Evidence map›Paper›PMID 26504822›Full record

ArticleBioMed research international2015

Protective Effects of Cilastatin against Vancomycin-Induced Nephrotoxicity.

Blanca Humanes, Juan Carlos Jado, Sonia Camaño, Virginia López-Parra, Ana María Torres, Luís Antonio Álvarez-Sala, Emilia Cercenado, Alberto Tejedor, Alberto Lázaro

Open access · hybridAbstract read
In one paragraph

Article in BioMed research international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 69 citations in OpenAlex.

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  14. Regulated cell death pathways in kidney disease.Nature reviews. Nephrology · 2023
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Blanca HumanesRenal Physiopathology Laboratory, Department of Nephrology, Gregorio Marañón University Hospital, IiSGM, 28007 Madrid, Spain.
Juan Carlos JadoRenal Physiopathology Laboratory, Department of Nephrology, Gregorio Marañón University Hospital, IiSGM, 28007 Madrid, Spain.
Sonia CamañoRenal Physiopathology Laboratory, Department of Nephrology, Gregorio Marañón University Hospital, IiSGM, 28007 Madrid, Spain.
Virginia López-ParraRenal Physiopathology Laboratory, Department of Nephrology, Gregorio Marañón University Hospital, IiSGM, 28007 Madrid, Spain.
Ana María TorresRenal Physiopathology Laboratory, Department of Nephrology, Gregorio Marañón University Hospital, IiSGM, 28007 Madrid, Spain.
Luís Antonio Álvarez-SalaDepartment of Medicine, School of Medicine, Complutense University of Madrid, 28040 Madrid, Spain ; Department of Internal Medicine, Gregorio Marañón University Hospital, IiSGM, 28007 Madrid, Spain.
Emilia CercenadoDepartment of Medicine, School of Medicine, Complutense University of Madrid, 28040 Madrid, Spain ; Clinical Microbiology and Infectious Diseases Department, Gregorio Marañón University Hospital, IiSGM, 28007 Madrid, Spain.
Alberto TejedorRenal Physiopathology Laboratory, Department of Nephrology, Gregorio Marañón University Hospital, IiSGM, 28007 Madrid, Spain ; Department of Medicine, School of Medicine, Complutense University of Madrid, 28040 Madrid, Spain.
Alberto LázaroRenal Physiopathology Laboratory, Department of Nephrology, Gregorio Marañón University Hospital, IiSGM, 28007 Madrid, Spain.
Hospital General Universitario Gregorio Marañón · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vancomycin is a very effective antibiotic for treatment of severe infections. However, its use in clinical practice is limited by nephrotoxicity. Cilastatin is a dehydropeptidase I inhibitor that acts on the brush border membrane of the proximal tubule to prevent accumulation of imipenem and toxicity. The aim of this study was to investigate the potential protective effect of cilastatin on vancomycin-induced apoptosis and toxicity in cultured renal proximal tubular epithelial cells (RPTECs). Porcine RPTECs were cultured in the presence of vancomycin with and without cilastatin. Vancomycin induced dose-dependent apoptosis in cultured RPTECs, with DNA fragmentation, cell detachment, and a significant decrease in mitochondrial activity. Cilastatin prevented apoptotic events and diminished the antiproliferative effect and severe morphological changes induced by vancomycin. Cilastatin also improved the long-term recovery and survival of RPTECs exposed to vancomycin and partially attenuated vancomycin uptake by RPTECs. On the other hand, cilastatin had no effects on vancomycin-induced necrosis or the bactericidal effect of the antibiotic. This study indicates that cilastatin protects against vancomycin-induced proximal tubule apoptosis and increases cell viability, without compromising the antimicrobial effect of vancomycin. The beneficial effect could be attributed, at least in part, to decreased accumulation of vancomycin in RPTECs.

Indexed as

AnimalsAnti-Bacterial AgentsApoptosisCells, CulturedCell SurvivalCilastatinEpithelial CellsKidney Tubules, ProximalProtective AgentsSwineVancomycinAnti-Bacterial AgentsCilastatinProtective AgentsVancomycin

Identifiers

PMID26504822
PMCPMC4609390
OpenAlexW1955375473

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.