Cyclosporin-A induced toxicity in rat renal collecting duct cells: interference with enhanced hypertonicity induced

Laura K Schenk1, Markus M Rinschen, Jens Klokkers

  • 1Department of Internal Medicine D, Experimental Nephrology, University of Muenster, Muenster, Germany.

Abstract

Insights

Cyclosporin-A (CsA) increases kidney cell death under high salt conditions, independent of TonEBP. This CsA toxicity involves death receptor signaling, highlighting a specific mechanism of drug-induced nephrotoxicity.

Area of Science:

  • Nephrology
  • Cell Biology
  • Pharmacology

Background:

  • Renal inner medullary collecting duct (IMCD) cells adapt to varying tonicity by regulating gene expression via Tonicity Enhancer Binding Protein (TonEBP).
  • Cyclosporin-A (CsA) is suspected to interfere with TonEBP, potentially causing nephrotoxicity.
  • Understanding CsA's effects on IMCD cells under osmotic stress is crucial.

Purpose of the Study:

  • To investigate the cytotoxic effects of CsA on IMCD cells during elevated ambient osmolality.
  • To elucidate the molecular pathways involved in CsA-induced nephrotoxicity under hypertonic conditions.

Main Methods:

  • Examined CsA cytotoxicity in IMCD cells exposed to increased tonicity.
  • Utilized microarray analysis, real-time PCR, and immunoassays to scrutinize contributing pathways.
  • Assessed TonEBP localization, activity, and reactive oxygen species.

Main Results:

  • CsA, unlike FK506, significantly increased apoptosis in IMCD cells under elevated tonicity.
  • This CsA-induced apoptosis was independent of TonEBP activity and reactive oxygen species.
  • Microarray analysis revealed distinct gene expression changes, with overrepresentation of cell death-associated genes, including those in the death receptor pathway and TNFα.

Conclusions:

  • CsA cytotoxicity is exacerbated under elevated osmolality in IMCD cells.
  • Death receptor signaling pathways likely play a significant role in CsA-induced cytotoxicity under these conditions.

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