Role of Salvia officinal's Silver Nanoparticles in Attenuating Renal Damage in Rats Exposed to Methotrexate(Part I)

Main Article Content

Khalisa Khadhim Khudiar
Mustafa Ali Sood

Abstract

The aim of the present study was to investigate the protective role of Salvia officinal's silver nanoparticles as antioxidant on nephrotic damage induced by methotrexate in adult rats. Green silver nanoparticles were synthesized using alcoholic extract of salvia officinal's leaves, and were characterized by UV-spectrophotometry and scanning electron microscope. The mixing of the plant extract of Salvia. officinal's with silver nitrate solution (1mM), lead to changing of the reaction mixture color to yellowish within one hour and to dark brown after 8 hours, indicating the generation of Salvia officinal's silver nanoparticles , due to the reduction of silver metal ions silver (Ag+) into Nano silver particles  via the active compounds present in the S. officinal's plant extracts. Changing in color after the reduction of Ag+ to Salvia officinal's silver nanoparticles. The reduction rate and formation of nanoparticles can be increased further by increase in incubation time. Silver nitrate conversion to Nano silver particles  was found to be successful as suggested by the change in color of the solution to brown. For studying the protective role of Salvia officinal's silver nanoparticles , twenty eight adult  Wister albino rats were randomly assigned  and divided in to four groups as follows T1, T2, T3, and  T4, They were treated intramuscularly (twice per week) for 45 days as follows; T1:animals in this group, were given Salvia officinal's (150mg /Kg/.B.W), T2: animals in  this groups were given Salvia officinal's Silver nanoparticles (150mg/Kg B.W.); T3:animals  of this groups were given both Methotrexate (0.25mg/kg/ B.W.) and Salvia officinal's silver nanoparticles (150mg/Kg/B.W); T4: animals in this groups were given methotrexate (0.25mg/Kg B.W.) for 45 days . The animals of all groups were considered as control group at day zero and injected only doubled distilled water Intramuscala.  Fasting blood samples were collected at 0, 15, 30 and 45 days of experimental periods from anesthetized rats using retro-orbital sinus technique and cardiac puncture technique, then sera was isolated for measuring: malondialdehyde, glutathione  in serum, creatinine, and blood urea nitrogen  and uric acid concentrations. The results showed that animals received methotrexate (group T4) caused a case of oxidative stress manifested by significant decrease grower in , elevation in malondialdehyde  concentrations, renal dysfunction as documented by significant elevation in serum creatinine, urea and uric acid concentrations. On the other hand, the protective role of salvia officinal's  and Salvia officinal's silver nanoparticles given concurrently with methotrexate was clarified in groups T2and T3 ,where there was alleviation of renal damage through correction of the previous mentioned parameters and  correction of antioxidant status. In conclusion, the current study documented the antioxidant activity and reno protective effects of Salvia officinal's silver nanoparticles  against damaging effects of methotrexate in rats. 

Downloads

Download data is not yet available.

Article Details

How to Cite
Role of Salvia officinal’s Silver Nanoparticles in Attenuating Renal Damage in Rats Exposed to Methotrexate(Part I). (2019). The Iraqi Journal of Veterinary Medicine, 42(2), 7-20. https://doi.org/10.30539/iraqijvm.v42i2.281
Section
Articles

How to Cite

Role of Salvia officinal’s Silver Nanoparticles in Attenuating Renal Damage in Rats Exposed to Methotrexate(Part I). (2019). The Iraqi Journal of Veterinary Medicine, 42(2), 7-20. https://doi.org/10.30539/iraqijvm.v42i2.281

References

Satyavani K; Ramanathan T and Gurudeeban S.(2011) Green synthesis of silver nanoparticles by using stem derived callus extract of bitter apple Citrullus colocynthis. Dig J Nanomater Biostruct.,6(3):1019–1024. https://doi.org/10.3923/ajbkr.2011.246.253

Sivaranjani, K. and Meenakshisundaram, M. (2013). Biological synthesis of silver nanoparticles using Ocimum basillicum leaf extract and their antimicrobial activity. Int. Res. J. Pharmacy. 4(1): 225-229.

Rai M; Yadav A. and Gade A.(2009). Silver nanoparticles as a new generation of antimicrobials, Biotechnol. Adv., 27: 76–83.

https://doi.org/10.1016/j.biotechadv.2008.09.002

Rai MK; Deshmukh SD; Ingle AP and Gade AK.(2012). Silver nanoparticles: the powerful nanoweapon against multidrugresistant bacteria. J Appl Microbiol .,112: 841-852. https://doi.org/10.1111/j.1365-2672.2012.05253.x

Naidu K; Govender P, and Ada JK.(2015)Bioedical application and toxicity of nanosilver .edical technology ;29(2):13-19.

