Department of Nephrology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China.
Department of Nephrology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China
Clin Sci (Lond). 2018 Feb 2;132(3):339-359. doi: 10.1042/CS20171417. Print 2018 Feb 14.
Histone deacetylase 6 (HDAC6) has been shown to be involved in various pathological conditions, including cancer, neurodegenerative disorders and inflammatory diseases. Nonetheless, its specific role in drug-induced nephrotoxicity is poorly understood. Cisplatin (dichlorodiamino platinum) belongs to an inorganic platinum - fundamental chemotherapeutic drug utilized in the therapy of various solid malignant tumors. However, the use of cisplatin is extremely limited by obvious side effects, for instance bone marrow suppression and nephrotoxicity. In the present study, we utilized a murine model of cisplatin-induced acute kidney injury (AKI) and a highly selective inhibitor of HDAC6, tubastatin A (TA), to assess the role of HDAC6 in nephrotoxicity and its associated mechanisms. Cisplatin-induced AKI was accompanied by increased expression and activation of HDAC6; blocking HDAC6 with TA lessened renal dysfunction, attenuated renal pathological changes, reduced expression of neutrophil gelatinase-associated lipocalin and kidney injury molecule 1, and decreased tubular cell apoptosis. In cultured human epithelial cells, TA or HDAC6 siRNA treatment also inhibited cisplatin-induced apoptosis. Mechanistic studies demonstrated that cisplatin treatment induced phosphorylation of AKT and loss of E-cadherin in the nephrotoxic kidney, and administration of TA enhanced AKT phosphorylation and preserved E-cadherin expression. HDAC6 inhibition also potentiated autophagy as evidenced by increased expression of autophagy-related gene (Atg) 7 (Atg7), Beclin-1, and decreased renal oxidative stress as demonstrated by up-regulation of superoxide dismutase (SOD) activity and down-regulation of malondialdehyde levels. Moreover, TA was effective in inhibiting nuclear factor-κ B (NF-κB) phosphorylation and suppressing the expression of tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6). Collectively, these data provide strong evidence that HDAC6 inhibition is protective against cisplatin-induced AKI and suggest that HDAC6 may be a potential therapeutic target for AKI treatment.
组蛋白去乙酰化酶 6 (HDAC6) 已被证明参与多种病理状态,包括癌症、神经退行性疾病和炎症性疾病。然而,其在药物诱导的肾毒性中的具体作用尚不清楚。顺铂(二氯二氨基铂)属于无机铂 - 基本化疗药物,用于治疗各种实体恶性肿瘤。然而,顺铂的使用受到明显副作用的极大限制,例如骨髓抑制和肾毒性。在本研究中,我们利用顺铂诱导的急性肾损伤 (AKI) 的小鼠模型和 HDAC6 的高选择性抑制剂 tubastatin A (TA),评估 HDAC6 在肾毒性中的作用及其相关机制。顺铂诱导的 AKI 伴随着 HDAC6 的表达和激活增加;用 TA 阻断 HDAC6 可减轻肾功能障碍、减轻肾病理变化、减少中性粒细胞明胶酶相关脂质运载蛋白和肾损伤分子 1 的表达、并减少肾小管细胞凋亡。在培养的人上皮细胞中,TA 或 HDAC6 siRNA 处理也抑制了顺铂诱导的细胞凋亡。机制研究表明,顺铂处理诱导 AKT 的磷酸化和肾毒性中的 E-钙黏蛋白丢失,TA 的给药增强 AKT 的磷酸化并保留 E-钙黏蛋白的表达。HDAC6 抑制也增强了自噬,如自噬相关基因 (Atg) 7 (Atg7)、Beclin-1 的表达增加,以及超氧化物歧化酶 (SOD) 活性的上调和丙二醛水平的下调表明肾氧化应激的减少。此外,TA 有效抑制核因子-κ B (NF-κB) 的磷酸化并抑制肿瘤坏死因子-α (TNF-α) 和白细胞介素-6 (IL-6) 的表达。总之,这些数据提供了强有力的证据表明 HDAC6 抑制对顺铂诱导的 AKI 具有保护作用,并表明 HDAC6 可能是 AKI 治疗的潜在治疗靶点。
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