Time-course analysis of cisplatin induced AKI in preclinical models: implications for testing different sources of

Abantika Ganguly1, Shashank Chetty1, Rosita Primavera1

  • 1Interventional Radiology Innovation at Stanford (IRIS), Department of Radiology, School of Medicine, Stanford University, 3155 Porter Drive, Palo Alto, CA, 94304, USA.

PubMed
Abstract

Insights

This study developed a better preclinical model for cisplatin-induced kidney injury (AKI). Umbilical cord-derived mesenchymal stem cells (UC-MSCs) showed superior efficacy in reversing AKI compared to other MSC sources.

Area of Science:

  • Nephrology
  • Regenerative Medicine
  • Pharmacology

Background:

  • Drug-induced kidney injury, particularly from cisplatin, is a significant clinical concern.
  • Current cytoprotective agents for cisplatin-induced acute kidney injury (AKI) have limitations, necessitating novel therapeutic strategies.
  • Mesenchymal Stem Cells (MSCs) show promise for AKI treatment, but their clinical translation is hindered by source variability and challenges in preclinical modeling.

Purpose of the Study:

  • To establish a standardized and robust preclinical model for cisplatin-induced AKI by analyzing time-course effects and inter-strain/gender differences in mice.
  • To evaluate the therapeutic efficacy of different MSC sources in ameliorating cisplatin-induced AKI using the developed preclinical model.
  • To identify potential biomarkers for assessing AKI severity and therapeutic response.

Main Methods:

  • Conducted a time-course analysis of cisplatin's effects across various mouse strains, assessing gender-related differences.
  • Utilized CXCL1 as a biomarker to compare the efficacy of different MSC sources (UC-MSCs, BM-MSCs, AD-MSCs) in reversing AKI.
  • Developed a standardized preclinical model for evaluating AKI therapies.

Main Results:

  • Mouse strain and cisplatin dosage significantly influenced AKI response, while gender did not show a significant bias.
  • CXCL1 was identified as a key driver of cisplatin-induced inflammation and a reliable biomarker for AKI.
  • Umbilical cord-derived MSCs (UC-MSCs) demonstrated superior anti-inflammatory effects and efficacy in ameliorating cisplatin-induced AKI compared to bone marrow-derived MSCs (BM-MSCs) and adipose-derived MSCs (AD-MSCs).

Conclusions:

  • An optimized preclinical model is crucial for accurately evaluating therapies for cisplatin-induced AKI.
  • CXCL1 serves as a valuable biomarker for monitoring cisplatin-AKI.
  • UC-MSCs represent a highly effective therapeutic option for mitigating cisplatin-induced kidney injury.