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Effects of long-acting erythropoietin analog darbepoetin-α on adriamycin-induced chronic nephropathy

  • Nephrology - Original Paper
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Abstract

Objectives

To study the effects of darbepoetin-α (DPO-α) (erythropoietin analog) on adriamycin (ADR)-induced chronic nephropathy in rats.

Methods

Sixty-nine male Sprague-Dawley rats divided into 3 groups (23 rats each): negative control group: normal rats received saline as a vehicle; positive control (ADR) group: rats received 2 iv injection of ADR via penile vein at 14-day interval without treatment; and DPO-α group: as ADR group but rats received sc DPO-α (0.3 μg/kg bw) once weekly for 12 weeks. By the end of experiment hemoglobin (Hb) content, serum creatinine, BUN, albumin, triglycerides and cholesterol, urinary protein excretion and kidney injury molecule-1 (KIM-1). GSH, malondialdehyde, caspase-3 expression histopathological and electron microscopic examinations for kidney tissues were done.

Results

DPO-α significantly improved the animal survival rate and body weight, Hb, serum BUN, triglycerides, cholesterol, and albumin and urinary protein excretion and KIM-1 in urine. Also, administration of DPO-α improved the morphological damage in glomeruli and renal tubules as well as caspase-3 expression and markers of oxidative stress in kidney tissues.

Conclusion

Administration of DPO-α alleviates ADR nephropathy and this might due to improvement of Hb content, hyperlipidemia, enhancement of endogenous antioxidants, reduction of apoptosis and tubulointerstitial injury and maintaining the integrity of glomerular membrane.

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References

  1. Lerman LO, Chade AR (2009) Angiogenesis in the kidney: a new therapeutic target. Curr Opin Nephrol Hypertens 18(2):160–165

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  2. Lee VW, Harris DC (2011) Adriamycin nephropathy: a model of focal segmental glomerulosclerosis. Nephrology 16:30–38

    Article  PubMed  Google Scholar 

  3. Okuda S, Oh Y, Tsuruda H et al (1986) Adriamycin-induced nephropathy as a model of chronic progressive glomerular disease. Kidney Int 29(2):502–510

    Article  PubMed  CAS  Google Scholar 

  4. Chen A, Sheu LF, Ho YS et al (1998) Experimental focal segmental glomerulosclerosis in mice. Nephron 78:440–452

    Article  PubMed  CAS  Google Scholar 

  5. Pippin JW, Brinkkoetter PT, Cormack-Aboud FC et al (2009) Inducible rodent models of acquired podocyte diseases. Am J Physiol Renal Physiol 296:F213–F229

    Article  PubMed  CAS  Google Scholar 

  6. Liu LL, Li QX, Xia L, Li J, Shao L (2007) Differential effects of dihydropyridine calcium antagonists on doxorubicin-induced nephrotoxicity in rats. Toxicol 231(1):81–90

    Article  CAS  Google Scholar 

  7. El-Shitany NA, El-Haggar S, El-Desoky K (2008) Silymarin prevents adriamycin-induced cardiomyopathy and nephropathy in rats. Food Chem Toxicol 46:2422–2428

    Article  PubMed  CAS  Google Scholar 

  8. Johnson DW, Vesey DA, Gobe GC (2010) Erythropoietin protects against acute kidney injury and failure. Open Drug Discov J 2(1):8–17

    Article  CAS  Google Scholar 

  9. Vesey DA, Cheung C, Pat B et al (2004) Erythropoietin protects against ischaemic acute renal injury. Nephrol Dial Transplant 19:348–355

    Article  PubMed  CAS  Google Scholar 

  10. Aydin Z, Duijs J, Bajema IM et al (2007) Erythropoietin, progenitors, and repair. Kidney Int Suppl 107(Suppl):16–20

    Article  Google Scholar 

  11. Egrie JC, Dwyer E, Browne JK et al (2003) Darbepoetin alfa has a longer circulating half-life and greater in vivo potency than recombinant human erythropoietin. Exp Hematol 31(4):290–299

    Article  PubMed  CAS  Google Scholar 

  12. Bahlmann FH, Fliser D (2009) Erythropoietin and renoprotection. Curr Opin Nephrol Hypertens 18(1):15–20

    Article  PubMed  CAS  Google Scholar 

  13. Duan WR, Garner DS, Williams SD et al (2003) Comparison of immunohistochemistry for activated caspase-3 and cleaved cytokeratin 18 with the TUNEL method for quantification of apoptosis in histological sections of PC-3 subcutaneous xenografts. J Pathol 199:221–228

    Article  PubMed  CAS  Google Scholar 

  14. Hayat MA (2000) Chemical fixation. In: Hayat MA (ed) Principles and techniques of electron microscopy: biological applications, 4th edn. Cambridge University Press, Cambridge

    Google Scholar 

  15. Quiles JL, Ochoa JJ, Huertas JR et al (2006) Olive oil and mitochondrial oxidative stress: studies on adriamycin toxicity, physical exercise and ageing. In: Quiles JL, Ramirez-Tortosa MC, Yaqoob P (eds) Olive oil and health. CABI Publishing, Oxford, pp 119–151

    Chapter  Google Scholar 

  16. Granados-Principal S, Quiles JL, Ramirez-Tortosa CL et al (2010) New advances in molecular mechanisms and the prevention of adriamycin toxicity by antioxidant nutrients. Food Chem Toxicol 48(6):1425–1438

    Article  PubMed  CAS  Google Scholar 

  17. Ammar HI, Saba S, Ammar RI et al (2011) Erythropoietin protects against doxorubicin-induced heart failure. Am J Physiol Heart Circ Physiol 301(6):2413–2421

