General Department of Oncology, Jiangxi Cancer Hospital, The Second Affiliated Hospital of Nanchang Medical College, Jiangxi Clinical Research Center for Cancer, Nanchang, Jiangxi Province, China.
Department of General Surgery, Hangzhou First People's Hospital, Hangzhou, Zhejiang Province, China.
Chem Biol Interact. 2024 Apr 25;393:110943. doi: 10.1016/j.cbi.2024.110943. Epub 2024 Mar 9.
Acute kidney injury (AKI) is a common complication of cisplatin chemotherapy, which greatly limits its clinical effect and application. This study explored the function of solute Carrier Family 31 Member 1 (SLC31A1) in cisplatin-induced AKI and its possible mechanism. Mice and HK-2 cells were exposed to cisplatin to establish the in vivo and in vitro AKI models. Cell viability was detected by CCK-8. Mitochondrial and oxidative damage was determined by Mito-Tracker Green staining, mtROS level, ATP production, mitochondrial membrane potential, MDA content and CAT activity. AKI was evaluated by renal function and histopathological changes. Apoptosis was detected by TUNEL and caspase-3 expression. Molecule expression was measured by RT-qPCR, Western blotting, and immunohistochemistry. Molecular mechanism was studied by luciferase reporter assay and ChIP. SLC31A1 level was predominantly increased by cisplatin exposure in AKI models. Notably, copper ion (Cu) level was enhanced by cisplatin challenge. Moreover, Cu supplementation intensified cisplatin-induced cell death, mitochondrial dysfunction, and oxidative stress in HK-2 cells, indicating the involvement of cuproptosis in cisplatin-induced AKI, whereas these changes were partially counteracted by SLC31A1 knockdown. E74 like ETS transcription factor 3 (ELF3) could directly bind to SLC31A1 promoter and promote its transcription. ELF3 was up-regulated and positively correlated with SLC31A1 expression upon cisplatin-induced AKI. SLC31A1 silencing restored renal function, alleviated mitochondrial dysfunction, and apoptosis in cisplatin-induced AKI mice. ELF3 transcriptionally activated SLC31A1 to trigger cuproptosis that drove cisplatin-induced AKI through mitochondrial dysfunction, indicating that SLC31A1 might be a promising therapeutic target to mitigate AKI during cisplatin chemotherapy.
急性肾损伤(AKI)是顺铂化疗的常见并发症,极大地限制了其临床效果和应用。本研究探讨溶质载体家族 31 成员 1(SLC31A1)在顺铂诱导的 AKI 中的作用及其可能的机制。用顺铂处理小鼠和 HK-2 细胞,建立体内和体外 AKI 模型。通过 CCK-8 检测细胞活力。通过 Mito-Tracker Green 染色、mtROS 水平、ATP 生成、线粒体膜电位、MDA 含量和 CAT 活性来测定线粒体和氧化损伤。通过肾功能和组织病理学变化评估 AKI。通过 TUNEL 和 caspase-3 表达检测细胞凋亡。通过 RT-qPCR、Western blot 和免疫组化检测分子表达。通过荧光素酶报告基因和 ChIP 研究分子机制。顺铂处理后,AKI 模型中 SLC31A1 的水平明显增加。值得注意的是,铜离子(Cu)水平在顺铂刺激下增强。此外,Cu 补充加剧了顺铂诱导的 HK-2 细胞死亡、线粒体功能障碍和氧化应激,表明顺铂诱导的 AKI 中涉及铜死亡,而 SLC31A1 敲低部分逆转了这些变化。E74 样 ETS 转录因子 3(ELF3)可直接与 SLC31A1 启动子结合并促进其转录。顺铂诱导的 AKI 中,ELF3 上调并与 SLC31A1 表达呈正相关。SLC31A1 沉默恢复了顺铂诱导的 AKI 小鼠的肾功能,减轻了线粒体功能障碍和细胞凋亡。ELF3 转录激活 SLC31A1 引发铜死亡,通过线粒体功能障碍驱动顺铂诱导的 AKI,表明 SLC31A1 可能是减轻顺铂化疗期间 AKI 的有前途的治疗靶点。
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