The pathogenesis of acute renal failure may involve, among other causes, is
chemia, vascular congestion, arachidonic acid pathways, and reactive oxygen
metabolites. The aim of this study is to evaluate the effects of pentoxify
lline and vitamin E on the prevention of experimental acute renal failure i
nduced by glycerol. Eighty-five Sprague-Dawley rats weighing 170-230 g were
included in the study. The rats were randomly divided into four groups: gr
oup 1 was given 1 ml saline; group 2, glycerol; group 3, glycerol plus vita
min E, and group 4, glycerol plus pentoxifylline. Extent of histological re
nal tubular necrosis and regeneration in each animal were graded, Blood ure
a nitrogen, serum creatinine, and creatine kinase concentrations were measu
red. Mean blood urea nitrogen and serum creatinine concentrations and tubul
ar injury scores were significantly lower in group 1 than in groups 2-4 (p
< 0.001), but there were no significant differences among groups 2-4, We co
nclude that postinsult administration of vitamin E and pentoxifylline does
not have a beneficial effect on prevention and severity of acute renal fail
ure and that controlled, multicenter studies involving a large number of pa
tients are needed to clarify this subject. Copyright (C) 2000 S. Karger AG,
Basel.