4e539cca31adfc12025-01-24T13:38:24ZengMDPI AGLife2075-17292024-12-01151210.3390/life15010002Investigation of the Effects of Fosfomycin in Kidney Damage Caused by CLP-Induced SepsisIlknur Esen Yildiz0Tolga Mercantepe1Ilkay Bahceci2Medeni Arpa3Sule Batcik4Yasin Yildiz5Levent Tumkaya6Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Recep Tayyip Erdogan University, 53100 Rize, TurkeyDepartment of Histology and Embryology, Faculty of Medicine, Recep Tayyip Erdogan University, 53100 Rize, TurkeyDepartment of Medical Microbiology, Faculty of Medicine, Recep Tayyip Erdogan University, 53100 Rize, TurkeyDepartment of Medical Biochemistry, Faculty of Medicine, Recep Tayyip Erdogan University, 53100 Rize, TurkeyDepartment of Anaesthesiology and Reanimation, Faculty of Medicine, Recep Tayyip Erdogan University, 53100 Rize, TurkeyDepartment of Pediatrics, Faculty of Medicine, Recep Tayyip Erdogan University, 53100 Rize, TurkeyDepartment of Histology and Embryology, Faculty of Medicine, Ondokuz Mayıs University, 55139 Samsun, TurkeySepsis, a life-threatening condition characterized by dysregulated host responses to infection, often leads to multi-organ dysfunction, including kidney injury. Kidney damage in sepsis can have severe consequences and is associated with high mortality rates. This study aimed to investigate the potential therapeutic effects of fosfomycin (FOS), a broad-spectrum antibiotic with immunomodulatory properties, on kidney damage induced by cecal ligation and puncture (CLP)-induced sepsis in a rodent model. In total, 24 rats were randomly divided into three groups. Group 1 (<i>n</i> = 8), the healthy control group (C), received a single dose of 0.9% NaCl (saline) solution via an intraperitoneal (i.p.) route. To group 2 (<i>n</i> = 8), the CLP group, CLP-induced sepsis was applied without medication, and a single dose of 0.9% NaCl (saline) solution was applied i.p. before induction. To group 3 (<i>n</i> = 8), the CLP + FOS (500 mg/kg) group, a single dose of 500 mg/kg FOS was administered i.p. before sepsis induction. The effects of fosfomycin on kidney function, histopathological changes, inflammatory markers, oxidative stress, and apoptosis were assessed. In the fosfomycin-treated group, the histological analysis results demonstrated reduction in kidney tissue damage and inflammation. Additionally, fosfomycin attenuated the upregulation of pro-inflammatory cytokines and reduced oxidative stress markers in kidney tissue. Furthermore, fosfomycin treatment was associated with a decrease in apoptotic cell death in the kidney. These findings suggest that fosfomycin may have a protective effect on kidney damage caused by CLP-induced sepsis. The potential mechanisms underlying this protection include the modulation of inflammation, reduction of oxidative stress, and inhibition of apoptosis.https://www.mdpi.com/2075-1729/15/1/2fosfomycininflammationCLPkidneyratsepsis
spellingShingle Ilknur Esen Yildiz
Tolga Mercantepe
Ilkay Bahceci
Medeni Arpa
Sule Batcik
Yasin Yildiz
Levent Tumkaya
Investigation of the Effects of Fosfomycin in Kidney Damage Caused by CLP-Induced Sepsis
Life
fosfomycin
inflammation
CLP
kidney
rat
sepsis
title Investigation of the Effects of Fosfomycin in Kidney Damage Caused by CLP-Induced Sepsis
title_full Investigation of the Effects of Fosfomycin in Kidney Damage Caused by CLP-Induced Sepsis
title_fullStr Investigation of the Effects of Fosfomycin in Kidney Damage Caused by CLP-Induced Sepsis
title_full_unstemmed Investigation of the Effects of Fosfomycin in Kidney Damage Caused by CLP-Induced Sepsis
title_short Investigation of the Effects of Fosfomycin in Kidney Damage Caused by CLP-Induced Sepsis
title_sort investigation of the effects of fosfomycin in kidney damage caused by clp induced sepsis
topic fosfomycin
inflammation
CLP
kidney
rat
sepsis
url https://www.mdpi.com/2075-1729/15/1/2
work_keys_str_mv AT ilknuresenyildiz investigationoftheeffectsoffosfomycininkidneydamagecausedbyclpinducedsepsis
AT tolgamercantepe investigationoftheeffectsoffosfomycininkidneydamagecausedbyclpinducedsepsis
AT ilkaybahceci investigationoftheeffectsoffosfomycininkidneydamagecausedbyclpinducedsepsis
AT medeniarpa investigationoftheeffectsoffosfomycininkidneydamagecausedbyclpinducedsepsis
AT sulebatcik investigationoftheeffectsoffosfomycininkidneydamagecausedbyclpinducedsepsis
AT yasinyildiz investigationoftheeffectsoffosfomycininkidneydamagecausedbyclpinducedsepsis
AT leventtumkaya investigationoftheeffectsoffosfomycininkidneydamagecausedbyclpinducedsepsis