Zebrafish Model-Based Assessment of Indoxyl Sulfate-Induced Oxidative Stress and Its Impact on Renal and Cardiac

Paul Wei-Hua Tang1,2, Ping-Hsun Wu3, Yi-Ting Lin4

  • 1Department of Internal Medicine, Taipei Veterans General Hospital Yuli Branch, Hualien 981, Taiwan.

Insights

Indoxyl sulfate (IS) harms zebrafish embryo development, impacting cardiac and renal systems. This study highlights IS toxicity and suggests zebrafish as a complementary model for assessing human health risks from uremic toxins.

Area of Science:

  • Toxicology
  • Developmental Biology
  • Zebrafish Models

Background:

  • Chronic kidney disease (CKD) patients often have co-occurring mineral bone disorder and hypertension.
  • Uremic toxins, like indoxyl sulfate (IS), accumulate in kidney failure, contributing to cardiovascular disease (CVD) and neuropathy.
  • IS is poorly cleared by hemodialysis, leading to poor prognosis in renal failure patients.

Purpose of the Study:

  • To investigate the impact of indoxyl sulfate (IS) on zebrafish embryo development, focusing on cardiac and renal systems.
  • To explore the potential of zebrafish as a model organism for studying the toxic effects of uremic toxins.
  • To elucidate the molecular pathways involved in IS-induced developmental toxicity.

Main Methods:

  • Zebrafish embryos were exposed to varying concentrations of IS (2.5–10 mM) starting at 24 hours postfertilization (hpf).
  • Assessed developmental parameters including survival, hatching rate, body length, cardiac edema, heart rate, and renal function.
  • Investigated the roles of reactive oxygen species (ROS) and mitogen-activated protein kinase (MAPK) pathways in IS toxicity.

Main Results:

  • IS exposure significantly reduced survival, hatching rates, and body length in zebrafish embryos.
  • Cardiac edema and decreased heart rates were observed, indicating cardiotoxicity.
  • Renal function was impaired, and IS-induced developmental defects were linked to ROS/MAPK pathway activation and subsequent inflammation.

Conclusions:

  • Indoxyl sulfate (IS) demonstrably interferes with cardiac and renal development in zebrafish embryos.
  • This study provides novel evidence of IS toxicity in aquatic organisms and informs human health risk assessments.
  • Zebrafish offer a valuable complementary model to mammalian studies for investigating the physiological impacts of uremic toxins like IS.

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