Dose-Dependent Amelioration of Ureteral Obstruction-Induced Kidney Fibrosis by Thymoquinone via GPx-Mediated Antioxidant Defense

Authors

  • Chairil Makky Division of Nephrology and Hypertension, Department of Internal Medicine, Dr. Mohammad Hoesin General Hospital/Faculty of Medicine, Universitas Sriwijaya, Palembang, Indonesia
  • Suprapti Division of Nephrology and Hypertension, Department of Internal Medicine, Dr. Mohammad Hoesin General Hospital/Faculty of Medicine, Universitas Sriwijaya, Palembang, Indonesia
  • Muhammad Irsan Saleh Department of Biomedics, Faculty of Medicine, Universitas Sriwijaya, Palembang, Indonesia
  • Zulkhair Ali Division of Nephrology and Hypertension, Department of Internal Medicine, Dr. Mohammad Hoesin General Hospital/Faculty of Medicine, Universitas Sriwijaya, Palembang, Indonesia
  • Novadian Division of Nephrology and Hypertension, Department of Internal Medicine, Dr. Mohammad Hoesin General Hospital/Faculty of Medicine, Universitas Sriwijaya, Palembang, Indonesia

DOI:

https://doi.org/10.37275/bsm.v10i5.1585

Keywords:

Glutathione peroxidase, Oxidative stress, Renal fibrosis, Thymoquinone, Unilateral ureteral obstruction

Abstract

Background: Chronic kidney disease inevitably progresses to renal fibrosis, driven heavily by oxidative stress and the depletion of endogenous antioxidants including Glutathione Peroxidase (GPx). Thymoquinone (TQ), a bioactive compound from Nigella sativa, exhibits potent antioxidant properties. This study investigates the dose-dependent efficacy of TQ in mitigating renal fibrosis via GPx modulation in a Unilateral Ureteral Obstruction (UUO) model. 

Methods: Thirty male Rattus norvegicus were randomly assigned to six groups (n=5): Sham, UUO + olive oil (Negative Control), UUO without oil, and UUO treated with TQ at 5, 10, and 20 mg/kg body weight for 14 days. Renal function (ureum, creatinine) and oxidative stress (Malondialdehyde) were measured. GPx mRNA expression was quantified using Reverse Transcription-Polymerase Chain Reaction. Tubulointerstitial injury (TII) and Positively Stained Area (PSA) for fibrosis were assessed histopathologically.

Results: UUO induction significantly downregulated GPx expression (median 0.52 versus 1.40 in Sham, p=0.001) and exacerbated TII (score 3.58) and PSA (11.42%). TQ administration dose-dependently upregulated GPx expression, peaking at 20 mg/kg (median 0.62, p=0.009 versus Negative Control). Furthermore, TQ 20 mg/kg significantly reduced the TII score to 2.26 and decreased fibrotic PSA, ameliorating morphological damage.

Conclusion: Thymoquinone exerts potent, dose-dependent antifibrotic and renoprotective effects in obstructive nephropathy by restoring GPx-mediated antioxidant defenses and preventing tubulointerstitial remodeling.

Authors

  • Chairil Makky1*
  • Suprapti1
  • Muhammad Irsan Saleh2
  • Zulkhair Ali1
  • Novadian1
  1. 1Division of Nephrology and Hypertension, Department of Internal Medicine, Dr. Mohammad Hoesin General Hospital/Faculty of Medicine, Universitas Sriwijaya, Palembang, Indonesia
  2. 2Department of Biomedics, Faculty of Medicine, Universitas Sriwijaya, Palembang, Indonesia

Corresponding author Chairil Makky — makkychairil71@gmail.com

Article history

  1. Submitted
  2. Accepted
  3. Published

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Published

2026-03-13

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How to Cite

1.
Chairil Makky, Suprapti, Muhammad Irsan Saleh, Zulkhair Ali, Novadian. Dose-Dependent Amelioration of Ureteral Obstruction-Induced Kidney Fibrosis by Thymoquinone via GPx-Mediated Antioxidant Defense. Bioscmed [Internet]. 2026 Mar. 13 [cited 2026 Aug. 4];10(5):1837-50. Available from: https://bioscmed.com/index.php/bsm/article/view/1585

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