Attenuating chemotherapy-induced nephrotoxicity while potentiating antitumor efficacy by transforming a Janus drug

Wancheng Zou1, Chao Shang2, Zhuo Hao2

  • 1School of Materials Science and Engineering, Changchun University of Science and Technology, Changchun, 130022, PR China; Changchun Veterinary Research Institute, Chinese Academy of Agricultural Sciences, Changchun, 130122, PR China.

Biomaterials
|May 30, 2026
PubMed

Insights

This study developed novel carbonized polymer dots from apigenin to protect kidneys from chemotherapy damage. These dots also enhance anti-cancer drug effectiveness, offering a dual benefit for patients.

Area of Science:

  • Biomaterials Science
  • Nanotechnology
  • Pharmacology

Background:

  • Chemotherapy-induced acute kidney injury (AKI) is a significant clinical problem.
  • Current renoprotective agents can reduce the effectiveness of anti-cancer treatments.

Purpose of the Study:

  • To develop a novel therapeutic strategy to mitigate chemotherapy-induced AKI while enhancing anti-tumor efficacy.
  • To overcome the limitations of small-molecule flavonoids, such as poor solubility and rapid clearance.

Main Methods:

  • Apigenin was transformed into bioactive carbonized polymer dots (Api-CPDs) using a one-step carbonization process.
  • Api-CPDs were characterized for hydrophilicity, body retention, and tissue accumulation.
  • The activation of Nrf2/HO-1 and p53 pathways, along with mitophagy, was investigated.

Main Results:

  • Api-CPDs demonstrated high hydrophilicity and prolonged systemic retention.
  • Api-CPDs preferentially accumulated in both renal tissues and tumors.
  • Api-CPDs activated the Nrf2/HO-1 pathway and promoted mitophagy, protecting kidneys from cisplatin-induced apoptosis.
  • Api-CPDs enhanced anti-tumor efficacy by modulating the p53 pathway.

Conclusions:

  • Transforming apigenin into Api-CPDs overcomes small-molecule limitations, enabling dual action.
  • Api-CPDs offer a promising approach for concurrent mitigation of chemotherapy-induced nephrotoxicity and potentiation of anti-tumor effects.

Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists01:28

Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists

Neurokinin 1 (NK1) receptors are distributed across the GI tract, vagal afferents, and key CNS regions including the central vomiting center and chemoreceptor trigger zone (CTZ) Chemotherapy agents stimulate enterochromaffin cells in the gastrointestinal (GI) tract to release large amounts of substance P (SP). SP is a neuropeptide released by specific sensory nerves in response to many different stressors, including those in the GI mucosa affected by chemotherapy.  SP binds and activates these...
Site-Targeted Drug Delivery Systems: Polymeric Carriers01:24

Site-Targeted Drug Delivery Systems: Polymeric Carriers

Polymeric carriers enhance targeted drug delivery by increasing efficacy while minimizing off-target effects. These carriers comprise a biodegradable polymeric backbone integrated with functional elements that enable targeting, improve physicochemical properties, and regulate drug release.Targeting MechanismsThe targeting ability of polymeric carriers is mediated by a homing device, which is a molecular recognition component designed to selectively bind to specific tissues or cells. Monoclonal...
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Modified-Release Drug Delivery Systems: Site-Targeted01:24

Modified-Release Drug Delivery Systems: Site-Targeted

Site-targeted drug delivery systems enhance therapeutic efficacy while minimizing systemic toxicity and treatment costs. Unlike conventional methods, these systems ensure precise drug delivery, improving bioavailability and reducing side effects. Targeted drug delivery is classified into three levels. First-order targeting directs drugs to the capillary beds of specific organs or tissues. Second-order targets specific cell types, such as tumor cells, using receptor-mediated interactions.