Rosiglitazone ameliorates cisplatin-induced renal injury in mice

Sik Lee1, Won Kim, Sang-Ok Moon

  • 1Department of Internal Medicine, Chonbuk National University Medical School, 634-18 Keum-Am Dong, Jeonju 561-712, Republic of Korea.

Abstract

Insights

Rosiglitazone protects against cisplatin nephrotoxicity by reducing inflammation and activating protective pathways. This study shows rosiglitazone mitigates kidney damage by suppressing tumor necrosis factor-alpha and nuclear factor-kappaB activation.

Area of Science:

  • Nephrology
  • Pharmacology
  • Immunology

Background:

  • Inflammatory mechanisms are implicated in cisplatin-induced kidney damage.
  • Peroxisome proliferator-activated receptor-gamma (PPARgamma) agonists, like rosiglitazone, modulate inflammatory responses.
  • Understanding rosiglitazone's renoprotective mechanisms against cisplatin is crucial.

Purpose of the Study:

  • To evaluate the protective effects of rosiglitazone against cisplatin nephrotoxicity.
  • To investigate the underlying mechanisms of rosiglitazone's renoprotection.

Main Methods:

  • Mice received cisplatin with or without rosiglitazone pre-treatment.
  • Evaluated renal function, histology, aquaporin 2 (AQP2), adhesion molecules, and tumor necrosis factor-alpha (TNF-alpha).
  • Assessed nuclear factor-kappaB (NF-kappaB) activity and cell viability in cultured human kidney (HK-2) cells.

Main Results:

  • Rosiglitazone significantly reduced cisplatin-induced renal damage and improved renal function.
  • It decreased TNF-alpha levels, adhesion molecule expression, and inflammatory cell infiltration.
  • Rosiglitazone restored AQP2 expression and inhibited NF-kappaB activation in HK-2 cells, indicating a PPARgamma-dependent protective pathway.

Conclusions:

  • Pre-treatment with rosiglitazone attenuates cisplatin-induced kidney damage.
  • This protection is achieved by suppressing TNF-alpha overproduction and NF-kappaB activation.
  • Rosiglitazone demonstrates significant renoprotective potential against cisplatin toxicity.