Institute of Translational Medicine, The First Hospital of Jilin University, Changchun, China.
Department of Urology, The First Hospital of Jilin University, Changchun, China.
Chem Biol Interact. 2019 Aug 1;308:269-278. doi: 10.1016/j.cbi.2019.05.040. Epub 2019 May 31.
Although cisplatin is an effective anticancer drug, its clinical application is limited due to various side effects, especially nephrotoxicity. In this study, we investigated the protective effects and possible mechanisms of hesperetin on cisplatin-induced kidney damage. In vitro, hesperetin significantly attenuated oxidative stress-induced apoptosis by reducing ROS levels in cisplatin-treated HK-2 cells. Simultaneously, hesperetin activated the Nrf2 signaling pathway and regulated its downstream genes, including NQO1 and HO-1. In vivo, hesperetin could significantly attenuate cisplatin-induced nephrotoxicity, blood urea nitrogen (BUN) and serum creatinine (SCr). Furthermore, hesperetin clarifies cisplatin-induced oxidative stress by reducing MDA/MPO levels and increasing SOD/GSH levels. In addition, from the histopathological analysis of the kidney, hesperetin significantly reduced the nephrotoxicity caused by cisplatin compared with the cisplatin group. Moreover, western blotting of renal tissue revealed that hesperetin activates Nrf2 in a dose-dependent manner, attenuates the MAPK signaling pathway against inflammation, and inhibits the expression of apoptotic proteins to protect kidneys from AKI caused by cisplatin. Altogether, these findings suggest that hesperetin may be a potential protectant against cisplatin-induced nephrotoxicity.
虽然顺铂是一种有效的抗癌药物,但由于其各种副作用,特别是肾毒性,其临床应用受到限制。在这项研究中,我们研究了橙皮素对顺铂诱导的肾损伤的保护作用及其可能的机制。在体外,橙皮素通过降低顺铂处理的 HK-2 细胞中的 ROS 水平,显著减轻氧化应激诱导的细胞凋亡。同时,橙皮素激活了 Nrf2 信号通路,并调节其下游基因,包括 NQO1 和 HO-1。在体内,橙皮素可以显著减轻顺铂诱导的肾毒性、血尿素氮(BUN)和血清肌酐(SCr)。此外,橙皮素通过降低 MDA/MPO 水平和增加 SOD/GSH 水平来阐明顺铂诱导的氧化应激。此外,与顺铂组相比,肾组织的组织病理学分析表明,橙皮素显著减轻了顺铂引起的肾毒性。此外,肾组织的 Western blot 分析表明,橙皮素以剂量依赖的方式激活 Nrf2,抑制 MAPK 信号通路对抗炎症,并抑制凋亡蛋白的表达,从而保护肾脏免受顺铂引起的急性肾损伤。总之,这些发现表明,橙皮素可能是一种潜在的保护剂,可预防顺铂引起的肾毒性。
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