Koechel D A, Krejci M E, Ridgewell R E
Department of Pharmacology, Medical College of Ohio, Toledo 43699-0008.
Toxicology. 1993 Dec 15;85(1):1-24. doi: 10.1016/0300-483x(93)90080-c.
S-(1,2-dichlorovinyl)-3-mercaptopropionic acid (DCV-3-MPA) was equally nephrotoxic to spontaneously-respiring and mechanically-ventilated, pentobarbital-anesthetized dogs. Its nephrotoxicity was expressed as dose-dependent changes in key renal function parameters, in proximal tubular S1, S2 and S3 cellular architecture and in the ability of the kidneys to respond maximally to ethacrynic acid, an efficacious loop diuretic. The nephrotoxicity associated with DCV-3-MPA was not the result of extrarenal actions such as hypoxemia and subsequent renal tissue hypoxia because mechanical ventilation was not protective. Four lines of evidence suggested that DCV-3-MPA was taken-up by renal proximal tubular cells like a fatty acid and metabolized by the mitochondrial beta-oxidation pathway to a reactive nephrotoxic intermediate: (i) probenecid pretreatment, which reduces the renal uptake of many organic anions but fails to do so with anions of fatty acids, failed to modify the nephrotoxicity of DCV-3-MPA; (ii) the next higher and lower homologues of DCV-3-MPA (i.e., S-(1,2-dichlorovinyl)-4-mercaptobutanoic acid (DCV-4-MBA) and S-(1,2-dichlorovinyl)-mercaptoacetic acid (DCV-MAA)) cannot yield the same reactive intermediate as DCV-3-MPA upon beta-oxidation and neither was nephrotoxic; (iii) DCV-MAA was found in plasma and urine following administration of DCV-4-MBA and (iv) the renal mitochondria were reproducibly damaged by DCV-3-MPA whereas the peroxisomes, which are also capable of performing beta-oxidation of certain fatty acids, were unscathed.
S-(1,2-二氯乙烯基)-3-巯基丙酸(DCV-3-MPA)对自主呼吸和机械通气、戊巴比妥麻醉的犬具有同等的肾毒性。其肾毒性表现为关键肾功能参数、近端小管S1、S2和S3细胞结构的剂量依赖性变化,以及肾脏对强效髓袢利尿剂依他尼酸最大反应能力的变化。与DCV-3-MPA相关的肾毒性并非肾外作用如低氧血症及随后的肾组织缺氧所致,因为机械通气并无保护作用。四条证据表明DCV-3-MPA像脂肪酸一样被肾近端小管细胞摄取,并通过线粒体β-氧化途径代谢为一种有活性的肾毒性中间体:(i)丙磺舒预处理可减少许多有机阴离子的肾摄取,但对脂肪酸阴离子无效,未能改变DCV-3-MPA的肾毒性;(ii)DCV-3-MPA的下一个更高和更低同系物(即S-(1,2-二氯乙烯基)-4-巯基丁酸(DCV-4-MBA)和S-(1,2-二氯乙烯基)-巯基乙酸(DCV-MAA))经β-氧化后不能产生与DCV-3-MPA相同的活性中间体,且均无肾毒性;(iii)给予DCV-4-MBA后,血浆和尿液中发现了DCV-MAA;(iv)DCV-3-MPA可重复性地损伤肾线粒体,而同样能够进行某些脂肪酸β-氧化的过氧化物酶体则未受损伤。