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. 2018 Oct 1;8:14587. doi: 10.1038/s41598-018-32501-3

Table 1.

Metformin’s effects on potential biomarkers of Pb-induced nephrotoxicity in rat urine.

NAG
(U/L)
ALA
(μg/mg Cr)
d-LA
(μmol/mg Cr)
l-LA
(μmol/mg Cr)
GAA
(μg/mg Cr)
IAA
(μg/mg Cr)
HA
(mg/mg Cr)
Control 3.19 ± 1.00 0.55 ± 0.11 0.32 ± 0.13 2.19 ± 1.00 19.35 ± 4.74 14.51 ± 4.42 1.09 ± 0.28
Pb 2.39 ± 0.41 24.25 ± 6.55**,$$ 0.68 ± 0.28$ 4.03 ± 2.82 26.31 ± 5.40$ 16.70 ± 6.00 1.30 ± 0.51
Pb + ML 2.93 ± 0.66 23.50 ± 8.10** 0.32 ± 0.08@ 2.87 ± 0.62 33.21 ± 20.70 16.60 ± 3.97 1.40 ± 0.39
Pb + MH 2.68 ± 0.88 17.23 ± 7.43**,# 0.87 ± 0.59** 7.09 ± 4.95* 38.90 ± 15.07 21.30 ± 3.63 1.27 ± 1.08
MH 2.94 ± 0.76 0.94 ± 0.15 0.99 ± 0.36** 9.44 ± 4.01** 23.90 ± 8.58 24.52 ± 4.80** 0.68 ± 0.65

N-acetyl-β-d-glucosaminidase (NAG); 5-aminolevulinic acid (ALA); d-lactate (d-LA); l-lactate (l-LA); guanidinoacetic acid (GAA); indole-3-acetic acid (IAA); hippuric acid (HA) *p < 0.05, **p < 0.01 compared with control group using one-way ANOVA; #p < 0.05 compared with Pb group using one-way ANOVA; $p < 0.05, $$p < 0.01 compared with control group using two-tailed Student’s t-test. @p < 0.05 compared with Pb group using two-tailed Student’s t-test.

According to quantitative analysis, urinary NAG, IAA and HA were not significantly different between the 5 groups, except for urinary IAA in the MH group. In Pb-exposed rats, urinary ALA, d-LA and GAA were profoundly increased compared with control rats. After co-treatment with metformin, urinary ALA and d-LA were significantly decreased in Pb + MH and Pb + ML rats compared with Pb-exposed rats, respectively.

However, urinary GAA was not altered after co-treatment with metformin. In high-dose metformin (MH group), urinary d- and l-LA showed elevation compared with control rats.