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  lüll Cytoplasmic initiation of cisplatin cytotoxicity Yu F; Megyesi J; Price PMAm J Physiol Renal Physiol  2008[Jul]; 295 (1): F44-52The mechanism of action of cisplatin as a chemotherapeutic agent has been  attributed to DNA binding, while its mechanism of action as a nephrotoxin is  unresolved. Only approximately 1% of intracellular cisplatin interacts with DNA,  primarily forming intrastrand cross-linked adducts, and many studies have  implicated both nuclear and cytoplasmic causes of cisplatin-induced death in  cultured cells. We have demonstrated that cisplatin cytotoxicity depends on cdk2  activity, which is at least partly through the cdk2-E2F1 pathway. The mechanism  of the dependency on cdk2, and whether cdk2 activation of E2F1 represents the  only cell death pathway involved, is still unclear. Our previous work showed that  deletion of the nuclear localization signal from p21 WAF1/CIP1, a cdk2 inhibitor,  did not alter its protective action against cisplatin cytotoxicity. Active  cdk2-cyclin complexes are localized in both the nucleus and cytoplasm, and it was  reported that cdk2 translocated to the cytoplasm after an apoptotic stimulus.  Herein, we show that cisplatin caused cell death in enucleated mouse kidney  proximal tubule cells (TKPTS), which was prevented by cdk2 inhibition. Also, we  localized cytoplasmic cdk2 to both the endoplasmic reticulum (ER) and Golgi  compartments, and ER stress was blocked by specific cdk2 inhibition. We conclude  that cisplatin can induce nuclear independent apoptosis, cisplatin cytotoxicity  can be initiated by cytoplasmic events, and cytoplasmic cdk2 plays an important  role in apoptosis signaling.|Animals[MESH]|Antineoplastic Agents/*toxicity[MESH]|Cell Compartmentation[MESH]|Cell Nucleus/physiology[MESH]|Cells, Cultured[MESH]|Cisplatin/*toxicity[MESH]|Cyclin-Dependent Kinase 2/antagonists & inhibitors/metabolism[MESH]|Cytoplasm/*physiology[MESH]|Endoplasmic Reticulum/metabolism[MESH]|Golgi Apparatus/metabolism[MESH]|Kidney Tubules, Proximal/cytology/*drug effects[MESH]|Mice[MESH]|Recombinant Fusion Proteins/metabolism[MESH] |