    Article  Google Scholar 

  18. Boonsanit D, Kanchanapangka S, Buranakarl C (2006) L-carnitine ameliorates doxorubicin-induced nephrotic syndrome in rats. Nephrology 11(4):313–320

    Article  PubMed  CAS  Google Scholar 

  19. Liu HF, Guo LQ, Huang YY et al (2010) Thiazolidinedione attenuate proteinuria and glomerulosclerosis in adriamycin-induced nephropathy rats via slit diaphragm protection. Nephrol 15(1):75–83

    Article  CAS  Google Scholar 

  20. Magnasco A, Corselli M, Bertelli R et al (2008) Mesenchymal stem cells protective effect in adriamycin model of nephropathy. Cell Transplant 17(10–11):1157–1167

    Article  PubMed  Google Scholar 

  21. Hong YM, Kim HS, Yoon H (2002) Serum lipid and fatty acid profiles in adriamycin-treated rats after administration of L-carnitine. Pediatr Res 51:249–255

    Article  PubMed  CAS  Google Scholar 

  22. Pries AR, Secomb TW, Gaehtgens P (2000) The endothelial surface layer. Pflug Arch Eur J Physiol 440(5):653–666

    Article  CAS  Google Scholar 

  23. Drumond MC, Deen WM (1994) Structural determinants of glomerular hydraulic permeability. Am J Physiol 266(1):1–12

    Google Scholar 

  24. Jeansson M, Bjorck K, Tenstad O, Haraldsson B (2009) Adriamycin alters glomerular endothelium to induce proteinuria. J Am Soc Nephrol 20:114–122

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  25. Yang W, Wang J, Shi L et al (2012) Podocyte injury and overexpression of vascular endothelial growth factor and transforming growth factor-beta 1 in adriamycin-induced nephropathy in rats. Cytokine 59:370–376

    Article  PubMed  CAS  Google Scholar 

  26. Tesar V, Zima T, Jirsa M Jr et al (2002) Influence of losartan and enalapril on urinary excretion of 8-isoprostane in experimental nephrotic syndrome. Med Sci Monit 8(2):69–74

    Google Scholar 

  27. Eddy AA (1989) Interstitial nephritis induced by protein-overload proteinuria. Am J Pathol 135:719–733

    PubMed  CAS  PubMed Central  Google Scholar 

  28. Vaidya VS, Ramirez V, Ichimura T et al (2006) Urinary kidney injury molecule-1: a sensitive quantitative biomarker for early detection of kidney tubular injury. Am J Physiol Renal Physiol 290:517–529

    Article  Google Scholar 

  29. Van Timmeren MM, Bakker SJ, Vaidya VS et al (2006) Tubular kidney injury molecule-1 in protein-overload nephropathy. Am J Physiol Renal Physiol 291(2):456–464

    Article  Google Scholar 

  30. Bahlmann FH, Song R, Boehm SM et al (2004) Low-dose therapy with the long-acting erythropoietin analogue darbepoetin alpha persistently activates endothelial Akt and attenuates progressive organ failure. Circulation 110:1006–1012

    Article  PubMed  CAS  Google Scholar 

  31. Fliser D, Bahlmann FH, Haller H (2006) EPO: renoprotection beyond anemia correction. Pediatr Nephrol 21(12):1785–1789

    Article  PubMed  Google Scholar 

  32. Eto N, Wada T, Inagi R et al (2007) Podocyte protection by darbepoetin: preservation of the cytoskeleton and nephrin expression. Kidney Int 72:455–463

    Article  PubMed  CAS  Google Scholar 

  33. Genc S, Akhisaroglu M, Kuralay F, Genc K (2002) Erythropoietin restores glutathione peroxidase activity in 1-methyl-4-phenyl-1,2,5,6- tetrahydropyridine induced neurotoxicity in C57BL mice and stimulates murine astroglial glutathione peroxidase production in vitro. Neurosci Lett 321:73–76

    Article  PubMed  CAS  Google Scholar 

  34. Katavetin P, Inagi R, Miyata T et al (2007) Erythropoietin induces heme oxygenase-1 expression and attenuates oxidative stress. Biochem Biophys Res Commun 359(4):928–934

    Article  PubMed  CAS  Google Scholar 

  35. Kasap B, Soylu A, Kuralay F et al (2008) Protective effect of Epo on oxidative renal injury in rats with cyclosporine nephrotoxicity. Pediatr Nephrol 23(11):1991–1999

    Article  PubMed  Google Scholar 

  36. Johnson DW, Forman C, Vesey DA (2006) Novel renoprotective actions of erythropoietin: new uses for an old hormone. Nephrology 11:306–312

    Article  PubMed  CAS  Google Scholar 

  37. Lacombe C, Mayeux P (1998) Biology of erythropoietin. Haematologica 83:724–732

    PubMed  CAS  Google Scholar 

  38. Kashii Y, Uchida M, Kirito K et al (2000) A member of Forkhead family transcription factor, FKHRL1, is one of the downstream molecules of phosphatidylinositol 3-kinase-Akt activation pathway in erythropoietin signal transduction. Blood 96(3):941–949

    PubMed  CAS  Google Scholar 

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Acknowledgments

We acknowledge Dr Azza El Hadidy, professor of Histology and Cell Biology, Mansoura Faculty of Medicine for her help in histopathological examination.

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Correspondence to Abdelaziz M. Hussein.

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All applicable international, national, and/or institutional guidelines for the care and use of animals were followed.

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Hussein, A.M., Eldosoky, M., Handhle, A. et al. Effects of long-acting erythropoietin analog darbepoetin-α on adriamycin-induced chronic nephropathy. Int Urol Nephrol 48, 287–297 (2016). https://doi.org/10.1007/s11255-015-1171-1

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