Protective effects of dioscin against cisplatin-induced nephrotoxicity via the microRNA-34a/sirtuin 1 signalling

Yimeng Zhang1, Xufeng Tao1, Lianhong Yin1

  • 1College of Pharmacy, Dalian Medical University, Dalian, China.

Abstract

Insights

Dioscin protects against cisplatin-induced kidney damage by modulating the miR-34a/Sirt1 pathway, reducing oxidative stress and inflammation. This natural compound shows potential for alleviating renal injury.

Area of Science:

  • Pharmacology
  • Nephrology
  • Molecular Biology

Background:

  • Cisplatin (CDDP) is a widely used chemotherapy agent with significant nephrotoxicity.
  • The protective effects of dioscin against CDDP-induced nephrotoxicity are largely unknown.
  • Understanding dioscin's mechanisms against kidney injury is crucial for its therapeutic development.

Purpose of the Study:

  • To investigate the protective effects of dioscin against cisplatin-induced nephrotoxicity.
  • To elucidate the underlying molecular mechanisms of dioscin's action.
  • To explore the role of the miR-34a/Sirt1 signaling pathway in dioscin's renoprotective effects.

Main Methods:

  • In vivo studies using CDDP-treated rats and mice.
  • In vitro experiments with NRK-52E and HK-2 kidney cell lines.
  • Dual luciferase reporter assay to assess miR-34a and Sirt1 interaction.
  • Molecular docking to analyze dioscin's binding to key proteins (Sirt1, Keap1, NF-κB).

Main Results:

  • Dioscin significantly attenuated CDDP-induced renal cell damage and kidney injury.
  • Dioscin reversed CDDP-induced upregulation of miR-34a, leading to increased Sirt1 levels.
  • Dioscin reduced oxidative stress by modulating Nrf2 pathway components and suppressed inflammation by inhibiting NF-κB signaling.
  • Molecular docking confirmed direct binding of dioscin to Sirt1, Keap1, and NF-κBp65.

Conclusions:

  • Dioscin effectively protects against cisplatin-induced nephrotoxicity.
  • The protective effects are mediated through modulation of the miR-34a/Sirt1 pathway, reduction of oxidative stress, and suppression of inflammation.
  • Dioscin represents a promising natural product candidate for preventing or treating chemotherapy-induced kidney injury.

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