kidney toxicity

肾毒性
  • 文章类型: Journal Article
    氧化铝纳米颗粒(Al2O3NPs)是纳米技术中使用最广泛的纳米颗粒之一,对环境有负面影响。因此,这项工作的目的是研究纳米形式的姜黄素(CurNPs)对Al2O3NPs诱导的肾毒性的保护和治疗作用,氧化应激,DNA损伤,以及雄性大鼠坏死因子α(TNFα)和增殖细胞核抗原(PCNA)表达的变化。将50名健康成年男性分为五组[G1,对照组;G2,口服50mg/kg/天,持续4周的CurNPs;G3,口服6mg/kgBW,持续4周的Al2O3NPs;G4(CurNPsAl2O3NPs)分别以类似于G2和G3的剂量接受CurNPs和Al2O3NPs,持续4周;G5,(以类似的剂量接受另一个G3接受4周的目前的结果表明,Al2O3NP诱导血清尿素显著升高,肌酐,氯化物,钙,肾脏丙二醛(MDA),DNA损伤,损伤,TNFα和PCNA的表达和血清钾的显着消耗,肾超氧化物歧化酶(SOD),谷胱甘肽(GSH)与对照相比。另一方面,用CurNPs处理Al2O3NPs可诱导所有参数的调节,并改善肾功能和结构,Al2O3NP+CurNP的结果比CurNP+Al2O3NP的结果最好。总之,CurNP具有减轻雄性白化病大鼠中Al2O3NP诱导的肾毒性的能力。
    Aluminum oxide nanoparticles (Al2O3 NPs) are among the most extensively utilized nanoparticles in nanotechnology and that have negative impacts on the environment. Therefore, the intention of this work is to investigate the protective and therapeutic effects of curcumin in nanoform (Cur NPs) against Al2O3 NPs induced kidney toxicity, oxidative stress, DNA damage, and changes in necrosis factor alpha (TNFα) and proliferating cell nuclear antigen (PCNA) expressions in male rats. Fifty healthy adult male were divided into five groups [G1, control; G2, received 50 mg/kg/day for 4 weeks of Cur NPs orally; G3, received 6 mg/kg BW orally for 4 weeks of Al2O3 NPs; G4, (Cur NPs + Al2O3 NPs) received Cur NPs and Al2O3 NPs at a dose similar to G2 and G3, respectively for 4 weeks; G5, (Al2O3 NPs + Cur NPs) received Al2O3 NPs at a dose similar to G3 for 4 weeks then received Cur NPs at a dose similar to G2 for another 4 weeks]. Current results revealed that Al2O3 NPs induced a significant elevation in serum urea, creatinine, chloride, calcium, kidney malondialdehyde (MDA), DNA damage, injury, TNFα and PCNA expressions and a significant depletion in serum potassium, kidney superoxide dismutase (SOD), glutathione (GSH) as compared to control. On the other hand, treatments of Al2O3 NPs with Cur NPs induced modulation in all altered parameters and improved kidney functions and structure, with best results for the Al2O3 NPs + Cur NPs than Cur NPs + Al2O3 NPs. In conclusion, Cur NPs has the capacity to mitigate the renal toxicity induced by Al2O3 NPs in male albino rats.
