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Tetrahydrocurcumin Attenuates Polymyxin B Sulfate-Induced HK-2 Cells Apoptosis by Inhibiting Endoplasmic Reticulum
Junjie Chen1,2, Weibin Fan2,3, Jing Fan2,3
1Department of Intensive Care Medicine, Changxing People's Hospital; Changxing Branch, Second Affiliated Hospital of Zhejiang University School of Medicine, Huzhou, China.
Abstract:
The clinical application of polymyxin B (PMB) is limited by its nephrotoxic effects, making the reduction of PMB-induced nephrotoxicity has become a pressing concern for clinicians. Tetrahydrocurcumin (THC), known for its beneficial characteristics in biological functions, presents an attractive option for intervention therapy to mitigate PMB-induced nephrotoxicity. However, the underlying mechanism of how THC mitigates PMB-induced nephrotoxicity is still poorly understood. Here, we first evaluated the potential of THC intervention therapy to mitigate PMB-induced nephrotoxicity in an in vitro model of PMB-induced cell injury. Moreover, we demonstrated that THC effectively protected HK-2 cells from PMB-induced apoptosis by using cell counting kit-8 and flow cytometry assay. THC could also suppress PMB-induced endoplasmic reticulum (ER) stress via PERK/eIF2α/ATF4/CHOP pathway. In addition, using PERK inhibitor GSK2606414 to inhibit ER stress also alleviated PMB-induced apoptosis. Taken together, these findings provide novel insights that THC possesses the ability to alleviate PMB-induced nephrotoxicity by inhibiting the ER stress-mediated PERK/eIF2α/ATF4/CHOP axis, which sheds light on the benefits of THC as an intervention strategy to reduce PMB-induced nephrotoxicity, thus providing a potential avenue for improved clinical outcomes in patients receiving PMB treatment.
Insights
Tetrahydrocurcumin (THC) protects kidney cells from polymyxin B (PMB) damage by reducing endoplasmic reticulum stress. This finding highlights THC as a potential therapy to mitigate PMB-induced nephrotoxicity.
Area of Science:
- Nephrology
- Pharmacology
- Cell Biology
Background:
- Polymyxin B (PMB) is a critical antibiotic, but its clinical use is limited by significant nephrotoxicity.
- Reducing PMB-induced kidney damage is a major clinical challenge.
- Tetrahydrocurcumin (THC) shows promise for mitigating drug-induced toxicities, but its mechanism against PMB nephrotoxicity is unclear.
Purpose of the Study:
- To investigate the protective effects of Tetrahydrocurcumin (THC) against polymyxin B (PMB)-induced nephrotoxicity.
- To elucidate the underlying molecular mechanisms by which THC mitigates PMB-induced kidney cell injury.
Main Methods:
- In vitro assessment of THC's efficacy in a model of PMB-induced kidney cell injury (HK-2 cells).
- Cell counting kit-8 and flow cytometry assays to evaluate cell viability and apoptosis.
- Analysis of the endoplasmic reticulum (ER) stress pathway, specifically the PERK/eIF2α/ATF4/CHOP axis.
- Pharmacological inhibition of ER stress using PERK inhibitor GSK2606414.
Main Results:
- THC significantly protected HK-2 cells against PMB-induced apoptosis.
- THC suppressed PMB-induced endoplasmic reticulum (ER) stress.
- THC's protective effect was mediated through the inhibition of the PERK/eIF2α/ATF4/CHOP pathway.
- Inhibition of ER stress with GSK2606414 also reduced PMB-induced apoptosis.
Conclusions:
- Tetrahydrocurcumin (THC) effectively alleviates polymyxin B (PMB)-induced nephrotoxicity in vitro.
- THC mitigates PMB-induced kidney injury by inhibiting ER stress via the PERK/eIF2α/ATF4/CHOP pathway.
- THC represents a promising therapeutic strategy to reduce PMB-associated nephrotoxicity and improve clinical outcomes.
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