Nephroprotective effects of ethanolic extract of Ganoderma lucidum against diethylene glycol-induced acute kidney injury in rats

Keywords: acute kidney injury, diethylene glycol, electrolyte homeostasis, Ganoderma lucidum, renal function

Abstract

Background: Diethylene glycol (DEG) contamination in pharmaceutical preparations has caused numerous cases of acute kidney injury, particularly in pediatric populations. Current treatments are expensive and not readily accessible in resource-limited settings. Ganoderma lucidum, a medicinal mushroom rich in triterpenoids, flavonoids, and ergothioneine, may offer a natural therapeutic alternative.

Objective: This study evaluated the nephroprotective potential of ethanolic G. lucidum extract against DEG-induced acute kidney injury in rats.

Methods: Twenty-four male Wistar rats were divided into six groups: healthy control, DEG-induced control (5 g/kg BW), three G. lucidum treatment groups (250, 500, 750 mg/kg BW for 7 days plus DEG), and fomepizole control (5 mg/kg BW plus DEG). Renal function markers (β2-microglobulin, malondialdehyde) and electrolytes (sodium, potassium, chloride) were measured on day 11.

Results: DEG significantly elevated β2-microglobulin (0.73 vs. 0.29 ng/mL) and malondialdehyde levels (3.368 vs. 0.72 μmol/L) while reducing electrolytes. G. lucidum extract at 500 and 750 mg/kg BW significantly improved all parameters, achieving efficacy comparable to fomepizole (p > 0.05).

Conclusion: Ethanolic G. lucidum extract demonstrates significant nephroprotective effects against DEG-induced kidney injury, with 500 mg/kg BW as the optimal therapeutic dose.

References

Kaur J, Kyle PB. Ethylene glycol toxicity. Toxicology Cases for the Clinical and Forensic Laboratory. Elsevier; 2022. pp. 51-54. https://doi.org/10.1016/B978-0-12-815846-3.00031-4

Madathodi ARK, Andrews MA, Madhavan I. Ethylene glycol poisoning: An unusual cause of hyperglycemia-A case report. Asia Pac J Med Toxicol. 2015;4: 55-57.

Petejova N, Martinek A, Zadrazil J, Teplan V. Acute toxic kidney injury. Ren Fail. 2019;41: 576-594. https://doi.org/10.1080/0886022X.2019.1628780

Tanasescu A, Macovei RA, Tudosie MS. Outcome of patients in acute poisoning with ethylene glycol-Factors which may have influence on evolution. J Med Life. 2014;7: 81-86.

Landry GM, Martin S, Mcmartin KE. Diglycolic acid is the nephrotoxic metabolite in diethylene glycol poisoning inducing necrosis in human proximal tubule cells in vitro. Toxicological Sciences. 2011;124: 35-44. https://doi.org/10.1093/toxsci/kfr204

Robinson CN, Latimer B, Abreo F, Broussard K, McMartin KE. In-vivo evidence of nephrotoxicity and altered hepatic function in rats following administration of diglycolic acid, a metabolite of diethylene glycol. Clin Toxicol (Phila). 2017;55: 196-205. https://doi.org/10.1080/15563650.2016.1271128

Kruse JA. Methanol and ethylene glycol intoxication. Crit Care Clin. 2012;28: 661-671. https://doi.org/10.1016/j.ccc.2012.07.002

Salvatore MM, Elvetico A, Gallo M, Salvatore F, Dellagreca M, Naviglio D, et al. Fatty acids from Ganoderma lucidum spores: Extraction, identification and quantification. Applied Sciences. 2020;10: 1-12. https://doi.org/10.3390/app10113907

Ahmad MF. Ganoderma lucidum: Persuasive biologically active constituents and their health endorsement. Biomedicine & Pharmacotherapy. 2018;107: 507-519. https://doi.org/10.1016/j.biopha.2018.08.036

