Pretreatment of Huaiqihuang extractum protects against cisplatin-induced nephrotoxicity

Abstract Cisplatin is a commonly used chemotherapeutic agent in the treatment of different types of malignant tumors, but nephrotoxicity limits its usage. Therefore, in this study, we aimed to determine the possible protective effect of Huaiqihuang (HQH) extractum, a kind of Chinese herbal complex t...

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Autores principales: Yujiao Guo, Meng Wang, Jingyi Mou, Zhi Zhao, Juan Yang, Fengming Zhu, Guangchang Pei, Han Zhu, Yuxi Wang, Gang Xu, Rui Zeng, Ying Yao
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Publicado: Nature Portfolio 2018
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spelling oai:doaj.org-article:1c973b9a290642eeb5dbb0ace56984d42021-12-02T12:32:21ZPretreatment of Huaiqihuang extractum protects against cisplatin-induced nephrotoxicity10.1038/s41598-018-25610-62045-2322https://doaj.org/article/1c973b9a290642eeb5dbb0ace56984d42018-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-018-25610-6https://doaj.org/toc/2045-2322Abstract Cisplatin is a commonly used chemotherapeutic agent in the treatment of different types of malignant tumors, but nephrotoxicity limits its usage. Therefore, in this study, we aimed to determine the possible protective effect of Huaiqihuang (HQH) extractum, a kind of Chinese herbal complex that consists of Trametes robiniophila Murr., Lycium barbarum and Polygonatum sibiricum, against nephrotoxicity induced by cisplatin in mice. We found that pretreatment with HQH significantly attenuated the cisplatin-induced increase in blood urea nitrogen (BUN), interstitial congestion, acute renal tubular injury and tubular cell apoptosis and necroptosis. It was further shown that HQH administration reduced cisplatin-induced release and nuclear-cytoplasmic translocation of HMGB1 and inactivated its downstream signaling molecules, TLR4 and NFκB, in renal tubular cells; as a result, HQH repressed cisplatin-induced TNF-α production. As dexamethasone (Dex) exerts renoprotective effects in severe Acute kidney injury (AKI), we compared it with HQH and found that HQH showed similar renoprotective effects to dexamethasone via similar mechanisms. Considering the potential side effects of corticosteroids, reducing the effectiveness of treatment and shortening survival in solid tumor patients, we suggest administration of HQH as a potential adjuvant for cisplatin therapy in solid tumor patients to preserve renal function.Yujiao GuoMeng WangJingyi MouZhi ZhaoJuan YangFengming ZhuGuangchang PeiHan ZhuYuxi WangGang XuRui ZengYing YaoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 8, Iss 1, Pp 1-10 (2018)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Yujiao Guo
Meng Wang
Jingyi Mou
Zhi Zhao
Juan Yang
Fengming Zhu
Guangchang Pei
Han Zhu
Yuxi Wang
Gang Xu
Rui Zeng
Ying Yao
Pretreatment of Huaiqihuang extractum protects against cisplatin-induced nephrotoxicity
description Abstract Cisplatin is a commonly used chemotherapeutic agent in the treatment of different types of malignant tumors, but nephrotoxicity limits its usage. Therefore, in this study, we aimed to determine the possible protective effect of Huaiqihuang (HQH) extractum, a kind of Chinese herbal complex that consists of Trametes robiniophila Murr., Lycium barbarum and Polygonatum sibiricum, against nephrotoxicity induced by cisplatin in mice. We found that pretreatment with HQH significantly attenuated the cisplatin-induced increase in blood urea nitrogen (BUN), interstitial congestion, acute renal tubular injury and tubular cell apoptosis and necroptosis. It was further shown that HQH administration reduced cisplatin-induced release and nuclear-cytoplasmic translocation of HMGB1 and inactivated its downstream signaling molecules, TLR4 and NFκB, in renal tubular cells; as a result, HQH repressed cisplatin-induced TNF-α production. As dexamethasone (Dex) exerts renoprotective effects in severe Acute kidney injury (AKI), we compared it with HQH and found that HQH showed similar renoprotective effects to dexamethasone via similar mechanisms. Considering the potential side effects of corticosteroids, reducing the effectiveness of treatment and shortening survival in solid tumor patients, we suggest administration of HQH as a potential adjuvant for cisplatin therapy in solid tumor patients to preserve renal function.
format article
author Yujiao Guo
Meng Wang
Jingyi Mou
Zhi Zhao
Juan Yang
Fengming Zhu
Guangchang Pei
Han Zhu
Yuxi Wang
Gang Xu
Rui Zeng
Ying Yao
author_facet Yujiao Guo
Meng Wang
Jingyi Mou
Zhi Zhao
Juan Yang
Fengming Zhu
Guangchang Pei
Han Zhu
Yuxi Wang
Gang Xu
Rui Zeng
Ying Yao
author_sort Yujiao Guo
title Pretreatment of Huaiqihuang extractum protects against cisplatin-induced nephrotoxicity
title_short Pretreatment of Huaiqihuang extractum protects against cisplatin-induced nephrotoxicity
title_full Pretreatment of Huaiqihuang extractum protects against cisplatin-induced nephrotoxicity
title_fullStr Pretreatment of Huaiqihuang extractum protects against cisplatin-induced nephrotoxicity
title_full_unstemmed Pretreatment of Huaiqihuang extractum protects against cisplatin-induced nephrotoxicity
title_sort pretreatment of huaiqihuang extractum protects against cisplatin-induced nephrotoxicity
publisher Nature Portfolio
publishDate 2018
url https://doaj.org/article/1c973b9a290642eeb5dbb0ace56984d4
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