Amelioration of cisplatin-induced mouse renal lesions by a cyclooxygenase (COX)-2 selective inhibitor

Shigeyoshi Honma1, Naho Takahashi, Masahiro Shinohara

  • 1Department of Pharmacology, Faculty of Pharmacy, Takasaki University of Health and Welfare, 60 Nakaorui-machi, Gunma 370-0033, Japan. shonma@takasaki-u.ac.jp

Insights

Meloxicam, a cyclooxygenase-2 inhibitor, reduced kidney damage, inflammation, and oxidative stress caused by cisplatin in mice. This suggests meloxicam may protect against cisplatin-induced nephrotoxicity.

Area of Science:

  • Nephrology
  • Pharmacology
  • Toxicology

Background:

  • Cisplatin is a widely used chemotherapy agent.
  • Cisplatin administration can lead to significant kidney damage (nephrotoxicity).
  • Cyclooxygenase-2 (COX-2) plays a role in inflammatory processes and may contribute to cisplatin-induced kidney injury.

Purpose of the Study:

  • To investigate the protective effects of meloxicam, a selective COX-2 inhibitor, against cisplatin-induced nephrotoxicity in a mouse model.
  • To evaluate the impact of meloxicam on inflammation, oxidative stress, and renal lesions induced by cisplatin.

Main Methods:

  • BALB/c mice were administered a single dose of cisplatin (13 mg/kg).
  • Mice were simultaneously treated with meloxicam (0.7 mg/kg/day) in drinking water.
  • Renal function markers (creatinine, BUN, urinary glucose), COX-2 expression, oxidative stress markers (p47phox, p67phox, HO-1, NOX2, 4-HNE), and inflammatory markers (ERK, JNK phosphorylation, macrophage infiltration) were assessed.

Main Results:

  • Cisplatin injection significantly increased renal injury markers, COX-2 expression, oxidative stress markers, and inflammatory signaling pathways.
  • Simultaneous treatment with meloxicam attenuated these cisplatin-induced changes.
  • Meloxicam inhibited increases in p47phox, HO-1, 4-HNE, ERK, and JNK phosphorylation, and reduced macrophage infiltration.

Conclusions:

  • Meloxicam ameliorates cisplatin-induced renal lesions in mice.
  • The protective effects of meloxicam may be attributed to the inhibition of inflammatory and oxidative stress responses.
  • Targeting COX-2 with meloxicam presents a potential therapeutic strategy to mitigate cisplatin nephrotoxicity.

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