Hydroxyl-augmented gold nanorods via lactone ring-opening alleviate cisplatin nephrotoxicity through Nrf2 activation

Chunyan Fang1, Yueming Cai1, Cui He2

  • 1School of Chemistry and Chemical Engineering, Frontiers Science Center for Transformative Molecules, Institute of Translational Medicine, Shanghai Jiao Tong University, Shanghai, 200240, PR China.

Biomaterials
|August 5, 2025
PubMed

Insights

A novel gold nanorod (Au-M NR) system effectively mitigates cisplatin-induced acute kidney injury (AKI) by enhancing antioxidant delivery. This approach targets oxidative stress, offering a promising strategy for kidney protection in cancer therapy.

Area of Science:

  • Biomedical Engineering
  • Nanomedicine
  • Toxicology

Background:

  • Cisplatin chemotherapy causes dose-limiting acute kidney injury (AKI) due to oxidative stress, with limited targeted interventions.
  • Existing therapies for nephrotoxicity lack efficacy and specificity, highlighting the need for novel renoprotective strategies.

Purpose of the Study:

  • To develop a precision antioxidant delivery system using gold nanorods (Au-M NRs) to mitigate cisplatin-induced AKI.
  • To investigate the mechanism of action involving hydroxyl-driven redox modulation and the Keap1/Nrf2 pathway.

Main Methods:

  • Functionalization of gold nanorods with polyethylene glycol amine and 5,8-dihydroxypsoralen, inducing lactone ring-opening to create hydroxyl groups.
  • Evaluation of hydroxyl-enriched Au-M NRs in cisplatin-treated HK-2 cells and in vivo mouse models.
  • Assessment of reactive oxygen species (ROS) levels, antioxidant gene expression (SOD, Nqo1), and prooxidant markers (MDA, Nox2).

Main Results:

  • Hydroxyl-enriched Au-M NRs significantly reduced ROS levels and activated the Keap1/Nrf2 antioxidant pathway in renal cells.
  • Au-M NRs demonstrated potent in vivo renoprotection, preserving kidney integrity and promoting recovery in chronic exposure models.
  • The nanosystem exhibited biocompatibility and long-term therapeutic viability with sustained protection upon repeated dosing.

Conclusions:

  • The lactone-to-phenol conversion strategy on gold nanorods provides a novel platform for targeted antioxidant delivery against AKI.
  • Au-M NRs offer a promising therapeutic approach for combating cisplatin-induced nephrotoxicity via Nrf2-mediated mechanisms.
  • This topology-guided paradigm holds potential for broader applications in managing organ-specific oxidative injuries.

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