Table 4.
A list of commonly used drugs for nephrotoxicity testing
| Drug | Class | Treatment | Targeted renal cells | Mechanism of renal injury/Outcomes | Doses | Refs. |
|---|---|---|---|---|---|---|
| Gentamicin | Aminoglycoside antibiotics | Bacterial infections | Proximal tubular cells | Acute tubular necrosis from direct cytotoxicity | 100 mg/kg | [77, 78] |
| Vancomycin | Glycopeptide antibiotics | Bacterial infections | Proximal tubule cells | Acute tubular necrosis following oxidative stress and (most commonly) and tubular cast formation | 200 mg/kg | [79–81] |
| Tenofovir | Antiretroviral drug | HIV/HBV infection | Renal tubule cells and glomerulus | Tubular dysfunction and mitTox | 300 mg/kg | [82–84] |
| Amphotericin B | Antifungal medication | Distal tubule and smooth muscle cells | Membrane permeability and vaso-constriction | 4 mg/kg | [85, 86] | |
| Cisplatin | Chemotherapy | Various types of cancers | Renal proximal tubule | Inflammation, apoptosis, oxidative stress, dna damage, & mitotox | 20 mg/kg | [87, 88] |
| Methotrexate | Chemotherapy | Various types of cancers, autoimmune diseases | Proximal tubule | Apoptosis | 20 mg/kg | [89–91] |
| Cyclosporine | Immunosuppressive drug | Prevent organ transplant rejection, autoimmune diseases | Proximal tubules |
Oxidative stress, Tubular necrosis |
25 mg/Kg | [92, 93] |
| Acetaminophen | Over-the-counter | Pain reliever and fever reducer | Proximal tubule | Acute tubular necrosis | 500 mg/kg | [94, 95] |
| Ibuprofen | Over-the-counter NSAID | Relieve pain and inflammation | Tubular cell epithelial cell | Interstitial nephritis, transitional tubular necrosis | 400 mg/kg | [96, 97] |
| Lithium | Anti-mania | Bipolar disorder | Distal tubule and proximal tubular |
ROS formation, Lipid, per-oxidation, and antioxidant Mechanisms |
50 mg/kg | [98, 99] |
MitTox mitochondrial toxicity, NSAID nonsteroidal anti-inflammatory drug, ROS radical oxygen species