NMDA agonists and antagonists induce renal culture cell toxicity

Jocelyn C Leung1, Natalie Ragland, Tara Marphis

  • 1Department of Pediatrics, Louisiana State University Health Sciences Center and Children's Hospital, New Orleans, Louisiana 70112, USA.

Insights

Excessive stimulation or blockade of the NMDA receptor (NMDAR) in kidney cells can lead to cell death. This study investigated NMDAR effects on renal cell survival, revealing toxicity from both overactivation and inhibition.

Area of Science:

  • Nephrology
  • Neuroscience
  • Cell Biology

Background:

  • The NMDA receptor (NMDAR) is implicated in cell toxicity within the central nervous system.
  • NMDAR expression has been identified in the renal proximal tubule, suggesting a potential role in kidney function and pathology.

Purpose of the Study:

  • To investigate the impact of NMDAR agonists and antagonists on the survival of renal cells.
  • To determine the specific effects of NMDAR modulation on proximal tubule-like (OK) and distal tubule-like (MDCK) kidney cells.

Main Methods:

  • Utilized opossum kidney (OK) and Madin-Darby canine kidney (MDCK) cell lines to model proximal and distal tubules, respectively.
  • Administered varying concentrations of glutamate (agonist) and MK-801/CPP (antagonists) to assess cell viability and apoptosis.
  • Investigated the influence of fetal bovine serum and glycine pre-treatment on NMDAR antagonist-induced toxicity.

Main Results:

  • High-dose glutamate (10 mM) significantly increased cell death in OK cells.
  • NMDAR antagonists MK-801 and CPP induced a dose- and time-dependent increase in cell death and apoptosis specifically in OK cells.
  • Fetal bovine serum partially attenuated antagonist toxicity, while glycine pre-treatment completely protected OK cells from MK-801-induced death.

Conclusions:

  • Both excessive stimulation (high-dose glutamate) and blockade of renal NMDARs can result in proximal tubule cell death.
  • Renal NMDARs, particularly in proximal tubule cells, are sensitive to excitotoxicity and antagonist-induced toxicity.
  • Glycine acts as a cytoprotective agent against NMDAR antagonist toxicity in renal cells, highlighting a potential therapeutic avenue.

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