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In Vitro hRPTEC TERT1 Model for Uranium-Induced Nephrotoxicity Pathway Study
Marie Frerejacques1, Victoria Powell1, Sebastien Giraud2
1LRSI, SESANE, PSE-SANTE, Nuclear Safety and Radiation Protection Authority (ASNR), Fontenay-aux-Roses, 92262, France.
Journal of Toxicology
|June 22, 2026
Summary
Uranium (U(VI)) causes kidney toxicity through oxidative stress and inflammation. This study details the adverse outcome pathway (AOP) for uranium-induced renal failure using human kidney cells, identifying key molecular events.
Area of Science:
- Toxicology and Pharmacology
- Renal Cell Biology
- Environmental Health
Background:
- Uranium (U(VI)), a heavy metal and alpha emitter, poses significant chemical and radiological toxicity risks, primarily targeting the kidneys.
- The precise mechanisms of uranium-induced renal failure remain incompletely understood, particularly through the lens of the Adverse Outcome Pathway (AOP) approach.
- Understanding these mechanisms is crucial for developing effective strategies to mitigate uranium's nephrotoxic effects.
Purpose of the Study:
- To investigate the molecular mechanisms underlying uranium (U(VI))-induced kidney toxicity using an in vitro model of human renal proximal tubule epithelial cells (hRPTEC TERT1).
- To contribute to the development of the Adverse Outcome Pathway (AOP) for kidney toxicity.
- To identify key events at the gene and protein levels associated with uranium exposure, including oxidative stress, apoptosis, inflammation, and cell survival.
Main Methods:
- Utilized a specialized in vitro model of human renal proximal tubule epithelial cells (hRPTEC TERT1).
- Determined U(VI) concentrations inducing apoptosis (Caspase 3/7 activity) and necrosis (LDH assay).
- Analyzed gene and protein expression levels related to oxidative stress (ROS), apoptosis, cell survival, inflammation (TNFα, IL-6, IL-18), and kidney injury biomarkers (KIM-1).
Main Results:
- Apoptosis was induced from 300 μM U(VI), and necrosis from 500 μM, with an IC50 of 420 μM after 48h exposure.
- Uranium exposure led to early oxidative stress (ROS production) and subsequent antioxidant responses.
- Higher U(VI) concentrations (> 300 μM) triggered significant inflammatory responses and increased caspase 3/7 and LDH activities, with a slight increase in KIM-1 protein.
Conclusions:
- This study successfully generated a multiplex panel detailing key events in the AOP of uranium-induced renal failure using a relevant human kidney cell model.
- The findings elucidate the dose-dependent effects of U(VI) on renal cells, highlighting oxidative stress and inflammation as critical contributors to nephrotoxicity.
- This research provides a foundation for further investigation into uranium's renal toxicity and the development of targeted interventions.

