Renal toxicity caused by cisplatinum in glutathione-depleted metallothionein-null mice

M Satoh1, A Shimada, B Zhang

  • 1Environmental Health Sciences Division, National Institute for Environmental Studies, 305-0053, Tsukuba, Japan. masahiko@nies.go.jp

Biochemical Pharmacology
|November 15, 2000
PubMed

Insights

Metallothionein (MT) and glutathione (GSH) protect against cisplatin (cis-DDP) kidney damage. MT-null mice showed increased cis-DDP nephrotoxicity, highlighting the cooperative protective roles of MT and GSH in mitigating renal damage.

Area of Science:

  • Biochemistry
  • Toxicology
  • Nephrology

Background:

  • Cisplatin (cis-DDP) is a widely used chemotherapy agent with significant nephrotoxic side effects.
  • Metallothionein (MT) and glutathione (GSH) are endogenous molecules known to play roles in cellular defense mechanisms against toxic insults.
  • The specific, cooperative roles of MT and GSH in mitigating cis-DDP-induced kidney damage require further elucidation.

Purpose of the Study:

  • To investigate the protective roles of metallothionein (MT) and glutathione (GSH) in cisplatinum (cis-DDP)-induced nephrotoxicity.
  • To determine the sensitivity of MT-null mice, with or without GSH depletion, to cis-DDP-induced renal toxicity.

Main Methods:

  • Utilized MT-null and wild-type mice models.
  • Administered cis-DDP to induce nephrotoxicity, assessing blood urea nitrogen and creatinine levels.
  • Induced GSH depletion using buthionine sulfoximine (BSO) and assessed its impact on cis-DDP nephrotoxicity.
  • Investigated the effect of zinc sulfate pre-administration on cis-DDP nephrotoxicity in the presence of GSH depletion.

Main Results:

  • Cis-DDP induced significant renal toxicity in both MT-null and wild-type mice, with greater severity observed in MT-null mice.
  • BSO-mediated GSH depletion significantly enhanced cis-DDP nephrotoxicity in both mouse types, more pronouncedly in MT-null mice.
  • Zinc sulfate administration ameliorated BSO-enhanced cis-DDP nephrotoxicity in wild-type mice but not in MT-null mice.

Conclusions:

  • Metallothionein (MT) and glutathione (GSH) play crucial, cooperative roles in detoxifying cis-DDP and protecting against severe kidney damage.
  • MT induction by zinc offers protection against cis-DDP nephrotoxicity, particularly when GSH levels are compromised.
  • These findings underscore the importance of MT and GSH in managing chemotherapy-induced nephrotoxicity.