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Huber, JM; Tagwerker, A; Heininger, D; Mayer, G; Rosenkranz, AR; Eller, K.
The proteasome inhibitor bortezomib aggravates renal ischemia-reperfusion injury.
Am J Physiol Renal Physiol. 2009; 297(2):F451-F460 Doi: 10.1152/ajprenal.90576.2008 [OPEN ACCESS]
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Führende Autor*innen der Med Uni Graz
Eller Kathrin
Co-Autor*innen der Med Uni Graz
Rosenkranz Alexander
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Abstract:
Bortezomib is a well-established treatment option for patients with multiple myeloma (MM). It is a selective and reversible inhibitor of the proteasome that is responsible for the degradation of many regulatory proteins that are involved in apoptosis, cell-cycle regulation, or transcription. Because patients with MM are prone to develop acute renal failure, we evaluated the influence of bortezomib on renal ischemia-reperfusion injury (IRI). Mice were subjected to renal IRI by having the renal pedicles clamped for 30 min followed by reperfusion for 3, 24, and 48 h. Mice were either pretreated with 0.5 mg/kg body wt bortezomib or vehicle intravenously 12 h before induction of IRI. Serum creatinine and tubular necrosis were significantly increased in bortezomib compared with vehicle-treated mice. The inflammatory response was found to be significantly decreased in bortezomib-treated mice as reflected by a decreased infiltration of CD4(+) T cells and a significantly decreased Th1 cytokine expression in the kidneys. In contrast, apoptosis was significantly increased in kidneys of bortezomib-treated mice compared with vehicle-treated controls. Increased numbers of TUNEL-positive cells/mm(2) and increased mRNA expression of proapoptotic factors were detected in kidneys of bortezomib-treated mice. Of note, p21, a cell senescence marker, was also significantly increased in kidneys of bortezomib-treated mice. In summary, we provide evidence that bortezomib worsens the outcome of renal IRI by leading to increased apoptosis of tubular cells despite decreased infiltrating T cells and proinflammatory mediators.
Find related publications in this database (using NLM MeSH Indexing)
Animals -
Anti-Inflammatory Agents - toxicity
Apoptosis - drug effects
Boronic Acids - administration and dosage Boronic Acids - toxicity
CD4 Lymphocyte Count -
Creatinine - blood
Cyclin-Dependent Kinase Inhibitor p21 - metabolism
Cytokines - metabolism
Disease Models, Animal -
Dose-Response Relationship, Drug -
Injections, Intravenous -
Kidney - drug effects Kidney - enzymology Kidney - immunology Kidney - pathology
Kidney Diseases - chemically induced Kidney Diseases - enzymology Kidney Diseases - immunology Kidney Diseases - pathology
Male -
Mice -
Mice, Inbred C57BL -
Necrosis -
Nephritis - enzymology Nephritis - immunology Nephritis - prevention and control
Protease Inhibitors - administration and dosage Protease Inhibitors - toxicity
Proteasome Endopeptidase Complex - antagonists and inhibitors Proteasome Endopeptidase Complex - metabolism
Pyrazines - administration and dosage Pyrazines - toxicity
Reperfusion Injury - chemically induced Reperfusion Injury - enzymology Reperfusion Injury - immunology Reperfusion Injury - pathology
Time Factors -

Find related publications in this database (Keywords)
inflammation
T cells
apoptosis
senescence
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