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  • 文章类型: Journal Article
    本研究探讨了大鼠和小鼠骨髓间充质干细胞(BM-MSCs)对四氯化碳(CCl4)对Wistar大鼠肾损伤和毒性的可能治疗作用。
    腹膜内注射CCl4(0.5mL/kg,每周两次)八周后,雄性Wistar大鼠每周用大鼠和小鼠BM-MSC(0.2mLDulbecco's改良Eagle培养基(DMEM)中的1×106个细胞/大鼠/周)静脉内治疗,持续4周。使用苏木精和曙红(H&E)评估肾功能并检查肾脏样本,Masson三色(MT)染色技术,和电子显微镜分析。肾环氧合酶-2(COX-2),蛋白53(p53),免疫组织化学染色技术检测肿瘤坏死因子-α(TNF-α)。此外,在肾脏组织中鉴定了氧化应激和抗氧化防御系统的生物指标。
    在注射CCl4的大鼠中,血清肌酐,尿素,尿酸水平显著上升,肾脏脂质过氧化(LPO),而超氧化物歧化酶,谷胱甘肽过氧化物酶(GPx),谷胱甘肽(GSH)转移酶,肾脏的GSH水平显著下降。组织学上,肾脏表现出广泛的结构异常,如肾小球收缩,肾小管扩张术,炎性白细胞浸润,成纤维细胞增殖,胶原蛋白含量升高。炎性细胞因子如COX-2和TNF-α以及促凋亡介质p53显著上调。用注射CCl4的大鼠处理来自小鼠和大鼠的BM-MSC显著减少了先前注意到的异常。
    通过增强抗氧化防御,减少细胞凋亡和炎症,来自小鼠和大鼠的BM-MSC能够增强接受CCl4注射的大鼠的肾功能和组织学完整性。
    UNASSIGNED: This study explores the possible therapeutic role of rats and mice bone marrow-derived mesenchymal stem cells (BM-MSCs) on renal damage and toxicity brought on by carbon tetrachloride (CCl4) in Wistar rats.
    UNASSIGNED: Following an intraperitoneal injection of CCl4 (0.5 mL/kg b.w. twice weekly) for eight weeks, male Wistar rats were intravenously treated with rats and mice BM-MSCs (1 × 106 cells in 0.2 mL Dulbecco\'s Modified Eagle Medium (DMEM)/rat/week) a week for four weeks. Kidney functions were evaluated and kidney samples were examined using hematoxylin and eosin (H&E), Masson\'s trichrome (MT) staining techniques, and electron microscopy analysis. Kidney cyclooxygenase-2 (COX-2), protein 53 (p53), and tumor necrosis factor-α (TNF-α) were detected by immunohistochemical staining techniques. Additionally, bioindicators of oxidative stress and antioxidant defense systems were identified in kidney tissue.
    UNASSIGNED: In CCl4-injected rats, serum creatinine, urea, and uric acid levels significantly increased, as did renal lipid peroxidation (LPO), while superoxide dismutase, glutathione peroxidase (GPx), glutathione (GSH) transferase, and GSH levels significantly dropped in the kidneys. Histologically, the kidneys displayed a wide range of structural abnormalities, such as glomerular shrinkage, tubular dilations, inflammatory leukocytic infiltration, fibroblast proliferation, and elevated collagen content. Inflammatory cytokines like COX-2 and TNF-α as well as the pro-apoptotic mediator p53 were considerably upregulated. Treatment of BM-MSCs from mice and rats with CCl4-injected rats considerably reduced the previously noted abnormalities.
    UNASSIGNED: By boosting antioxidant defense and reducing apoptosis and inflammation, BM-MSCs from mice and rats were able to enhance kidney function and histological integrity in rats that had received CCl4 injections.
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  • 文章类型: Journal Article
    UNASSIGNED: Cisplatin (Cis) is potent chemotherapy used to treating already many different types of cancer; however, it is found to correlate with nephrotoxicity and other adverse health consequences. Thymoquinone (TQ) is an antioxidant and anti-inflammatory molecule that may defend against the consequences of different chemotherapies. Thymoquinone uses, although, are negatively impacted by its weak solubility and inadequate biological availability.
    UNASSIGNED: This investigation examined the efficacy of a new nanoparticle (NP) absorbing TQ in an Ehrlich Ascites Carcinoma (EAC) mice model to address its low solubility, enhance its bioavailability, and protect against Cis-induced nephrotoxicity.
    UNASSIGNED: Following 4 treatment groups were included in this research: (1) control, (2) EAC, (3) EAC + Cis + Thymoquinone nanoparticle (TQ-NP) treated, and (4) EAC + Cis-treated.
    UNASSIGNED: The study revealed that TQ-NP was efficacious in avoiding Cis-induced kidney problems in EAC mice, as well as restoring kidney function and pathology. Thymoquinone nanoparticle considerably reduced Cis-induced oxidative damage in renal tissue by augmenting antioxidant levels. According to tumor weight and histological investigation results, TQ-NP did not impair Cis\'s anticancer efficacy.