Gamazo C; Prior S; Lecaroz M C ; Vitas A I; Campanero M A ; Perez G; et al.(2007). Biodegradablegentamicin delivery systems for parenteral use for the treatment of intracellular bacterial infections. Expert Opin Drug Deliv .,4:677-688. https://doi.org/10.1517/17425247.4.6.677

Madureira Ana Raquel ; Sara Nunes; Débora A; Campos; João C Fernandes; Cláudia Marques, Monica Zuzarte,;Beatriz Gullón, Luís M;Rodríguez-Alcalá, Conceição Calhau and Bruno Sarmento. (2016). Safety profile of solid lipid nanoparticles loaded with rosmarinic acid for oral use: in vitro and animal approaches. Int J Nanomedicine. 11: 3621–3640.https://doi.org/10.2147/IJN.S104623

Tran QH; Nguyen YQ and Le AT.(2013). Silver nanoparticles: synthesis, properties, toxicology, applications and perspectives. Adv Nat Sci: Nanosci Nanotechnol., 4: 033001. https://doi.org/10.1088/2043-6262/4/3/033001

Prakasha, P; Gnanaprakasama, R; Emmanuel S; Arokiyaraj b, M. and Saravananc,(2014).Green synthesis of silver nanoparticles from leaf extract of Mimusops elengi, Linn. for enhanced antibacterial activity against multi drug resistant clinical isolates. Colloids and Surfaces , Biointerfaces, 108 : 255–259 . https://doi.org/10.1016/j.colsurfb.2013.03.017

Daoud Shahdi; Mona A.M.ALqahtani.Dalal H.M; .Alkalifah.and Afrah E.Mohamed. (2015). Biosynthesis of silver nanoparticles using salvia off Icinalis and assessment of their anti- bacterial activity.I.J.of current research., 7 (10):21548-21552.

Prasad R. (2014). Synthesis of silver nanoparticles in photosynthetic plants. J. Nanopart.,4:1–8 . https://doi.org/10.1155/2014/963961

Mie, R; Samsudin, M.W; Din, L.B; Ahmad, A; Ibrahim, N and Adnan, S.N.A. (2014). Synthesis of silver

nanoparticles with antibacterial activity using the lichen Parmotrema praesorediosum. Inter.J .Nanomedicine, 9: 121 – 127.

Saleem AH, (2016). Evaliuation the effect of silver nanoparticles and cefotaxim on healing of experimentaly induced infected fractured bones in rabbits .Phd. thesis .Univ .of Baghdad college of vet .med .Dept .of Physiology and pharmacology

Amooaghaie R; Saeri MR and Azizi M.(2015).Synthesis, characterization and biocompatibility of silver nanoparticles synthesized from Nigella sativa leaf extract in comparison with chemical silver nanoparticles.Eco.Toxico.Enviro.Saf.,120:400-408. https://doi.org/10.1016/j.ecoenv.2015.06.025

Thamer Neran and Lamia abdul majeed Almashhedy. ( 2016 ). Acute toxicity of green synthesis of silver nanoparticles using crocus sativud L. on white albio rats, . Intern . J .Phytopharm ., 7(1): 13-16 .

Gomaa, E.Z.. (2017).Antimicrobial, antioxidant and antitumor activities of silver nanoparticles synthesized by Allium cepa extract: A green approach. J.of Genetic Engineering and Biotechnology, 15 ( 1) : 49-57. https://doi.org/10.1016/j.jgeb.2016.12.002

Shriniwas P. and Subhash K. (2017). Antioxidant, antibacterial and cytotoxic potential of silver nanoparticles synthesized using terpenes rich extract of Lantana camara L. leaves. Biochem. Biophys. Rep.,10:76–81. https://doi.org/10.1016/j.bbrep.2017.03.002

Velu M; Lee JH; Chang WS; Lovanh N; Park YJ; Jayanthi P; Palanivel V and Oh BT.(2017).Fabrication, optimization, and characterization of noble silver nanoparticles from sugarcane leaf (Saccharum officinarum) extract for antifungal application.3 Biotech., 7(2):147-151 . https://doi.org/10.1007/s13205-017-0749-y

