Cyclosporin A inhibits protein kinase C activity: a contributing mechanism in the development of nephrotoxicity?
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Updated: Sep 22, 2026

Assessment of Mitochondrial Functions and Cell Viability in Renal Cells Overexpressing Protein Kinase C Isozymes
Published on: January 7, 2013
R J Walker1, V A Lazzaro, G G Duggin
1Department of Renal Medicine, Royal Prince Alfred Hospital, Camperdown NSW, Australia.
Abstract:
Cyclosporin A modifies many intracellular functions in a variety of different cells. This study investigated the potential interaction between cyclosporin A and protein kinase C, as a possible mechanism for the development of nephrotoxicity. The activity of protein kinase C, in the cytosol of renal epithelial cells, was shown to be significantly inhibited in a dose-dependent manner by CSA. Activation of protein kinase C by 12-O-tetradecanoylphorbol-13-acetate (phorbol ester) in rat mesangial cells in culture leads to an increase in PGE2 release. Phorbol ester stimulated PGE2 release was significantly inhibited by cyclosporin A. These results would suggest that intracellular site of action of cyclosporin A, in producing alterations in intracellular function and toxicity, may be at the level of protein kinase C.
Insights
Cyclosporin A (CSA) inhibits protein kinase C activity in kidney cells, potentially explaining its nephrotoxicity. CSA also blocks phorbol ester-induced PGE2 release in rat mesangial cells, further implicating protein kinase C.
Area of Science:
- Nephrology
- Cell Biology
- Pharmacology
Background:
- Cyclosporin A (CSA) is known to affect various cellular functions.
- The precise mechanisms underlying CSA-induced nephrotoxicity are not fully understood.
- Protein kinase C (PKC) plays a role in cellular signaling and function.
Purpose of the Study:
- To investigate the interaction between Cyclosporin A and protein kinase C.
- To determine if PKC inhibition is a mechanism for CSA nephrotoxicity.
- To explore CSA's effect on PKC-mediated signaling pathways.
Main Methods:
- Assessed protein kinase C activity in the cytosol of renal epithelial cells.
- Used 12-O-tetradecanoylphorbol-13-acetate (phorbol ester) to activate PKC in rat mesangial cells.
- Measured prostaglandin E2 (PGE2) release in response to phorbol ester stimulation.
- Quantified the inhibitory effects of CSA on PKC activity and PGE2 release.
Main Results:
- Cyclosporin A significantly inhibited protein kinase C activity in renal epithelial cells in a dose-dependent manner.
- CSA significantly inhibited phorbol ester-stimulated PGE2 release in cultured rat mesangial cells.
- These findings suggest PKC is a key intracellular target for CSA.
Conclusions:
- Protein kinase C is a likely intracellular target for Cyclosporin A.
- Inhibition of protein kinase C may mediate CSA's effects on intracellular functions and contribute to nephrotoxicity.
- Further research into the CSA-PKC interaction could reveal new therapeutic strategies.
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