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Updated: Aug 13, 2026

Assessment of Mitochondrial Functions and Cell Viability in Renal Cells Overexpressing Protein Kinase C Isozymes
Published on: January 7, 2013
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.
Abstract:
The chemotherapeutic cisplatin causes renal dysfunction and renal proximal tubular cell (RPTC) apoptosis. The goal of these studies was to examine the role of p53, caspase 3, 8, and 9, and mitochondria in the signaling of cisplatin-induced apoptosis. Cisplatin (50 microM) produced time-dependent apoptosis in RPTCs, causing cell shrinkage, a 50-fold increase in caspase 3 activity, a 4-fold increase in phosphatidylserine externalization, and 5- and 15-fold increases in chromatin condensation and DNA hypoploidy, respectively. Mitochondrial membrane potential and ATP levels did not change at any time during cisplatin exposure. Caspase 8 and 9 activities also did not increase during treatment. Cisplatin increased nuclear p53 expression 4 h after treatment, preceding both caspase 3 activation and chromatin condensation. Treatment with the p53 inhibitor alpha-2-(2-imino-4,5,6,7-tetrahydrobenzothiazol-3-yl)-1-p-tolylethanone (PFT) before cisplatin exposure inhibited p53 nuclear expression at 4, 8, and 12 h and inhibited phosphatidylserine externalization and caspase 3 activation at 12 h. Neither DEVD-fmk nor ZVAD-fmk inhibited cisplatin-induced p53 nuclear expression. Both DEVD-fmk and ZVAD-fmk completely inhibited caspase 3 activity but, like PFT, partially inhibited cisplatin-induced chromatin condensation, annexin V labeling, and DNA hypoploidy after 24 h. These data demonstrate that at least 50% of cisplatin-induced apoptosis in RPTC is mediated by p53 and that p53 activates caspase 3 independently of either caspase 9 or 8 or mitochondrial dysfunction. Furthermore, 50% of cisplatin-induced RPTC apoptosis is independent of p53 and caspases 3, 8, and 9.
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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