Cisplatin-induced renal cell apoptosis: caspase 3-dependent and -independent pathways

Brian S Cummings1, Rick G Schnellmann

  • 1Department of Pharmaceutical Sciences, Medical University of South Carolina, 280 Calhoun Street, Charleston, SC 29425, USA.

Insights

Cisplatin induces kidney cell death (apoptosis) partly through the p53 protein, independent of mitochondrial damage or caspases 8/9. This p53 pathway activates caspase 3, but another 50% of cisplatin-induced apoptosis occurs independently.

Area of Science:

  • Cell Biology
  • Molecular Biology
  • Toxicology

Background:

  • Cisplatin is a widely used chemotherapeutic agent.
  • Cisplatin is known to cause nephrotoxicity, leading to renal proximal tubular cell (RPTC) apoptosis.
  • The precise molecular mechanisms underlying cisplatin-induced RPTC apoptosis are not fully elucidated.

Purpose of the Study:

  • To investigate the roles of p53, caspases 3, 8, and 9, and mitochondria in cisplatin-induced RPTC apoptosis.
  • To determine the signaling pathways involved in cisplatin-induced cell death.

Main Methods:

  • RPTCs were treated with cisplatin (50 microM).
  • Apoptosis markers including caspase activity, phosphatidylserine externalization, chromatin condensation, and DNA hypoploidy were measured.
  • Mitochondrial membrane potential and ATP levels were assessed.
  • The expression of nuclear p53 was analyzed.
  • Inhibitors of p53 (PFT), caspase 3 (DEVD-fmk), and broad-spectrum caspases (ZVAD-fmk) were used to probe signaling pathways.

Main Results:

  • Cisplatin induced time-dependent apoptosis in RPTCs, characterized by cell shrinkage, increased caspase 3 activity, phosphatidylserine externalization, chromatin condensation, and DNA hypoploidy.
  • Mitochondrial function (membrane potential, ATP levels) and caspase 8/9 activities remained unchanged.
  • Nuclear p53 expression increased preceding caspase 3 activation and chromatin condensation.
  • Inhibition of p53 partially blocked cisplatin-induced apoptosis markers.
  • Inhibition of caspase 3 or broad-spectrum caspases partially blocked apoptosis markers but did not affect p53 nuclear expression.

Conclusions:

  • At least 50% of cisplatin-induced RPTC apoptosis is mediated by p53, which activates caspase 3 independently of caspase 8/9 or mitochondrial dysfunction.
  • The remaining 50% of cisplatin-induced RPTC apoptosis occurs independently of p53 and the caspases 3, 8, and 9 signaling pathways.
  • These findings highlight a complex, multi-faceted mechanism of cisplatin-induced nephrotoxicity.

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