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Updated: Jan 19, 2026

Murine Renal Cell Isolation: A Technique to Isolate and Generate Primary Culture of Renal Tubular Epithelial Cells
Published on: April 30, 2023
5-ALA/SFC enhances HO-1 expression through the MAPK/Nrf2 antioxidant pathway and attenuates murine tubular epithelial
Chi Liu1, Masayuki Fujino1,2, Shuoji Zhu3
1Division of Transplantation Immunology, National Research Institute for Child Health and Development, Tokyo, Japan.
Abstract:
Cyclosporin A (CsA) is a common immunosuppressant, but its use is limited as it can cause chronic kidney injury. Oxidative stress and apoptosis play a key role in CsA-induced nephrotoxicity. This study investigated the protective effect of 5-aminolevulinic acid and iron (5-ALA/SFC) on CsA-induced injury in murine proximal tubular epithelial cells (mProx24). 5-ALA/SFC significantly inhibited apoptosis in CsA-treated mProx24 cells with increases in heme oxygenase (HO)-1, nuclear factor E2-related factor 2 (Nrf2), and p38, and Erk-1/2 phosphorylation. Moreover, 5-ALA/SFC suppressed production of reactive oxygen species in CsA-exposed cells and inhibition of HO-1 suppressed the protective effects of 5-ALA/SFC. In summary, 5-ALA/SFC may have potential for development into a treatment for the anti-nephrotoxic/apoptotic effects of CsA.
Insights
5-aminolevulinic acid and iron (5-ALA/SFC) protect kidney cells from immunosuppressant Cyclosporin A (CsA) toxicity. This compound reduces oxidative stress and apoptosis, offering potential therapeutic benefits against CsA-induced nephrotoxicity.
Area of Science:
- Nephrology
- Biochemistry
- Cell Biology
Background:
- Cyclosporin A (CsA) is a vital immunosuppressant with limited use due to nephrotoxicity.
- Oxidative stress and apoptosis are key mechanisms in CsA-induced kidney injury.
Purpose of the Study:
- To investigate the protective effects of 5-aminolevulinic acid and iron (5-ALA/SFC) against CsA-induced nephrotoxicity.
- To elucidate the molecular mechanisms underlying the protective action of 5-ALA/SFC.
Main Methods:
- Utilized murine proximal tubular epithelial cells (mProx24) exposed to CsA.
- Assessed apoptosis, reactive oxygen species (ROS) production, and key protein expressions (HO-1, Nrf2, p38, Erk-1/2).
Main Results:
- 5-ALA/SFC significantly inhibited CsA-induced apoptosis in mProx24 cells.
- 5-ALA/SFC treatment increased heme oxygenase (HO)-1, nuclear factor E2-related factor 2 (Nrf2), and p38/Erk-1/2 phosphorylation.
- 5-ALA/SFC suppressed ROS production; HO-1 inhibition abolished the protective effects.
Conclusions:
- 5-ALA/SFC demonstrates significant anti-nephrotoxic and anti-apoptotic effects against CsA.
- The protective mechanism involves the upregulation of HO-1 and modulation of Nrf2 and MAPK signaling pathways.
- 5-ALA/SFC holds potential for therapeutic development to mitigate CsA-induced kidney injury.
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