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Astaxanthin prevents nephrotoxicity through Nrf2/HO-1 pathway
Faezeh Lorestani1, Ahmad Movahedian1, Adel Mohammadalipour1
1Department of Clinical Biochemistry, Isfahan Pharmaceutical Sciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Abstract:
Renal toxicity is one of the side effects of methotrexate (MTX). Therefore, this study explored the use of astaxanthin (AST), as a natural carotenoid, against MTX-induced nephrotoxicity emphasizing the changes in oxidative stress and the expression of nuclear factor erythroid 2-related factor 2/heme oxygenase 1 (Nrf2/HO-1). During the 10 days of the experiment, male Wistar rats in different groups received MTX (10 mg/kg) on days 6, 8, and 10 and three doses of AST (25, 50, and 75 mg/kg) during the entire course. Renal failure caused by MTX was observed in significant histopathological changes and a significant increase in serum levels of creatinine, urea, and uric acid (p < 0.05). Oxidative change induced by MTX injection was also observed by remarkably increasing the tissue level of malondialdehyde (MDA) and decreasing the activity of superoxide dismutase (SOD) and catalase (p < 0.001). AST decreases the adverse effects of MTX by upregulating the expression of Nrf2/HO-1 genes (p < 0.01) and decreasing the tissue level of MDA (p < 0.01). Also, AST significantly reduced the amount of creatinine, urea, and uric acid in the serum and improved the activity of SOD and catalase in the kidney tissue (p < 0.05). Thus, AST may protect the kidney against oxidative stress caused by MTX.
Insights
Astaxanthin (AST) protects against methotrexate (MTX)-induced kidney damage by reducing oxidative stress and improving kidney function markers. This natural carotenoid upregulates the Nrf2/HO-1 pathway, offering a potential therapeutic strategy for nephrotoxicity.
Area of Science:
- Pharmacology
- Toxicology
- Biochemistry
Background:
- Methotrexate (MTX) is a chemotherapy agent with known renal toxicity.
- Oxidative stress plays a critical role in MTX-induced nephrotoxicity.
- Astaxanthin (AST), a natural carotenoid, possesses antioxidant properties.
Purpose of the Study:
- To investigate the protective effects of astaxanthin (AST) against methotrexate (MTX)-induced nephrotoxicity in a rat model.
- To evaluate the impact of AST on oxidative stress markers and the Nrf2/HO-1 pathway in MTX-treated rats.
Main Methods:
- Male Wistar rats were administered MTX and varying doses of AST over 10 days.
- Renal function was assessed by measuring serum creatinine, urea, and uric acid levels.
- Oxidative stress markers, including malondialdehyde (MDA), superoxide dismutase (SOD), and catalase, were analyzed.
- The expression of the Nrf2/HO-1 pathway was examined.
Main Results:
- MTX administration led to significant renal histopathological damage and elevated serum creatinine, urea, and uric acid.
- MTX significantly increased kidney tissue MDA levels and decreased SOD and catalase activity.
- AST treatment dose-dependently ameliorated MTX-induced renal dysfunction and oxidative stress.
- AST upregulated Nrf2/HO-1 gene expression and improved antioxidant enzyme activities.
Conclusions:
- Astaxanthin demonstrates significant nephroprotective effects against MTX-induced toxicity in rats.
- AST mitigates MTX-induced renal damage by alleviating oxidative stress and modulating the Nrf2/HO-1 pathway.
- AST holds potential as a therapeutic agent to prevent or treat MTX-related kidney injury.
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