Cited by 83Chemotherapy-induced organ toxicity mitigationChemotherapy-induced cardiotoxicity and mitigationChemotherapy-related skin toxicity

Protective effects of madecassoside against Doxorubicin induced nephrotoxicity in vivo and in vitro

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Su, Zhonghao, Ye, Jin, Qin, Zhenxia, Ding, Xianting·2015·Scientific Reports

Abstract

Madecassoside (MA), a triterpenoid saponin isolated from C. asitica, exerts various pharmacological activity including antioxidative and antinflammatory. Doxorubicin (DOX), a common chemotherapeutic drug, has been reported to induce numerous toxic side effects including renal-toxicity. We hypothesized that MA administration may decrease renal-toxicity caused by DOX. In this study, we investigated this hypothesis by introducing MA and DOX into the culture of Human Proximal Tubule Cells HK-2 and mice model. Our in vivo study demonstrated that MA (12 mg/kg), treatment for two weeks attenuated DOX-induced renal injury via protecting renal function, recovering antioxidant enzyme activity, inhibiting Bax, p-ERK1/2, NF-κB p65, iNOS expression and increasing Bcl-2 expression. Similar findings were obtained in our in vitro studies with treatment of DOX and/or MA. Further studies with application of iNOS inhibitor and ERK1/2 kinase inhibitor indicated that the inhibitory effects of MA on DOX-induced apoptosis and inflammation might be mediated by the suppression of the activation of cleaved caspase-3, ERK1/2 pathways, NF-κB p65 and NO production. These results suggest that MA is a promising protective agent for DOX-induced renal toxicity and can be a potential candidate to protect against renal toxicity in DOX-treated cancer patients.

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Authors
Su, Z., Ye, J., Qin, Z., & Ding, X.
Affiliations
  • Shanghai Jiao Tong University (CN)
  • Shanghai University of Traditional Chinese Medicine (CN)
Corresponding author
  • Qin, Zhenxia
  • Ding, Xianting
Venue
Scientific Reports
Published
2015-12-14
Volume
5
Issue
1
Pages
18314-18314
ISSN
2045-2322 (ISSN-L)
OpenAlex
W2258638262
Cited by
83
References
2
Citations by year
2026: 3 · 2025: 8 · 2024: 5 · 2023: 13 · 2022: 13 · 2021: 6 · 2020: 7 · 2019: 9 · 2018: 12 · 2017: 5 · 2016: 2
FWCI
5.03
Type
journal article
Language
en
Open access
Locations
  • Scientific Reports (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
National Natural Science Foundation of China (81301293, 51375444)
Topics
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Chemotherapy-induced organ toxicity mitigation
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Chemotherapy-induced cardiotoxicity and mitigation
  • Health Sciences › Medicine › Dermatology › Chemotherapy-related skin toxicity
Keywords
madecassoside, doxorubicin, nephrotoxicity, renal protection, triterpenoid saponins, apoptosis, ERK signaling, NF-κB p65, inducible nitric oxide synthase, nitric oxide, oxidative stress, inflammation, Bcl-2, Bax, caspase-3, chemotherapy-induced kidney injury
MeSH terms
Animals, Antibiotics, Antineoplastic, Antioxidants, Body Weight, Cell Line, Cell Survival, Doxorubicin, Kidney, Kidney Function Tests, Male, Nephritis, Nitric Oxide, Triterpenes, NF-kappa B, Apoptosis, Protective Agents, MAP Kinase Signaling System, Mice

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