Related Experiment Video
Updated: Jun 22, 2026

Modeling Hypoxia/Reoxygenation Injury in Proximal Tubular Epithelial Cells
Published on: November 21, 2025
Epigenetic modifiers exacerbate oxidative stress in renal proximal tubule cells
Edit Nadasi1, Jeb S Clark, Istvan Szanyi
1Quintiles Hungary Ltd, Budapest, Hungary.
Background:
Increased production of reactive oxygen species (ROS) by anticancer drugs has been described in patients with various malignancies, which might attribute to their nephrotoxicity.
Materials And Methods:
The effects of two epigenetic modifiers - trichostatin A (TSA) and 5-aza-deoxycytidine (5AZA) - on ROS production and cell injury alone or in combination with mild oxidative stress were studied in mouse renal proximal tubule cells.
Results:
Both agents increased mitochondrial ROS production and consequent lactate dehydrogenase (LDH) release either alone or in combination with a low dose of H(2)O(2). The antioxidant N-acetyl-cysteine (NAC) abolished LDH release. It was also found that CREB-mediated transcription, vital for survival of proximal tubule cells, is attenuated by these anticancer agents.
Conclusion:
The ROS-inducing activity of TSAI and 5AZA might explain the in vivo nephrotoxicity of epigenetic modifiers. The mechanisms that are responsible for this injury could involve attenuation of pro-survival signaling and/or activation of death signaling pathway(s) associated with mitochondrial ROS release.
Insights
Epigenetic modifiers like TSA and 5AZA increase reactive oxygen species (ROS), causing kidney cell injury. Antioxidants like NAC may protect against this anticancer drug-induced nephrotoxicity.
Area of Science:
- Cell biology
- Toxicology
- Pharmacology
Background:
- Anticancer drugs can increase reactive oxygen species (ROS) production, potentially causing nephrotoxicity.
- Epigenetic modifiers are a class of anticancer drugs with potential kidney toxicity.
Purpose of the Study:
- To investigate the effects of two epigenetic modifiers, trichostatin A (TSA) and 5-aza-deoxycytidine (5AZA), on ROS production and renal cell injury.
- To determine if the antioxidant N-acetyl-cysteine (NAC) can mitigate the observed cell injury.
Main Methods:
- Mouse renal proximal tubule cells were treated with TSA and 5AZA, alone or with hydrogen peroxide (H2O2).
- ROS production and lactate dehydrogenase (LDH) release were measured.
- The effect of NAC on LDH release was assessed.
- CREB-mediated transcription was analyzed.
Main Results:
- Both TSA and 5AZA increased mitochondrial ROS production and LDH release.
- NAC treatment abolished the LDH release induced by these agents.
- CREB-mediated transcription, crucial for proximal tubule cell survival, was attenuated by TSA and 5AZA.
Conclusions:
- The ROS-inducing properties of TSA and 5AZA may contribute to their in vivo nephrotoxicity.
- Mechanisms of injury involve impaired pro-survival signaling and/or activation of death pathways linked to mitochondrial ROS release.
Related Concept Videos
Bioactivation and Tissue Toxicity
Electron Transport Chain: Complex I and II
ROS generation is regulated and maintained at moderate levels necessary...
The Electron Transport Chain
Inhibitors of the electron transport chain
Rotenone, a widely used pesticide, prevents electron transfer from Fe-S cluster to ubiquinone or Q in...
Epigenetic Regulation
X-chromosome...
