Lipidomics Reveals Cisplatin-Induced Renal Lipid Alterations during Acute Kidney Injury and Their Attenuation by Cilastatin

Nephrotoxicity is a major complication of cisplatin-based chemotherapy, leading to acute kidney injury in ca. 30% of patients, with no preventive intervention or treatment available for clinical use. Cilastatin has proved to exert a nephroprotective effect for cisplatin therapies in in vitro and in...

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Autores principales: Estefanía Moreno-Gordaliza, Maria Dolores Marazuela, Óscar Pastor, Alberto Lázaro, María Milagros Gómez-Gómez
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:101ae9934e0042989ff7186d0b177d8f2021-11-25T17:57:29ZLipidomics Reveals Cisplatin-Induced Renal Lipid Alterations during Acute Kidney Injury and Their Attenuation by Cilastatin10.3390/ijms2222125211422-00671661-6596https://doaj.org/article/101ae9934e0042989ff7186d0b177d8f2021-11-01T00:00:00Zhttps://www.mdpi.com/1422-0067/22/22/12521https://doaj.org/toc/1661-6596https://doaj.org/toc/1422-0067Nephrotoxicity is a major complication of cisplatin-based chemotherapy, leading to acute kidney injury in ca. 30% of patients, with no preventive intervention or treatment available for clinical use. Cilastatin has proved to exert a nephroprotective effect for cisplatin therapies in in vitro and in vivo models, having recently entered clinical trials. A deeper understanding at the molecular level of cisplatin-induced renal damage and the effect of potential protective agents could be key to develop successful nephroprotective therapies and to establish new biomarkers of renal damage and nephroprotection. A targeted lipidomics approach, using LC-MS/MS, was employed for the quantification of 108 lipid species (comprising phospholipids, sphingolipids, and free and esterified cholesterol) in kidney cortex and medulla extracts from rats treated with cisplatin and/or cilastatin. Up to 56 and 63 lipid species were found to be altered in the cortex and medulla, respectively, after cisplatin treatment. Co-treatment with cilastatin attenuated many of these lipid changes, either totally or partially with respect to control levels. Multivariate analysis revealed that lipid species can be used to discriminate renal damage and nephroprotection, with cholesterol esters being the most discriminating species, along with sulfatides and phospholipids. Potential diagnostic biomarkers of cisplatin-induced renal damage and cilastatin nephroprotection were also found.Estefanía Moreno-GordalizaMaria Dolores MarazuelaÓscar PastorAlberto LázaroMaría Milagros Gómez-GómezMDPI AGarticlelipidomicscisplatinacute kidney injurycilastatinnephroprotectionbiomarkersBiology (General)QH301-705.5ChemistryQD1-999ENInternational Journal of Molecular Sciences, Vol 22, Iss 12521, p 12521 (2021)
institution DOAJ
collection DOAJ
language EN
topic lipidomics
cisplatin
acute kidney injury
cilastatin
nephroprotection
biomarkers
Biology (General)
QH301-705.5
Chemistry
QD1-999
spellingShingle lipidomics
cisplatin
acute kidney injury
cilastatin
nephroprotection
biomarkers
Biology (General)
QH301-705.5
Chemistry
QD1-999
Estefanía Moreno-Gordaliza
Maria Dolores Marazuela
Óscar Pastor
Alberto Lázaro
María Milagros Gómez-Gómez
Lipidomics Reveals Cisplatin-Induced Renal Lipid Alterations during Acute Kidney Injury and Their Attenuation by Cilastatin
description Nephrotoxicity is a major complication of cisplatin-based chemotherapy, leading to acute kidney injury in ca. 30% of patients, with no preventive intervention or treatment available for clinical use. Cilastatin has proved to exert a nephroprotective effect for cisplatin therapies in in vitro and in vivo models, having recently entered clinical trials. A deeper understanding at the molecular level of cisplatin-induced renal damage and the effect of potential protective agents could be key to develop successful nephroprotective therapies and to establish new biomarkers of renal damage and nephroprotection. A targeted lipidomics approach, using LC-MS/MS, was employed for the quantification of 108 lipid species (comprising phospholipids, sphingolipids, and free and esterified cholesterol) in kidney cortex and medulla extracts from rats treated with cisplatin and/or cilastatin. Up to 56 and 63 lipid species were found to be altered in the cortex and medulla, respectively, after cisplatin treatment. Co-treatment with cilastatin attenuated many of these lipid changes, either totally or partially with respect to control levels. Multivariate analysis revealed that lipid species can be used to discriminate renal damage and nephroprotection, with cholesterol esters being the most discriminating species, along with sulfatides and phospholipids. Potential diagnostic biomarkers of cisplatin-induced renal damage and cilastatin nephroprotection were also found.
format article
author Estefanía Moreno-Gordaliza
Maria Dolores Marazuela
Óscar Pastor
Alberto Lázaro
María Milagros Gómez-Gómez
author_facet Estefanía Moreno-Gordaliza
Maria Dolores Marazuela
Óscar Pastor
Alberto Lázaro
María Milagros Gómez-Gómez
author_sort Estefanía Moreno-Gordaliza
title Lipidomics Reveals Cisplatin-Induced Renal Lipid Alterations during Acute Kidney Injury and Their Attenuation by Cilastatin
title_short Lipidomics Reveals Cisplatin-Induced Renal Lipid Alterations during Acute Kidney Injury and Their Attenuation by Cilastatin
title_full Lipidomics Reveals Cisplatin-Induced Renal Lipid Alterations during Acute Kidney Injury and Their Attenuation by Cilastatin
title_fullStr Lipidomics Reveals Cisplatin-Induced Renal Lipid Alterations during Acute Kidney Injury and Their Attenuation by Cilastatin
title_full_unstemmed Lipidomics Reveals Cisplatin-Induced Renal Lipid Alterations during Acute Kidney Injury and Their Attenuation by Cilastatin
title_sort lipidomics reveals cisplatin-induced renal lipid alterations during acute kidney injury and their attenuation by cilastatin
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/101ae9934e0042989ff7186d0b177d8f
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AT mariadoloresmarazuela lipidomicsrevealscisplatininducedrenallipidalterationsduringacutekidneyinjuryandtheirattenuationbycilastatin
AT oscarpastor lipidomicsrevealscisplatininducedrenallipidalterationsduringacutekidneyinjuryandtheirattenuationbycilastatin
AT albertolazaro lipidomicsrevealscisplatininducedrenallipidalterationsduringacutekidneyinjuryandtheirattenuationbycilastatin
AT mariamilagrosgomezgomez lipidomicsrevealscisplatininducedrenallipidalterationsduringacutekidneyinjuryandtheirattenuationbycilastatin
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