Statin induces epithelial cell death and tissue barrier damage in renal tubule on chip

Shiquan Wang1, Yaqi Liu2, Daqing Wang2

  • 1Dalian Institute of Chemical Physics, Chinese Academy of Sciences, Dalian 116023, China; University of Chinese Academy of Sciences, Beijing 100049, China.

Toxicology
|October 15, 2025
PubMed

Insights

Statins like lovastatin can harm kidney cells, causing oxidative stress and damage. This study developed a kidney chip to model and investigate these statin-induced renal side effects in vitro.

Area of Science:

  • Nephrology
  • Toxicology
  • Biotechnology

Background:

  • Statins are widely prescribed for lipid reduction but may cause cytotoxicity.
  • Clinical observations suggest statin-induced kidney damage, but in vivo evidence is lacking.
  • A need exists for reliable in vitro models to study drug nephrotoxicity.

Purpose of the Study:

  • To develop and validate a human renal tubule chip for assessing statin-induced cytotoxicity.
  • To investigate the mechanisms underlying lovastatin-induced nephrotoxicity.
  • To establish a platform for evaluating drug-related renal side effects.

Main Methods:

  • Co-culture of human proximal tubular epithelial cells and umbilical vein endothelial cells under fluidic flow.
  • Application of lovastatin (25 μM) for 48 hours.
  • Assessment of cell viability (CCK-8), membrane integrity (LDH leakage), barrier function, and reactive oxygen species (ROS) production.

Main Results:

  • Lovastatin significantly reduced cell viability, increased LDH leakage, and impaired barrier integrity.
  • Elevated ROS levels were observed in lovastatin-treated cells.
  • Contrary to expectations, N-acetylcysteine or GSH exacerbated injury, while sodium pyruvate mitigated damage and ROS levels.

Conclusions:

  • Lovastatin induces nephrotoxicity through oxidative stress pathways, potentially involving glutathione (GSH).
  • The human renal tubule chip is a viable model for studying drug cytotoxicity and statin-related renal effects.
  • This platform facilitates in vitro assessment of drug safety and mechanistic investigations.

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