Protopanaxadiol prevents cisplatin-induced acute kidney injury by regulating ferroptosis

Zeyu Song1, Zhenyuan Li1, Tao Pan1

  • 1School of Pharmacy, Key Laboratory of Molecular Pharmacology and Drug Evaluation (Yantai University), Ministry of Education, Collaborative Innovation Center of Advanced Drug Delivery System and Biotech Drugs in Universities of Shandong, Yantai University, Yantai 264005, PR China.

Abstract

Insights

Protopanaxadiol (PPD) protects against cisplatin-induced acute kidney injury (AKI) by inhibiting ferroptosis. This study demonstrates PPD

Area of Science:

  • Nephrology
  • Pharmacology
  • Biochemistry

Background:

  • Cisplatin (CDDP) causes acute kidney injury (AKI), a critical condition lacking specific treatments.
  • Understanding the mechanisms of CDDP-induced AKI is crucial for developing effective therapies.

Purpose of the Study:

  • To evaluate the protective effects of protopanaxadiol (PPD) against CDDP-induced AKI.
  • To elucidate the underlying mechanisms of PPD's protective action in kidney injury.

Main Methods:

  • In vitro assessment of PPD in HK-2 cells exposed to CDDP.
  • In vivo CDDP-induced AKI model in KM mice.
  • Biochemical analysis (BUN, SCr) and histopathological examination.
  • Immunostaining and Western blot for protein expression analysis.

Main Results:

  • PPD enhanced HK-2 cell viability and improved kidney morphology in AKI models.
  • PPD treatment down-regulated transferrin receptor (TRF) and up-regulated ferritin heavy chain, glutathione peroxidase 4, and ferroptosis suppressor protein 1.
  • PPD reduced iron content and restored the antioxidant defense system in kidney tissues.

Conclusions:

  • PPD exhibits significant protective effects against cisplatin-induced nephrotoxicity.
  • PPD's mechanism involves the inhibition of ferroptosis via regulation of iron metabolism and lipid peroxidation.

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