Phull Abdul-Rehman ;QamarAbbas .AttaradAli; HussainRaza ; Song Jakim.Muhammad Zia Ihsan-ulHaq .(2016).Antioxidant, cytotoxic and antimicrobial activities of green synthesized silver nanoparticles from crude extract of Bergenia ciliate.future J. phara. Sci.,2:31-36. https://doi.org/10.1016/j.fjps.2016.03.001

Skandalis Nicholas; Anastasia Dimopoulou; Anthie Georgopoulou;Nikolaos Gallios; Dimitrios Papadopoulos; Dimitrios Tsipas; Ioannis Theologidis; Nikolaos Michailidis and Maria Chatzinikolaidou.(2017). The Effect of Silver Nanoparticles Size, Produced Using Plant Extract from Arbutus unedo, on Their Antibacterial Efficacy.Nanomaterials, 7(7): 178 -182. https://doi.org/10.3390/nano7070178

Panda S. K. (2014). Ethno-medicinal uses and screening of plants for antibacterial activity from Similipal Biosphere Reserve, Odisha, India. J. Ethnopharmacol. 151, 158–175. https://doi.org/10.1016/j.jep.2013.10.004

Hamedi S; Shojaosadati SA. And Mohammadi A.(2017) Evaluation of the catalytic, antibacterial and anti-biofilm activities of the Convolvulus arvensis extract functionalized silver nanoparticles. J Photochem Photobiol B. ; 167:36-44 . https://doi.org/10.1016/j.jphotobiol.2016.12.025

Verma DK; Hasan SH and Banik RM.(2016).Photo-catalyzed and phytomediated rapid green synthesis of silver nanoparticles using herbal extract of Salvinia molesta and its antimicrobial efficacy. J Photochem Photobiol B., 155 :51-59 . https://doi.org/10.1016/j.jphotobiol.2015.12.008

Syed, B, M N NP, B L D, K MK, S Y, S S.(2016). Synthesis of silver nanoparticles by endosymbiont Pseudomonas fluorescens CA 417 and their bactericidal activity. Enzyme Microb Technol., 95:128-136. https://doi.org/10.1016/j.enzmictec.2016.10.004

Patra JK; Das G and Baek KH.(2016).Phyto-mediated biosynthesis of silver nanoparticles using the rind extract of watermelon (Citrullus lanatus) under photo-catalyzed condition and investigation of its antibacterial, anticandidal and antioxidant efficacy. J

Photochem Photobiol B. ;161:200-10 . https://doi.org/10.1016/j.jphotobiol.2016.05.021

Anand K; Tiloke C; Naidoo P. and Chuturgoon AA.(2017)Phytonanotherapy for management of diabetes using green synthesis nanoparticles.and dermal irritation and corrosion and skin sensitization evaluation of silver nanoparticles. Nantoxicology 7: 953-960.

Venugopal K; Ahmad H; Manikandan E; Thanigai Arul K; Kavitha K; Moodley MK; Rajagopal K; Balabhaskar R and Bhaskar M.(2017).The impact of anticancer activity upon Beta vulgaris extract mediated biosynthesized silvernanoparticles (ag-NPs) against human breast (MCF-7), lung (A549) and pharynx (Hep-2) cancer cell lines.J Photochem Photobiol .,173:99-107 . https://doi.org/10.1016/j.jphotobiol.2017.05.031

GE L; Li Q.Wang M; and LI X, Xing M.(2017).Nanosilver particles in medical application :synthesis ,performance and toxicity.IJN., 4:2399-2407.

Alessandrini F; Vennmann A; Gschwen dtner S. and Neumann A U.(2017). Proinflamatory versus immunomodulary effect of silver nanoparticles in the lung the role of size ,dose and surface modification .nanoaterial;7:300. https://doi.org/10.3390/nano7100300

Fierascu RC; Ion RM. And Dumitriu I.(2010). Nobel metals nanparticles synthesis in plant extracts.Optoelectronics Advan.Mat. Rapid Communications, 4(9): 1297-1300.

