In vitro study on effect of bardoxolone methyl on cisplatin-induced cellular senescence in human proximal tubular cells
Open accessAbstract
Bardoxolone methyl [methyl-2-cyano-3, 12-dioxooleana-1, 9(11)dien-28-oate (CDDO-Me)], an activator of the nuclear factor erythroid-derived 2-related factor2 pathway, is a potential therapeutic candidate for the treatment of kidney diseases. However, its effect against cellular senescence remains unclear. This study aimed to investigate whether CDDO-Me protects cells against cisplatin-induced cellular senescence using an in vitro model. The human renal proximal tubular epithelial cell line HK-2 was treated with cisplatin for 6 h, followed by treatment with or without CDDO-Me (0.1 or 0.2 μmol/L). Senescence markers were analyzed using western blotting and real-time PCR. Apoptosis was evaluated through TUNEL staining. Cisplatin induced changes in the levels of markers specific for proliferation, cell cycle, and senescence in a time- and dose-dependent manner. Furthermore, IL-6 and IL-8 levels in the culture medium increased markedly. These data suggested that cellular senescence-like alterations occurred in HK-2 cells exposed to cisplatin. CDDO-Me treatment reversed the cisplatin-mediated alterations in the levels of cellular senescence markers. The antioxidant enzymes, HO1 , NQO1 , GPX1 , and CAT were upregulated by CDDO-Me treatment. Furthermore, CDDO-Me treatment induced apoptosis in cisplatin-exposed HK-2 cells. Pretreatment with Ac-DEVD-CHO, the caspase inhibitor, suppressed the reversal effect of CDDO-Me against cisplatin-induced cellular senescence-like alterations. This study showed that CDDO-Me attenuated cisplatin-induced premature senescence of HK-2 cells. This beneficial effect may be related to Nrf2 activation. Our findings also showed that CDDO-Me induced apoptosis in cisplatin-treated HK-2 cells, potentially protecting the kidneys from cellular senescence. CDDO-Me appears to be a candidate treatment for acute kidney injury.
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CDDO is a synthesized triterpenoid that potently activates Nrf2, promotes its nuclear translocation, and induces expression of downstream antioxidant proteins such as NQO1 and HO-1.
“CDDO is a synthesized triterpenoid that potently activates Nuclear factor erythroid 2–related factor 2 (Nrf2), promotes its nuclear translocation (Kurosaki et al., 2022), and induces the expression of downstream antioxidant proteins such as NAD(P)H quinone dehydrogenase 1 (NQO1) and heme oxygenase 1 (HO-1) (Liby et al., 2005).”
From Material-dependent oxygen transport governs ischemia-reperfusion injury and drug response in a kidney microphysiological system (2026) · cites this paper as Kurosaki et al., 2022
The Introduction calls CDDO-Me (bardoxolone methyl) a semi-synthetic triterpenoid and potent Nrf2-pathway activator; the Discussion says Nrf2 translocates to the nucleus upon activation by CDDO-Me. The citing sentence instead says CDDO, which the paper does not equate with CDDO-Me. The NQO1 and HO-1 clause is attached to a different citation, so it is not judged against Kurosaki et al. No page numbers are available in our copy. (LLM, conf=0.88)
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Cited by
Sorted by citations
Kutsuzawa, N., Nakamura, H., Shinha, K., & Kimura, H. (2026) · Frontiers in Toxicology · doi:10.3389/ftox.2026.1854389
- Authors
- Kurosaki, Y., Imoto, A., Kawakami, F., Ouchi, M., Morita, A., Yokoba, M., Takenaka, T., Ichikawa, T., Katagiri, M., Nielsen, R., & Ishii, N.
- Affiliations
- Kitasato University (JP)
- Dokkyo Medical University (JP)
- International University of Health and Welfare (JP)
- Aarhus University (DK)
- Corresponding author
- Kurosaki, Yoshifumi
- ORCID
- Venue
- Molecular and Cellular Biochemistry
- Published
- 2022-01-01
- Volume
- 477
- Issue
- 3
- Pages
- 689-699
- ISSN
- 0300-8177 (ISSN-L)
- 1573-4919
- PMC
- PMC8857011
- OpenAlex
- W4205097611
- Cited by
- 21
- References
- 5
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 7 · 2023: 1 · 2022: 2
- FWCI
- 2.66
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Molecular and Cellular Biochemistry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Kitasato University School of Allied Health Sciences (Grant-in-Aid for Research Project, 2021-1022, 2019-1053, 2020-1047)
- JSPS KAKENHI (Grant-in-Aid for Scientific Research (C) No. JP19K07944)
- Kitasato University (Research Grant for Young Researchers 2019-19)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Chemotherapy-induced organ toxicity mitigation
- Health Sciences › Medicine › Physiology › Telomeres, Telomerase, and Senescence
- Health Sciences › Medicine › Nephrology › Acute Kidney Injury Research
- Keywords
- bardoxolone methyl, cisplatin, cellular senescence, Nrf2, HK-2 cells, renal proximal tubular epithelial cells, apoptosis, acute kidney injury, oxidative stress, antioxidant enzymes, caspases, interleukin-6, interleukin-8
- MeSH terms
- Cell Line, Cisplatin, Humans, Kidney Tubules, Proximal, Oleanolic Acid, Cellular Senescence
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