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Original Research Open Access

The Role of N-acetylcysteine in Ameliorating the Immunohistochemical Expression of KIM-1 and TNF-α of Rat Nephrotoxicity

  • 1Histochemistry and Cell Biology Department, Medical Research Institute, Alexandria University, Egypt
  • 2Pathology Department, Medical Research Institute, Alexandria University, Egypt
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Corresponding Author

Mona Abdel-Hamed Yahia, mona.a.yehia@gmail.com

Received Date: May 23, 2026

Accepted Date: June 22, 2026

Abstract

N-acetylcysteine (NAC) is an exogenous antioxidant drug against oxidative tissue injury. The current study aims to investigate the ameliorating role of NAC on cisplatin-induced nephrotoxicity and kidney injury biomarkers in male rats using an immunohistochemical study. The study was carried out on 50 male rats divided into two main groups and injected intraperitoneally. The control group consisted of 30 rats (GPI) and included three subgroups: GPIa received saline, GPIb received 500 mg/kg/day NAC, and GPIc received a single dose of 5 mg/kg CP. The treated group (20 rats, GPII) included two subgroups: GPIIa, administered CP after receiving NAC, and GPIIb, administered CP before receiving NAC. Fixed formalin-embedded paraffin sections were stained by hematoxylin and eosin to study the histopathological changes in rat kidney; silver methenamine stain was used to assess the thickness of the basement membrane, and immunoexpression of TNF-α and KIM-1 was assessed using an immunohistochemical protocol. Finally, we evaluated the urinary space, basement membrane thickness, and intensity of staining by image analysis software (ImageJ). The histopathology after 5 days of rats being administered CP revealed marked degeneration of kidney tissue, characterized by dilation of renal tubules, necrosis and pyknosis of tubular epithelial cells, thickening of the basement membrane, and atrophy of glomeruli, along with a significant increase in urinary space (p<0.001). An improvement of renal tubules and urinary space was observed in animals that received NAC before and after the administered CP. An increase in TNF-α and KIM-1 immunoexpression in the CP (GPIc) was observed, along with a significant increase in integrated optical density (IOD) (p≤0.05). However, a significant decrease of both biomarkers was seen in group CP after receiving NAC (p≤0.05). Therefore, receiving NAC leads to improved kidney tissue and alleviated kidney biomarkers. Thereby, receiving NAC before the CP intake may be useful for ameliorating the CP toxicity.

Keywords

Cisplatin, N-acetylcysteine, Kidney tissue, Immunohistochemical staining, TNF-α, KIM-1, Rats

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