Harborne, J B. .(1984).Phytochemical methods aguide to modern technique of plant analysis.Champman and Hill.London .Pp:5. https://doi.org/10.1007/978-94-009-5570-7_1

Vidhu K and Philip D.(2014). Spectroscopic, microscopic and catalytic properties of silver nanoparticles synthesized using Saraca indica flowerSpectrochim. Acta Part A, Mol. Biomol. Spectrosc., 117102–108. https://doi.org/10.1016/j.saa.2013.08.015

Awwad, A. M; Albiss, B .and Ahmad, A. L. (2014). Green Synthesis, Characterization and Optical Properties of Zinc Oxide Nanosheets Using Olea Europea Leaf Extract. Adv. Mater. Lett., 5, 520-524 . https://doi.org/10.5185/amlett.2014.5575

Huang J; Li Q; Sun D; Lu Y; Su Y; Yang X; et al. (2007). Biosynthesis of silver and gold nanoparticles by novel sundried Cinnamomum camphora leaf. Nanotechnology, 18:104 -105. https://doi.org/10.1088/0957-4484/18/10/105104

Gliga AR; Skoglund S; Wallinder IO; Fadeel B and Karlsson HL. (2014).Sizedependent cytotoxicity of silver nanoparticles in human lung and hepatic cells: the role of cellular uptake, agglomeration and Ag release. Part Fibre Toxicol., 8:11-17 . https://doi.org/10.1186/1743-8977-11-11

Yoshikawa M; Yoneda T; Takenaka H; et al. (2001). Distribution of muscle mass and maximal exercise performance in patients with COPD. Chest., 119: 93–98. https://doi.org/10.1378/chest.119.1.93

Burtis, C.A.; Ashwood, E.R. and Bruns, D.E. (1999).Tietz textbook of clinical chemistry and molecular diagnostics, 3rd ed, AACC.Philadelphia, 1915-1916.

Snedecore G W. and Chochran W G.(1973).Statistical methods .6th ed.The Iowa state University Press.Pp:238-248.

Rodrigues, M.R.; Kanazawa, L.K.; das Neves, T.L.; da Silva, C.F.; Horst, H.;Pizzolatti, M.G.; Santos, A.R.; Baggio, C.H. and Werner, M.F. (2012). Antinociceptive and antiinflammatory potential of extract and isolated compounds from the leaves of Salvia officinalisin mice.J Ethnopharmacol., 139 (2):519-526. https://doi.org/10.1016/j.jep.2011.11.042

DeKosky ST; Carrillo MC; Phelps C, Knopman D ; Petersen RC; Frank R ; Schenk D; Masterman D; Siemers ER; Cedarbaum JM; Gold M; Miller DS; Morimoto BH; Khachaturian AS and Mohs RC.(2011). Revision of the criteria for Alzheimer’s disease: A symposium. Alzheimers Demen., 7(1): 1-12. https://doi.org/10.1016/j.jalz.2010.12.007

Muniyappan N. and Nagarajan N.S.(2014). Green synthesis of silver nanoparticles with Dalbergiaspinosa leaves and theirapplications in biological and catalytic activities. Process. Biochem. , 49(6):1054–1061. https://doi.org/10.1016/j.procbio.2014.03.015

Sharma V K; Yngard R A. and Liu Y.(2008). Silver nanoparticles: green synthesis and their antimicrobial activities, Adv. Colloid Interface Sci., 145: 83–96. https://doi.org/10.1016/j.cis.2008.09.002

Nagati V; Rama K; Rajkiran A; Manisha R.D and Manthur P.(2012). Green synthesis of plant mediated silver nanoparticles usingwithania saminifera leaf extract and evaliuation of its antimicrobial activity.Int. journal of advanced research .1(9):307-313.

Abdel-Aziz M. S; Shaheen M. S; ElNekeety A. A and Abdel-Wahhab M. A. (2014). Antioxidant and antibacterial activity of silver nanoparticles biosynthesized using Chenopodium murale leaf extract.J. Saudi Chem. Soci. 18: 356–363. https://doi.org/10.1016/j.jscs.2013.09.011

Roy N; Gaur A; Jain A; Bhattacharya S and Rani V. (2013). Green synthesis of silver nanoparticles: an approach to overcome toxicity.Environ Toxicol. Pharmacol., 36:807–812. https://doi.org/10.1016/j.etap.2013.07.005

Tanamatayarat P. (2016). Antityrosinase, antioxidative activities, and brine shrimp lethality of ethanolic extracts from Protium searratum (Wall. ex Colebr.) Engl. Asian Pac. J. Trop. Biomed., 61050–1055 . https://doi.org/10.1016/j.apjtb.2016.10.001

Manikandan Velu Jeong-Ho Lee, WooSuk Chang, Nanh Lovanh, Yool-Jin Park, Palaniyappan Jayanthi, Velmurugan Palanivel, and Byung-Taek Oh.(2017).Fabrication, optimization, and characterization of noble silver nanoparticles from sugarcane leaf (Saccharum officinarum) extract for antifungal application3 Biotech ; 7(2): 147. https://doi.org/10.1007/s13205-017-0749-y

