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Published on: November 21, 2025
Hydrogen peroxide mediates FK506-induced cytotoxicity in renal cells
Xiaoming Zhou1, Guang Yang, Christopher A Davis
1Division of Nephrology, Department of Medicine, Uniformed Services University, Bethesda, Maryland 20814, USA. xiazhou@usuhs.mil
Background:
The nephrotoxicity induced by immunosuppressant FK506 remains a serious clinical problem, and the underlying mechanism has not been completely understood. The present study was undertaken to determine the role of hydrogen peroxide in FK506-mediated cytotoxicity in a porcine renal proximal tubular cell line, LLC-PK1 cells, and human embryonic kidney (HEK293) cells.
Methods:
Cytotoxicity was estimated by crystal violet and lactate dehydrogenase release assays. The activity of reactive oxygen species (ROS) was detected by flow cytometry. FK506-induced cell death was examined in the presence of the hydrogen peroxide scavenger, catalase, or a scavenger of hydroxyl radicals, sodium benzoate. As a control, FK506-induced cell death was also measured in the presence of superoxide anion inhibitor, 4,5-dihydroxy-1,2-benzene disulfonic acid (Tiron), TEMPO, or overexpressed human manganese superoxide dismutase (MnSOD). Catalase was also used in tumor necrosis factor-alpha (TNF-alpha)-induced cell injury to determine whether the enzyme specifically protected cells against FK506-mediated cytotoxicity.
Results:
FK506 induced cell death in a dose-dependent manner and coincided with a dose-dependent increase in ROS activity. Abrogation of FK506-mediated ROS by catalase and N-acetylcysteine blunted FK506-induced cell death. Furthermore, overexpression of catalase, sodium benzoate, and deferoxamine inhibited the cytotoxic effect of FK506. In contrast, Tiron, TEMPO, or overexpression of human MnSOD failed to show cytoprotection. In fact, TEMPO or expression of MnSOD enhanced the effect of FK506. Catalase did not significantly affect TNF-alpha-induced cell injury.
Conclusion:
Catalase is uniquely required in cellular protection against FK506 cytotoxicity, which suggests an important role for hydrogen peroxide in the cellular actions of FK506.
Insights
Hydrogen peroxide plays a key role in FK506-induced kidney cell damage. The enzyme catalase uniquely protects against this toxicity, highlighting a specific mechanism in FK506 nephrotoxicity.
Area of Science:
- Nephrology
- Toxicology
- Cell Biology
Background:
- FK506 (Tacrolimus) immunosuppressant causes significant nephrotoxicity.
- The precise mechanisms underlying FK506-induced kidney damage are not fully understood.
- This study investigates the role of hydrogen peroxide in FK506 cytotoxicity.
Purpose of the Study:
- To determine the involvement of hydrogen peroxide in FK506-mediated cytotoxicity.
- To elucidate the protective mechanisms against FK506-induced renal cell injury.
Main Methods:
- Assessed cytotoxicity using crystal violet and lactate dehydrogenase release assays.
- Measured reactive oxygen species (ROS) activity via flow cytometry.
- Investigated the effects of ROS scavengers (catalase, sodium benzoate) and inhibitors (Tiron, TEMPO, MnSOD) on FK506-induced cell death.
Main Results:
- FK506 induced dose-dependent cell death and increased ROS activity.
- Catalase and N-acetylcysteine significantly reduced FK506-induced cell death.
- Catalase, sodium benzoate, and deferoxamine inhibited FK506 cytotoxicity, while Tiron, TEMPO, and MnSOD did not offer protection.
Conclusions:
- Hydrogen peroxide is critically involved in FK506-induced cytotoxicity.
- Catalase demonstrates a unique protective role against FK506-mediated renal cell damage.
- These findings suggest a specific mechanism of FK506 action involving hydrogen peroxide.
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