GRK2 mediates cisplatin-induced acute liver injury via the modulation of NOX4

Qianlei Wang1, Mengyang Li1, Fei Duan1

  • 1Institute of Clinical Pharmacology, Anhui Medical University, Key Laboratory of Anti-Inflammatory and Immune Medicine, Ministry of Education, Anhui Collaborative Innovation Centre of Anti-Inflammatory and Immune Medicine, Center of Rheumatoid Arthritis of Anhui Medical University, Hefei, 230032, China.

Cell Biology and Toxicology
|November 15, 2024
PubMed
Abstract

Insights

G protein-coupled receptor kinase 2 (GRK2) drives cisplatin-induced acute liver injury (ALI) by increasing oxidative stress and endoplasmic reticulum stress. Inhibiting GRK2 protects against liver damage, suggesting GRK2 as a therapeutic target.

Area of Science:

  • Biochemistry
  • Cell Biology
  • Pharmacology

Background:

  • Acute liver injury (ALI) induced by cisplatin poses a significant clinical challenge.
  • G protein-coupled receptor kinase 2 (GRK2) role in ALI pathogenesis is not fully understood.

Purpose of the Study:

  • To investigate the role of GRK2 in cisplatin-induced ALI.
  • To evaluate the protective effects of pharmacological GRK2 inhibition in ALI.

Main Methods:

  • Generated ALI models in hemizygous GRK2 (Grk2±) and wild-type (WT) mice.
  • Assessed liver injury using biochemical parameters and histopathology.
  • Utilized GRK2-siRNA and pharmacological inhibitors (CP-25, paroxetine) in vitro and in vivo.

Main Results:

  • Cisplatin increased GRK2, p-GRK2, and NADPH oxidase 4 (NOX4) expression, leading to elevated AST/ALT, oxidative stress, ER stress, and apoptosis.
  • Grk2± mice and GRK2 inhibition significantly reduced liver injury markers, NOX4 levels, ER stress, and apoptosis.
  • In vitro studies confirmed GRK2 inhibition's protective effects against cisplatin-induced cellular damage.

Conclusions:

  • GRK2 mediates cisplatin-induced ALI by modulating NOX4 and ER stress pathways.
  • Pharmacological inhibition of GRK2 effectively alleviates liver injury.
  • GRK2 represents a promising therapeutic target for preventing and treating liver injury.