Baby S, Johnson AJ, Govindan B. Secondary metabolites from Ganoderma. Phytochemistry. 2015;114: 66-101. https://doi.org/10.1016/j.phytochem.2015.03.010

Zhong L, Yan P, Lam WC, Yao L, Bian Z. Coriolus versicolor and Ganoderma lucidum related natural products as an adjunct therapy for cancers: A systematic review and meta-analysis of randomized controlled trials. Front Pharmacol. 2019;10. https://doi.org/10.3389/fphar.2019.00703

Adeyi AO, Awosanya SA, Adeyi OE, James AS, Adenipekun CO. Ganoderma lucidum ethanol extract abrogates metabolic syndrome in rats: In vivo evaluation of hypoglycemic, hypolipidemic, hypotensive and antioxidant properties. Obes Med. 2021;22: 1-12. https://doi.org/10.1016/j.obmed.2021.100320

Bishop KS, Kao CH, Xu Y, Glucina MP, Paterson RR, Ferguson LR. From 2000 years of Ganoderma lucidum to recent developments in nutraceuticals. Phytochemistry. 2015;114: 56-65. https://doi.org/10.1016/j.phytochem.2015.02.015

Lin MS, Yu ZR, Wang BJ, Wang CC, Weng YM, Koo M. Bioactive constituent characterization and antioxidant activity of Ganoderma lucidum extract fractionated by supercritical carbon dioxide. Sains Malays. 2015;44: 1685-1691.

Chen S. The pharmacological effects of triterpenoids from Ganoderma lucidum and the regulation of its biosynthesis. Adv Biol Chem. 2020;10: 55-65. https://doi.org/10.4236/abc.2020.102005

Ratnaningtyas NI, Andarwati S, Ekowati N, Purwati ES, Sukmawati D. Effects of Ganoderma lucidum extract on diabetic rats. Biosaintifika: Journal of Biology & Biology Education. 2018;10: 642-647. https://doi.org/10.15294/biosaintifika.v10i3.15356

Liabeuf S, Lenglet A, Desjardins Lucie and Neirynck N, Glorieux G, Lemke H-D, Vanholder R, et al. Plasma beta-2 microglobulin is associated with cardiovascular disease in uremic patients. Kidney Int. 2012;82: 1297-1303. https://doi.org/10.1038/ki.2012.301

Kalaras MD, Richie JP, Calcagnotto A, Beelman RB. Mushrooms: A rich source of the antioxidants ergothioneine and glutathione. Food Chem. 2017;233: 429-433. https://doi.org/10.1016/j.foodchem.2017.04.109

Rohmah M, Sayuti K, Wahyuni D. Antioxidant activity of red dragon fruit peel extract (Hylocereus polyrhizus). Jurnal Teknologi Pertanian Andalas. 2014;18: 35-39.

Zong A, Cao H, Wang F. Anticancer polysaccharides from natural resources: A review of recent research. Carbohydr Polym. 2019;90: 1395-1410. https://doi.org/10.1016/j.carbpol.2012.07.026

Ashman N, Yaqoob M. Metabolic acidosis, hypokalaemia and acute renal failure with a normal urine output. Nephrology Dialysis Transplantation. 2000;15: 1083-1085. https://doi.org/10.1093/ndt/15.7.1083

Seo JW, Lee JH, Son IS, Kim YJ, Kim DY, Hwang Y, et al. Acute oxalate nephropathy caused by ethylene glycol poisoning. Kidney Res Clin Pract. 2012;31: 249-252. https://doi.org/10.1016/j.krcp.2012.09.007

Published
2025-12-05
How to Cite
Hernayanti, & Taufiq, H. D. K. (2025). Nephroprotective effects of ethanolic extract of Ganoderma lucidum against diethylene glycol-induced acute kidney injury in rats. Acta Biochimica Indonesiana, 8(2), 195. https://doi.org/10.32889/actabioina.195