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Cis DDP in combination with selenium and sulfur. Subcellular effect in kidney cells. Electron microprobe study

J P Berry1, G Lespinats

  • 1SC 27 de l'INSERM, Centre de Microanalyse du CNRS, Faculté de Médecine, Créteil, France.

Journal of Submicroscopic Cytology and Pathology
|January 1, 1988
PubMed

Insights

Selenium dioxide (SeO2) combined with cisplatin (Cis DDP) effectively protected kidneys from nephrotoxicity. This combination prevented kidney lesions and mineral deposits, unlike sodium thiosulfate (S2O3--).

Area of Science:

  • Nephrology
  • Oncology
  • Toxicology
  • Biochemistry

Background:

  • Cisplatin (Cis DDP) is a crucial anticancer agent with significant nephrotoxic side effects limiting its clinical application.
  • Investigating co-administration of sodium thiosulfate (S2O3--) or selenium dioxide (SeO2) aims to mitigate cisplatin-induced kidney damage.

Purpose of the Study:

  • To evaluate the protective effects of SeO2 and/or S2O3-- against Cis DDP-induced nephrotoxicity using ultrastructural and X-ray microanalysis.
  • To elucidate the roles of sulfur and selenium in the cellular handling of platinum in kidney lysosomes.

Main Methods:

  • Administration of Cis DDP alone, Cis DDP with S2O3--, Cis DDP with SeO2, and Cis DDP with both S2O3-- and SeO2 to assess kidney ultrastructure.
  • X-ray microanalysis to detect the presence and distribution of platinum, sulfur, and selenium within kidney lysosomes.

Main Results:

  • No kidney lesions were observed with the co-administration of SeO2 and Cis DDP.
  • Cis DDP with S2O3-- (or with both S2O3-- and SeO2) showed kidney lesions and intralysosomal platinum and sulfur deposits.
  • Co-administration of SeO2 and Cis DDP resulted in no observed mineral deposits in kidney cells.

Conclusions:

  • Selenium dioxide (SeO2) demonstrates a protective role against cisplatin (Cis DDP) nephrotoxicity, unlike sodium thiosulfate (S2O3--).
  • The findings suggest that selenium may facilitate the urinary elimination of platinum, potentially by associating with it.
  • Sulfur's role appears distinct, possibly promoting intralysosomal platinum concentration, whereas selenium may prevent platinum accumulation.

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