Targeting KEAP1/Nrf2, AKT, and PPAR-γ signals as a potential protective mechanism of diosmin against gentamicin-induced nephrotoxicity

Copyright © 2021 Elsevier Inc. All rights reserved..

AIM: Gentamicin (GM) is an aminoglycoside antibiotic effectively used for severe/life-threatening infections. However, the clinical application of GM is limited by nephrotoxic side effects. Diosmin (DS) is a flavonoid with a wide range of bioactivities. However, its therapeutic potential in GM-induced nephrotoxicity remains unclear.

METHODS: Rats received GM (100 mg/kg, i.p.) for 7 days either separately or in combination with oral DS (50 mg/kg).

RESULTS: GM injection disrupted kidney function along with oxidant/antioxidant imbalance. Also, GM significantly decreased renal nuclear factor erythroid 2-related factor 2 (Nrf2), glutamyl cysteine synthetase (GCLC), heme oxygenase-1 (HO-1), superoxide dismutase3 (SOD-3), protein kinase B (AKT), and p-AKT expressions along with Kelch-like ECH-associated protein 1 (KEAP1) up-regulation. On the contrary, DS administration significantly attenuated GM-induced kidney dysfunction and restored kidney oxidant/antioxidant status. In addition, co-treatment with DS plus GM significantly enhanced Nrf2, GCLC, HO-1, SOD3, AKT, and p-AKT expressions along with KEAP1 down-regulation. Additionally, GM-treated rats exhibited a significant decrease in the expressions of renal peroxisome-proliferator activated receptor-gamma (PPAR-γ) and this reduction was alleviated by DS treatment. Furthermore, histopathological findings demonstrated that DS significantly reduced the GM-induced histological abrasions. Besides, an in-silico study was conducted to confirm our biochemical results. Interestingly, in-silico results strongly supported our biochemical investigation by studying the binding affinity of DS to KEAP1, AKT, and PPAR-γ proteins.

SIGNIFICANCE: DS could be a promising protective agent against GM-induced nephrotoxicity through targeting of KEAP1/Nrf2/ARE, AKT, and PPAR-γ signaling pathways.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:275

Enthalten in:

Life sciences - 275(2021) vom: 15. Juni, Seite 119349

Sprache:

Englisch

Beteiligte Personen:

Ali, Fares E M [VerfasserIn]
Sayed, Ahmed M [VerfasserIn]
El-Bahrawy, Ali H [VerfasserIn]
Omar, Zainab M M [VerfasserIn]
Hassanein, Emad H M [VerfasserIn]

Links:

Volltext

Themen:

268B43MJ25
7QM776WJ5N
8W8T17847W
AYI8EX34EU
Creatinine
Diosmin
EC 2.7.11.1
Gentamicin
Gentamicins
Journal Article
KEAP1/Nrf2/ARE
KEAP1 protein, rat
Kelch-Like ECH-Associated Protein 1
NF-E2-Related Factor 2
Nfe2l2 protein, rat
Oncogene Protein v-akt
P-AKT/AKT
PPAR gamma
PPAR gamma, rat
PPAR-γ
Urea
Uric Acid

Anmerkungen:

Date Completed 03.05.2021

Date Revised 03.05.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.lfs.2021.119349

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM323007279