G protein-coupled estrogen receptor activation attenuates cisplatin-induced CKD in C57BL/6 mice: An insight into

Hala A Ahmed1, Ahmed A Shaaban2, Tarek M Ibrahim2

  • 1Pharmacology and Biochemistry Department, Faculty of Pharmacy, Delta University for Science and Technology, Egypt; Pharmacology and Toxicology Department, Faculty of Pharmacy, Mansoura University, Egypt.

Insights

G1 compound, a GPER agonist, shows promise in protecting against cisplatin-induced kidney damage by reducing inflammation and oxidative stress, offering a potential therapeutic strategy for chronic kidney disease (CKD).

Area of Science:

  • Nephrology
  • Pharmacology
  • Toxicology

Background:

  • Chronic kidney disease (CKD) incidence and progression differ between genders following cisplatin chemotherapy.
  • Cisplatin, a common chemotherapy agent, can induce significant kidney damage (nephrotoxicity).
  • Estrogen receptor pathways may influence kidney disease outcomes.

Purpose of the Study:

  • To investigate the renoprotective effects of G1, a GPER agonist, against cisplatin-induced CKD.
  • To explore the impact of gender and ovariectomy on cisplatin-induced kidney injury.
  • To elucidate the mechanisms underlying G1's potential therapeutic actions.

Main Methods:

  • CKD was induced in male, female, and ovariectomized (OVX) mice using cisplatin injections.
  • Mice were treated with G1 (50 or 100 μg/kg) daily for six weeks.
  • Renal function, blood flow markers, inflammatory cytokines, epithelial-to-mesenchymal transition (EMT), and antioxidant pathways were assessed.

Main Results:

  • Renal damage was more severe in male and OVX mice compared to intact females.
  • G1 treatment significantly improved renal function, evidenced by reduced serum creatinine and increased creatinine clearance.
  • G1 demonstrated immunomodulatory effects (reduced Th17, increased IL-10), inhibited EMT, and enhanced antioxidant defense (Nrf2 upregulation).

Conclusions:

  • G1 exhibits significant renoprotective effects against cisplatin-induced CKD in a gender-dependent manner.
  • The protective mechanisms involve reducing inflammation, inhibiting EMT, and boosting antioxidant capacity.
  • G1 represents a potential therapeutic candidate for mitigating chemotherapy-induced kidney damage.