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.

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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