Mitochondrial-targeted antioxidants represent a promising approach for prevention of cisplatin-induced nephropathy.

Mitochondrial-targeted antioxidants represent a promising approach for prevention of cisplatin-induced nephropathy.
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DOI:
10.1016/j.freeradbiomed.2011.11.001
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发表时间:
2012-01-15
影响因子:
7.4
通讯作者:
Pacher, Pal
Pacher, Pal
中科院分区:
医学1区
文献类型:
--
作者:
Mukhopadhyay, Partha;Horvath, Bela;Zsengeller, Zsuzsanna;Zielonka, Jacek;Tanchian, Galin;Holovac, Eileen;Kechrid, Malek;Patel, Vivek;Stillman, Isaac E.;Parikh, Samir M.;Joseph, Joy;Kalyanaraman, Balaraman;Pacher, Pal

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Cisplatin is a widely used anti-neoplastic agent; however, its major limitation is the development of dose-dependent nephrotoxicity whose precise mechanisms are poorly understood. Here we show that mitochondrial dysfunction is not only a feature of cisplatin nephrotoxicity, but that targeted delivery of superoxide dismutase mimetics to mitochondria largely prevents the renal effects of cisplatin. Cisplatin induced renal oxidative stress, deterioration of mitochondrial structure and function, an intense inflammatory response, histopathological injury, and renal dysfunction. A single systemic dose of mitochondrially-targeted antioxidants, MitoQ or Mito-CP, dose-dependently prevented cisplatin-induced renal dysfunction. Mito-CP also prevented mitochondrial injury and dysfunction, renal inflammation, and tubular injury and apoptosis. Despite being broadly renoprotective against cisplatin, Mito-CP did not diminish cisplatin’s anti-neoplastic effect in a human bladder cancer cell line. Our results highlight the central role of mitochondrially generated oxidants in the pathogenesis of cisplatin nephrotoxicity. Since similar compounds appear to be safe in humans, mitochondrially-targeted antioxidants may represent a novel therapeutic approach against cisplatin nephrotoxicity.
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