    UNASSIGNED: Thymoquinone nanoparticle might be used as a potential drug along with Cis anticancer therapy to reduce nephrotoxicity and other side effects while maintaining Cis anticancer properties.
    UNASSIGNED: Le cisplatine (CIS) est un puissant agent chimiothérapeutique utilisé pour le traitement de nombreux types de cancers. Le cisplatine est cependant corrélé à de la néphrotoxicité et à d’autres conséquences néfastes pour la santé. La thymoquinone (TQ) est une molécule antioxydante et anti-inflammatoire qui peut protéger contre les effets néfastes de différents agents chimiothérapeutiques. Les faibles solubilité et biodisponibilité de la TQ limitent toutefois son utilisation.
    UNASSIGNED: Un modèle de souris atteintes d’un carcinome ascitique d’Ehrlich (souris EAC) a servi à vérifier l’efficacité d’une nouvelle nanoparticule (NP) absorbant la TQ pour remédier aux faibles solubilité et biodisponibilité de la TQ et protéger contre la néphrotoxicité induite par le CIS.
    UNASSIGNED: Les quatre groupes suivants ont été examinés: i) témoin; ii) souris EAC; iii) souris EAC traitées par CIS + TQ-NP (thymoquinone-nanoparticule); iv) souris EAC traitées par CIS.
    UNASSIGNED: L’étude a révélé que la TQ-NP était efficace pour éviter les problèmes rénaux induits par le CIS chez les souris EAC, de même que pour restaurer la fonction rénale et soigner la pathologie. En augmentant les niveaux d’antioxydants, la TQ-NP a considérablement réduit les dommages oxydatifs induits par le CIS dans le tissu rénal. Selon le poids des tumeurs et les résultats de l’étude histologique, la TQ-NP n’a pas altéré l’efficacité anticancéreuse du CIS.
    UNASSIGNED: La TQ-NP pourrait potentiellement être utilisée avec le traitement anticancéreux par CIS afin de réduire la néphrotoxicité et les autres effets secondaires, sans altérer les propriétés anticancer du CIS.
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  • 文章类型: Journal Article
    [177Lu]Lu-PSMA-617最近成功获得FDA批准,MHRA,加拿大卫生部和EMA作为Plovicto®。然而,唾液腺(SG)和肾脏毒性是其主要的剂量限制性副作用,而其相应的吸收和保留机制仍然难以捉摸。最近,存在不同的ATP结合盒(ABC)转运蛋白,如人类乳腺癌耐药蛋白(BCRP),多药耐药蛋白(MDR1),多药耐药相关蛋白(MRP1,MRP4)和溶质盒(SLC)转运体,如多药和毒素挤出蛋白(MATE1,MATE2-K),有机阴离子转运蛋白(OAT1,OAT2v1,OAT3,OAT4)和肽转运蛋白(PEPT2),已在人类SGs和肾脏中的不同丰度得到验证。因此,我们的目的是评估[177Lu]Lu-PSMA-617和[225Ac]Ac-PSMA-617是否是这些ABC和SLC转运蛋白的底物。对于体外研究,新型同位素([α,β-3H]Nal)Lu-PSMA-617用于表达上述人ABC和SLC转运蛋白的细胞系或囊泡,用于抑制和摄取研究,分别。相应的探针底物和参考抑制剂用作对照。我们的结果表明[177Lu]Lu-PSMA-617和[225Ac]Ac-PSMA-617既不是所检查转运蛋白的抑制剂也不是底物。因此,我们的结果表明,人类ABC和SLC转运蛋白在SGs和肾脏中吸收和保留[177Lu]Lu-PSMA-617和[225Ac]Ac-PSMA-617以及观察到的毒性中没有核心作用。
    [177Lu]Lu-PSMA-617 has recently been successfully approved by the FDA, the MHRA, Health Canada and the EMA as Pluvicto®. However, salivary gland (SG) and kidney toxicities account for its main dose-limiting side-effects, while its corresponding uptake and retention mechanisms still remain elusive. Recently, the presence of different ATP-binding cassette (ABC) transporters, such as human breast cancer resistance proteins (BCRP), multidrug resistance proteins (MDR1), multidrug-resistance-related proteins (MRP1, MRP4) and solute cassette (SLC) transporters, such