Anticancer drug 2-methoxyestradiol protects against renal ischemia/reperfusion injury by reducing inflammatory

Ying-Yin Chen1, Ching-Hua Yeh2, Edmund Cheung So3

  • 1Department of Medical Research, Chi-Mei Medical Center, Tainan 710, Taiwan ; Department of Biotechnology, National Formosa University, Yunlin County 632, Taiwan.

Abstract

Insights

2-Methoxyestradiol (2ME2) significantly reduces kidney ischemia/reperfusion (I/R) injury by inhibiting reactive oxygen species (ROS) and inflammatory cytokines, while promoting antiapoptotic proteins. This demonstrates 2ME2

Area of Science:

  • Nephrology
  • Immunology
  • Pharmacology

Background:

  • Ischemia/reperfusion (I/R) injury is a primary cause of acute renal failure and kidney transplant dysfunction.
  • Reactive oxygen species (ROS) and inflammatory cytokines play critical roles in I/R injury pathogenesis.
  • 2-Methoxyestradiol (2ME2), an endogenous estradiol metabolite, exhibits anti-inflammatory, antiangiogenic, and antitumor properties.

Purpose of the Study:

  • To investigate the protective effects of 2ME2 against renal I/R injury in a mouse model.
  • To elucidate the underlying molecular mechanisms of 2ME2's action in mitigating I/R-induced kidney damage.

Main Methods:

  • Mice were administered 2ME2 (10 or 20 mg/kg) or vehicle before and after inducing renal I/R.
  • Kidney function, tubular damage, and apoptosis were assessed 24 hours post-I/R.
  • Gene and protein expression of key inflammatory, apoptotic, and hypoxia-related factors (e.g., TNF-α, IL-1β, caspase-9, NF-κB, HIF-1α, Bcl-2) were analyzed.
  • In vitro studies evaluated 2ME2's impact on ROS production and cell viability in renal cells.

Main Results:

  • 2ME2 treatment significantly improved renal function and survival in I/R mice, evidenced by lower serum creatinine and blood urea nitrogen levels.
  • Histological analysis revealed attenuated tubular damage in 2ME2-treated mice.
  • 2ME2 administration downregulated the expression of pro-inflammatory cytokines (TNF-α, IL-1β), caspase-9, HIF-1α, and BNIP3, while upregulating antiapoptotic proteins (Bcl-2, Bcl-xL).
  • In vitro, 2ME2 reduced ROS production and enhanced cell viability in stressed renal cells.

Conclusions:

  • 2-Methoxyestradiol (2ME2) effectively mitigates renal ischemia/reperfusion injury in mice.
  • The protective mechanism involves the inhibition of ROS and pro-inflammatory cytokine expression.
  • 2ME2 also promotes cell survival by inducing antiapoptotic proteins, highlighting its therapeutic potential for kidney injury.