Stamplecoskie, K.G. and Scaiano, J.C. (2010). Light emitting diode can control the morphology and optical properties of silver nanoparticles. J. Am. Chem. Soc., 132(6): 1825–1827 . https://doi.org/10.1021/ja910010b

Shameli Sepideh; Keshan Balavandy ; Kamyar Dayang Radiah Binti ;Awang Biak, and Zurina Zainal Abidin.(2014). Stirring time effect of silver nanoparticles prepared in glutathione mediated by green methodChem Cent J., 8: 11-16.

https://doi.org/10.1186/1752-153X-8-11

Sulaiman GM; Mohammed WH; Marzoog TR; Al-Amiery AAA; Kadhum AAH. And Mohamad AB. (2013). Green synthesis, antimicrobial and cytotoxic effects of silver nanoparticles using Eucalyptus chapmaniana leaves extract. Asian Pac J Trop Biomed., 3(1):58–63. https://doi.org/10.1016/S2221-1691(13)60024-6

Saravanan M, A.K; Vemu, S.K and Barik,(2011). Silver nanoparticles biosynthesized using Opuntia ficus aqueous extract Colloids Surf.

Biointerfaces, 88: 325.

Ahmad N; Shree K;Srivastava M. and Dutta R.(2014). Novel rapid biological approach for synthesis of silver nanoparticles and its characterization. Int J Pharmaco and Pharmaceutical Sci., 1: 28-31. 496.

Chung I M; Park, K; Seung-Hyun, M; Thiruvengadam, G. and Rajakumar.(2016).Plantmediated synthesis of silver nanoparticles: their characteristic properties and therapeutic applications, Nanoscale Res. Lett., 11: 40. https://doi.org/10.1186/s11671-016-1257-4

Prakash Jaya Priya, A; Sagadevan, E; Kasinathan, M.K; Sindhu, S. and Arumugam, P. (2013). Green synthesis of silver nanoparticles from Cynodon dactylon leaf extract. Int. J. Chem. Tech., 5(1): 271-277 .

Safwat, G M; and Mohammed E T.(2015): salvia officialis olis Improves the athreogenic index and cardiotoxicity in albino rats treated with 5-flouroracil .Int. J.Pharmacol. Biosci.6 (2):(B)59-66 .

Ranjbar A; Ataie Z; Khajavi F and Ghasemi H.(2014). Effects of silver nanoparticle (Ag NP) on oxidative stress

biomarkers in rat. Nanomed. J.,1(3):205–211.

Horvathova Eva; Anna maria Srančkov; Eva Regendov –Sedlačkova ; Eva Regendová-.SedláčkováMartina;Melušová. Vladimír

;Meluš .Jana Netriová. Zdenka Krajčovičová; Darina Slameňová; Michal Pastorek and Katarína Kozics.(2016). Enriching the drinking water of rats with salvia officinalis and thyus vulgaris increases their resistance to oxidative stress. Mutagenesis, 31, 1 , 51–59.

.Ana M. G.;Maria M ;Pintado A; and Flávio R. (2016). Safety profile of solid lipid nanoparticles loaded with rosmarinic acid for oral use: in vitro and animal approaches. Int J Nanomed., 11: 3621–3640. https://doi.org/10.2147/IJN.S104623

.Barbinta-Patrascu ME; Bunghez IR; Iordache SM; Badea N; Fierascu RC. And Ion RM. .(2013). Antioxidant properties

of biohybrids based on liposomes and sage silver nanoparticles. J Nanosci Nanotechnol. Mar;13(3):2051-60. https://doi.org/10.1166/jnn.2013.6857

.Afifi M; and Abdelazim A.M.(2015) Ameliorative effect of zinc oxide and silver nanoparticles on antioxidant system in the brain of diabetic rats. Asian Pac. J. Trop. Biomed., ;5(10):832–834. https://doi.org/10.1016/j.apjtb.2015.06.010

.Prasannaraj G.S.V; Sahi, S; Ravikumar, P and Venkatachalam.(2016). Enhanced cytotoxicity of biomolecules loaded metallic silver nanoparticles against human liver (HepG2) and prostate (PC3) cancer cell lines, J. Nanosci. Nanotech .,16 : 4948–4959. https://doi.org/10.1166/jnn.2016.12336

.Rai M; Kon K; Ingle A; Duran N; Galdiero S and Galdiero M..(2014). Broad-spectrum bioactivities of silver nanoparticles: The emerging trends and future prospects. Appl. Microbiol. Biotechnol.,98:1951–1961. https://doi.org/10.1007/s00253-013-5473-x