as multidrug and toxin extrusion proteins (MATE1, MATE2-K), organic anion transporters (OAT1, OAT2v1, OAT3, OAT4) and peptide transporters (PEPT2), has been verified at different abundances in human SGs and kidneys. Therefore, our aim was to assess whether [177Lu]Lu-PSMA-617 and [225Ac]Ac-PSMA-617 are substrates of these ABC and SLC transporters. For in vitro studies, the novel isotopologue ([α,β-3H]Nal)Lu-PSMA-617 was used in cell lines or vesicles expressing the aforementioned human ABC and SLC transporters for inhibition and uptake studies, respectively. The corresponding probe substrates and reference inhibitors were used as controls. Our results indicate that [177Lu]Lu-PSMA-617 and [225Ac]Ac-PSMA-617 are neither inhibitors nor substrates of the examined transporters. Therefore, our results show that human ABC and SLC transporters play no central role in the uptake and retention of [177Lu]Lu-PSMA-617 and [225Ac]Ac-PSMA-617 in the SGs and kidneys nor in the observed toxicities.
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  • 文章类型: Journal Article
    聚苯乙烯微塑料(PS-MPs)污染已成为全球关注的热点,并且其进入生物体会引起氧化应激,从而导致多器官损伤。增塑剂邻苯二甲酸二(2-乙基己基)酯(DEHP)是一种常见的内分泌干扰物,这两种环境毒素经常同时发生,但它们对肾脏的综合毒性及其毒性机制尚不清楚。因此,在这项研究中,我们建立了PS-MPS和/或DEHP暴露的小鼠模型。结果表明,单独暴露于PS-MPs和DEHP会引起炎症细胞浸润,细胞膜破裂,和内容物溢出到肾脏组织中。抗氧化酶水平也下调,ROS含量增加,NF-κB通路的激活,刺激热休克蛋白(HSPs)的水平,焦亡,和炎症相关因子。值得注意的是,共同暴露组对肾脏组织表现出更大的毒性,细胞试验进一步验证了这些结果.抗氧化剂N-乙酰半胱氨酸(NAC)和NLRP3抑制剂(MCC950)的引入可以减轻上述措施的变化。总之,PS-MPs和DEHP共同暴露诱导氧化应激,激活NF-κB/NLRP3通路,加重肾脏功能亢进和炎症反应,以及HSPs也参与了这一病理损伤过程。这项研究不仅丰富了增塑剂和微塑料的肾毒性,同时也为多组分共污染在环境中的毒性机制提供了新的见解。
    Polystyrene microplastic (PS-MPs) contamination has become a worldwide hotspot of concern, and its entry into organisms can cause oxidative stress resulting in multi-organ damage. The plasticizer di (2-ethylhexyl) phthalate (DEHP) is a common endocrine disruptor, these two environmental toxins often occur together, but their combined toxicity to the kidney and its mechanism of toxicity are unknown. Therefore, in this study, we established PS-MPS and/or DEHP-exposed mouse models. The results showed that alone exposure to both PS-MPs and DEHP caused inflammatory cell infiltration, cell membrane rupture, and content spillage in kidney tissues. There were also down-regulation of antioxidant enzyme levels, increased ROS content, activated of the NF-κB pathway, stimulated the levels of heat shock proteins (HSPs), pyroptosis, and inflammatory associated factors. Notably, the co-exposure group showed greater toxicity to kidney tissues, the cellular assay further validated these results. The introduction of the antioxidant n-acetylcysteine (NAC) and the NLRP3 inhibitor (MCC950) could mitigate the changes in the above measures. In summary, co-exposure of PS-MPs and DEHP induced oxidative stress that activated the NF-κB/NLRP3 pathway and aggravated kidney pyroptosis and inflammation, as well as that HSPs are also involved in this pathologic injury process. This study not only enriched the nephrotoxicity of plasticizers and microplastics, but also provided new insights into the toxicity mechanisms of multicomponent co-pollution in environmental.
