Protection against Cisplatin-Induced Toxicities byN-Acetylcysteine and Sodium Thiosulfate as Assessed at the Molecular, Cellular, and in Vivo Levels
| Autor: | Edward A. Neuwelt, Leslie L. Muldoon, D. Thomas Dickey, Y. Jeffrey Wu |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
inorganic chemicals
Cell Survival Blotting Western Thiosulfates Antineoplastic Agents Apoptosis Pharmacology Kidney Nephrotoxicity Acetylcysteine chemistry.chemical_compound Hearing Ototoxicity In vivo Animals Medicine Rats Long-Evans neoplasms Blood urea nitrogen Cisplatin Creatinine business.industry Chemoprotection medicine.disease female genital diseases and pregnancy complications Rats chemistry Anesthesia Molecular Medicine Female business Signal Transduction medicine.drug |
| Zdroj: | Journal of Pharmacology and Experimental Therapeutics. 314:1052-1058 |
| ISSN: | 1521-0103 0022-3565 |
| Popis: | Cisplatin (CDDP) is a common, highly toxic chemotherapeutic agent. This study investigates chemoprotective effects of N-acetylcysteine (NAC) and sodium thiosulfate (STS) on in vitro and in vivo CDDP toxicities. For ototoxicity studies, CDDP (6 mg/kg) was administered to rats via a retrograde carotid artery infusion. Auditory brainstem response thresholds at 4 to 20 kHz were tested before and 7 days post-treatment. STS (8 g/m(2) i.v.) was administered at 4, 8, or 12 h after CDDP. For nephrotoxicity studies, rats were treated with CDDP intraperitoneally (10 mg/kg) before or after NAC (400 mg/kg) or STS (8 g/m(2)), and blood urea nitrogen (BUN) and creatinine concentrations were measured after 3 days. In vitro cytotoxicity and chemoprotection in human tumor cell lines were assessed by cell viability and immunoblotting assays. Rats treated with STS 4 h after CDDP exhibited no hearing change. The STS 8-h group had less otoprotection, whereas 12-h rats had ototoxicity. CDDP induced high BUN and creatinine, corresponding to renal tubule toxicities. All NAC-treated animals showed normal BUN and reduced creatinine levels compared with CDDP alone and no histopathological evidence of nephrotoxicity. Delayed STS treatment was not consistently protective against nephrotoxicity. STS administration fully protected against the in vitro cytotoxic and apoptotic effects of CDDP if added within 2 h of CDDP, but chemoprotection decreased if STS administration was 4 h, and was minimal by 6 h, after CDDP. Thus, the chemoprotection route and timing of administration can be manipulated to maintain CDDP antitumor efficacy while protecting against toxicities. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|