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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Proc+Natl+Acad+Sci+U+S+A
2015 ; 112
(16
): 5231-6
Nephropedia Template TP
gab.com Text
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English Wikipedia
Mitigation of acute kidney injury by cell-cycle inhibitors that suppress both
CDK4/6 and OCT2 functions
#MMPMID25848011
Pabla N
; Gibson AA
; Buege M
; Ong SS
; Li L
; Hu S
; Du G
; Sprowl JA
; Vasilyeva A
; Janke LJ
; Schlatter E
; Chen T
; Ciarimboli G
; Sparreboom A
Proc Natl Acad Sci U S A
2015[Apr]; 112
(16
): 5231-6
PMID25848011
show ga
Acute kidney injury (AKI) is a potentially fatal syndrome characterized by a
rapid decline in kidney function caused by ischemic or toxic injury to renal
tubular cells. The widely used chemotherapy drug cisplatin accumulates
preferentially in the renal tubular cells and is a frequent cause of drug-induced
AKI. During the development of AKI the quiescent tubular cells reenter the cell
cycle. Strategies that block cell-cycle progression ameliorate kidney injury,
possibly by averting cell division in the presence of extensive DNA damage.
However, the early signaling events that lead to cell-cycle activation during AKI
are not known. In the current study, using mouse models of cisplatin
nephrotoxicity, we show that the G1/S-regulating cyclin-dependent kinase 4/6
(CDK4/6) pathway is activated in parallel with renal cell-cycle entry but before
the development of AKI. Targeted inhibition of CDK4/6 pathway by small-molecule
inhibitors palbociclib (PD-0332991) and ribociclib (LEE011) resulted in
inhibition of cell-cycle progression, amelioration of kidney injury, and improved
overall survival. Of additional significance, these compounds were found to be
potent inhibitors of organic cation transporter 2 (OCT2), which contributes to
the cellular accumulation of cisplatin and subsequent kidney injury. The unique
cell-cycle and OCT2-targeting activities of palbociclib and LEE011, combined with
their potential for clinical translation, support their further exploration as
therapeutic candidates for prevention of AKI.