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  • 文章类型: Journal Article
    重金属在我们的环境中自然存在,在日常生活中有许多用途和应用。然而,高浓度的金属可能是工业化污染的结果。特别是,镉(Cd),大量分布在地壳中的白色金属,与锌一起在矿山中发现,它在火山喷发后积累或在海洋和地球中自然发现。高水平的Cd与疾病有关。在人体中,Cd以两种方式积累:通过吸入或消耗,主要是被高浓度污染的植物或鱼类。几个国际组织一直在努力确定食品中重金属的限值,水,和环境,以避免其毒性作用。Cd水平升高可能会诱发肾脏,肝脏,或神经系统疾病。Cd主要积累在肾脏中,在暴露于中等至高水平的人群中引起肾脏疾病,导致终末期慢性肾脏疾病或死亡的发展。这篇综述的目的是概述镉诱导的肾毒性,Cd损伤的机制,以及目前用于减少Cd暴露的毒性作用的治疗方法。
    Heavy metals are found naturally in our environment and have many uses and applications in daily life. However, high concentrations of metals may be a result of pollution due to industrialization. In particular, cadmium (Cd), a white metal abundantly distributed in the terrestrial crust, is found in mines together with zinc, which accumulates after volcanic eruption or is found naturally in the sea and earth. High levels of Cd have been associated with disease. In the human body, Cd accumulates in two ways: via inhalation or consumption, mainly of plants or fish contaminated with high concentrations. Several international organizations have been working to establish the limit values of heavy metals in food, water, and the environment to avoid their toxic effects. Increased Cd levels may induce kidney, liver, or neurological diseases. Cd mainly accumulates in the kidney, causing renal disease in people exposed to moderate to high levels, which leads to the development of end-stage chronic kidney disease or death. The aim of this review is to provide an overview of Cd-induced nephrotoxicity, the mechanisms of Cd damage, and the current treatments used to reduce the toxic effects of Cd exposure.
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  • 文章类型: Journal Article
    草甘膦除草剂混合物的使用越来越多,麦草畏和2-4-D处理抗草甘膦杂草引起了人们对人类健康和环境风险的关注。本研究旨在评估发育暴露于草甘膦和含有草甘膦的除草剂混合物的影响,麦草畏和2-4-D对大鼠肾脏和甲状腺功能以及后代健康的影响。怀孕的Wistar大鼠从妊娠的第6天开始,直到断奶为止,暴露于与欧盟(EU)可接受的每日摄入量(ADI;0.5mg/kgbw/day)相对应的规定相关剂量的草甘膦,和未观察到的不良反应水平(NOAEL;50mg/kgbw/day),和草甘膦的混合物,麦草畏和2,4-D均为欧盟ADI(分别为0.5、0.002和0.3mg/kgbw/天)。断奶后,处死大坝并收集血液和器官。通过测量生存能力来评估幼犬的健康状况,妊娠和肛门生殖器指数。围产期单独暴露于GLY和除草剂混合物会在雄性后代中产生抗雄激素作用。在水坝里,暴露于草甘膦导致肾小球和肾小管功能障碍以及甲状腺激素水平以剂量依赖性方式增加。此外,暴露于除草剂混合物导致的效果与在NOAEL的草甘膦观察到的效果相似,这表明,在单独认为对人类安全的剂量下,除草剂混合物至少具有累加作用。
    The increasing use of the herbicide mixture of glyphosate, dicamba and 2-4-D to deal with glyphosate-resistant weeds raises concerns regarding human health and environmental risks. This study aimed to evaluate the effects of developmental exposure to glyphosate and a herbicide mixture containing glyphosate, dicamba and 2-4-D on rat dams\' kidney and thyroid function and offspring\'s health. Pregnant Wistar rats were exposed from day-6 of gestation till weaning to regulatory relevant doses of glyphosate corresponding to the European Union (EU) acceptable daily intake (ADI; 0.5 mg/kg bw/day), and the no-observed-adverse-effect level (NOAEL; 50 mg/kg bw/day), and to a mixture of glyphosate, dicamba and 2,4-D all at the EU ADI (0.5, 0.002 and 0.3 mg/kg bw/day) respectively. After weaning the dams were sacrificed and blood and organs were collected. The pups\' health was assessed by measuring viability, gestational and anogenital indices. Perinatal exposure to GLY alone and the herbicide mixture resulted in anti-androgenic effects in male offspring. In dams, exposure to glyphosate resulted in kidney glomerular and tubular dysfunction as well as increased thyroid hormone levels in a dose-dependent manner. Furthermore, exposure to the herbicide mixture resulted in effects similar to those observed with glyphosate at the NOAEL, suggesting at least an additive effect of the herbicide mixture at doses individually considered safe for humans.