.AshaRani P; Low Kah Mun G; Hande M . and Valiyaveettil S. (2009). Cytotoxicity and genotoxicity of silver nanoparticles in human cells. ACS Nano 3 279–290. https://doi.org/10.1021/nn800596w

.Schluesener JK. and Schluesener HJ. (2013). Nanosilver: application and novel aspects of toxicology. Arch. Toxicol.,87(4):569-76. https://doi.org/10.1007/s00204-012-1007-z

.Mukherjee S., Chowdhury D., Kotcherlakota R., Patra S., Vinothkumar B. (2014). Potential theranostics application of bio-synthesized silver nanoparticles ( 4-in- 1 System ). Theranostics 4316–335. https://doi.org/10.7150/thno.7819

Kansanen E;Kuosmanen SM; Leinonen H and Levonen AL. (2013) .The Keap1-Nrf2 pathway: mechanisms of activation and dysregulation in cancer. Redox Biol 18: 45–49. https://doi.org/10.1016/j.redox.2012.10.001

Abo-Haded Hany M.; Mohamed A. Elkablawy;Zeyad Al-johani; Osama Alahmadi and Dina S. El-Agamy.(2017) .Hepatoprotective effect of sitagliptin against methotrexate induced liver toxicity.PLoS One . 12(3): e0174295. https://doi.org/10.1371/journal.pone.0174295

Wahajuddin SA.(2012). Superparamagnetic iron oxide nanoparticles: magnetic nanoplatforms as drug carriers. Int J Nanomed.,7:3445–3471. https://doi.org/10.2147/IJN.S30320

Weingart J; Vabbilisetty P. and Sun XL.(2013). Membrane mimetic surface functionalization of nanoparticles: methods and applications. Adv Colloid Interface Sci., 197–198:68–84. https://doi.org/10.1016/j.cis.2013.04.003

Prakash j; Singh R; and Pani S. (2017).Small Size Silver Nanoparticle’s

Corrosive and Hazardous Manifestations on Mature and Developing Kidney Following Accumulation in Pregnant Mice and Offspring’s after Serial Oral Bolus Experimental Application: A New Chapter in Teratogenicity and Toxicity Search. J Cytol Histol ., 8:3.

Qin Guangqiu,;Song Tang; Shibin Li,;Haoliang Lu; Yanwu Wang,; Peng Zhao,; Bin Li,;Jiehong Zhang,; Liang Pen.(2017). Toxicological Evaluation of Silver Nanoparticles and Silver Nitrate in Rats Following 28 Days of Repeated Oral Exposure. Environmental Toxicology •11:1-10. https://doi.org/10.1002/tox.22263

Hunt PR;Marquis BJ; Tyner KM; Conklin S; Olejnik N;Nelson BC and Sprando RL.(213). Nanosilver suppresses growth and induces oxidative damage to DNA in Caenorhabditis elegans. J Appl Toxicol., 33:1131–1142. https://doi.org/10.1002/jat.2872

Widemann BC.(2006). Understanding and managing methotrexate nephrotoxicity. Oncologist., 11(6): 694–703. https://doi.org/10.1634/theoncologist.11-6-694

Ramamoorthy K.S and Hephziba R.(2013). Acute Renal Failure Post High Dose Methotrexate Infusion Successfully Managed with High Dose Folinic Acid and High Flux DialysisIndian J Hematol Blood Transfus. , 29(2): 90–92. https://doi.org/10.1007/s12288-011-0143-6

Garmeau AP;Riopel J.and Isening P.(2015).Acute methotrexate induced crystal nephropathy .N. England. J Med., 373:2691-2693 . https://doi.org/10.1056/NEJMc1507547

Schwartz S;Borner K;Muller K;et al.(2007). Glucarpidase (carboxypeptidase G2) intervention in adult and elderly cancer patients with renal dysfunction and delayed methotrexate elimination after high-dose methotrexate therapy. Oncologist , 12(11): 1299–1308. https://doi.org/10.1634/theoncologist.12-11-1299

Harms James ;Ayaz Khawaja, ;Maria Taylor; Xiaosi Han, and Michal Mrug. (2017).Recovery of methotrexate-induced anuric acute kidney injury after glucarpidase therapy. SAGE Open Med Case Rep https://doi.org/10.1177/2050313X17705050

Similar Articles

You may also start an advanced similarity search for this article.