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  • 文章类型: Journal Article
    当前的大流行已将全球研发生态系统的重点明显转向传染性病原体,如SARS-CoV-2,即COVID-19的病原体。一个典型的例子是与乙型肝炎病毒(HBV)感染相关的慢性肝病,这仍然是全球严重肝病和死亡的主要原因。在世界卫生组织指定的西太平洋和非洲地区,HBV感染的负担最高。富马酸替诺福韦酯(TDF)是用于治疗HBV感染的核苷类似物,但具有潜在的肾毒性。TDF不被细胞色素P450酶代谢,因此,它在肾肾单位近端小管中的清除主要由膜转运蛋白控制。以药物转运体为重点的TDF临床药物基因组学,在这篇透视文章中讨论的,提供了一个及时的例子,其中资源有限的国家和世界上HBV高流行的地区可以加强集体努力,以对抗COVID-19和影响公共卫生的肝病。我们认为,精准/个性化医疗对于指导这一研究探索是非常宝贵的。总之,我们在加纳的经验告诉我们,重要的是在推进COVID-19等传染病研究的同时,不要忘记慢性病的负担。对于与COVID-19的长期博弈,我们需要同时解决传染病和慢性病的公共卫生负担。
    The current pandemic has markedly shifted the focus of the global research and development ecosystem toward infectious agents such as SARS-CoV-2, the causative agent for COVID-19. A case in point is the chronic liver disease associated with hepatitis B virus (HBV) infection that continues to be a leading cause of severe liver disease and death globally. The burden of HBV infection is highest in the World Health Organization designated western Pacific and Africa regions. Tenofovir disoproxil fumarate (TDF) is a nucleoside analogue used in treatment of HBV infection but carries a potential for kidney toxicity. TDF is not metabolized by the cytochrome P450 enzymes and, therefore, its clearance in the proximal tubule of the renal nephron is controlled mostly by membrane transport proteins. Clinical pharmacogenomics of TDF with a focus on drug transporters, discussed in this perspective article, offers a timely example where resource-limited countries and regions of the world with high prevalence of HBV can strengthen the collective efforts to fight both COVID-19 and liver diseases impacting public health. We argue that precision/personalized medicine is invaluable to guide this line of research inquiry. In all, our experience in Ghana tells us that it is important not to forget the burden of chronic diseases while advancing research on infectious diseases such as COVID-19. For the long game with COVID-19, we need to address the public health burden of infectious agents and chronic diseases in tandem.
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  • 文章类型: Journal Article
    基于顺铂的化学放射疗法(CRT)是晚期宫颈癌(CC)的标准治疗方法,但反应率低(46-72%),顺铂具有肾毒性。因此,迫切需要更好的治疗CC。我们直接比较了,第一次,四种DDR抑制剂(rucaparib/PARPi,VE-821/ATRi,PF-477736/CHK1i和MK-1775/WEE1i)作为单一药剂,并在一组CC细胞中与顺铂和放射疗法(RT)组合。所有抑制剂单独引起浓度依赖性细胞毒性。低ATM和DNA-PKcs水平与更大的VE-821细胞毒性相关。顺铂诱导的ATR,所有细胞系中的CHK1和WEE1活性。顺铂仅激活S期细胞中的PARP,但RT在整个人群中激活了PARP。Rucaparib是最有效的放射增敏剂,VE-821是最有效的化学增敏剂。VE-821,PF-47736和MK-1775减弱了顺铂诱导的S期停滞,但倾向于增加G2期积累。在老鼠身上,顺铂诱导的急性肾损伤与氧化应激和PARP激活相关,并可通过rucaparib预防.因此,虽然所有研究的抑制剂都可能增加CRT的疗效,rucaparib的最大临床潜力可能是限制肾脏损害,这是剂量限制。
    Cisplatin-based chemo-radiotherapy (CRT) is the standard treatment for advanced cervical cancer (CC) but the response rate is poor (46-72%) and cisplatin is nephrotoxic. Therefore, better treatment of CC is urgently needed. We have directly compared, for the first time, the cytotoxicity of four DDR inhibitors (rucaparib/PARPi, VE-821/ATRi, PF-477736/CHK1i and MK-1775/WEE1i) as single agents, and in combination with cisplatin and radiotherapy (RT) in a panel of CC cells. All inhibitors alone caused concentration-dependent cytotoxicity. Low ATM and DNA-PKcs levels were associated with greater VE-821 cytotoxicity. Cisplatin induced ATR, CHK1 and WEE1 activity in all of the cell lines. Cisplatin only activated PARP in S-phase cells, but RT activated PARP in the entire population. Rucaparib was the most potent radiosensitiser and VE-821 was the most potent chemosensitiser. VE-821, PF-47736 and MK-1775 attenuated cisplatin-induced S-phase arrest but tended to increase G2 phase accumulation. In mice, cisplatin-induced acute kidney injury was associated with oxidative stress and PARP activation and was prevented by rucaparib. Therefore, while all inhibitors investigated may increase the efficacy of CRT, the greatest clinical potential of rucaparib may be in limiting kidney damage, which is dose-limiting.
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  • 文章类型: Journal Article
    顺铂是FDA批准的抗癌药,广泛用于多种实体瘤的治疗。然而,顺铂的严重不良反应,特别是肾毒性,限制其临床和药物应用。顺铂诱导的肾毒性的主要机制涉及氧化应激,炎症,和肾脏纤维化,这些都涵盖在这篇简短的评论中。特别是,我们在NAD+依赖性氧化还原酶包括线粒体复合物I的背景下综述了顺铂肾损伤的潜在机制。NAD激酶,CD38,沉默调节蛋白,聚ADP核糖基转移酶聚合酶,和烟酰胺核苷酸转氨酶(NNT)及其在改善植物天然产物赋予的顺铂诱导的肾损伤中的潜在作用。我们还涵盖了用于创建涉及小鼠和大鼠的顺铂诱导的肾损伤的动物模型的一般程序。我们强调,需要更多的研究来剖析每种NAD+依赖性氧化还原酶的作用及其在调节顺铂诱导的肾损伤中的作用。结合NAD+氧化还原生物学和天然产物对顺铂诱导的肾损伤的保护作用的深入研究。
    Cisplatin is an FDA approved anti-cancer drug that is widely used for the treatment of a variety of solid tumors. However, the severe adverse effects of cisplatin, particularly kidney toxicity, restrict its clinical and medication applications. The major mechanisms of cisplatin-induced renal toxicity involve oxidative stress, inflammation, and renal fibrosis, which are covered in this short review. In particular, we review the underlying mechanisms of cisplatin kidney injury in the context of NAD+-dependent redox enzymes including mitochondrial complex I, NAD kinase, CD38, sirtuins, poly-ADP ribosylase polymerase, and nicotinamide nucleotide transhydrogenase (NNT) and their potential contributing roles in the amelioration of cisplatin-induced kidney injury conferred by natural products derived from plants. We also cover general procedures used to create animal models of cisplatin-induced kidney injury involving mice and rats. We highlight the fact that more studies will be needed to dissect the role of each NAD+-dependent redox enzyme and its involvement in modulating cisplatin-induced kidney injury, in conjunction with intensive research in NAD+ redox biology and the protective effects of natural products against cisplatin-induced kidney injury.
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