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2009 ; 109
(2
): 336-49
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Comparative analysis of novel noninvasive renal biomarkers and metabonomic
changes in a rat model of gentamicin nephrotoxicity
#MMPMID19349640
Sieber M
; Hoffmann D
; Adler M
; Vaidya VS
; Clement M
; Bonventre JV
; Zidek N
; Rached E
; Amberg A
; Callanan JJ
; Dekant W
; Mally A
Toxicol Sci
2009[Jun]; 109
(2
): 336-49
PMID19349640
show ga
Although early detection of toxicant induced kidney injury during drug
development and chemical safety testing is still limited by the lack of sensitive
and reliable biomarkers of nephrotoxicity, omics technologies have brought
enormous opportunities for improved detection of toxicity and biomarker
discovery. Thus, transcription profiling has led to the identification of several
candidate kidney biomarkers such as kidney injury molecule (Kim-1), clusterin,
lipocalin-2, and tissue inhibitor of metalloproteinase 1 (Timp-1), and
metabonomic analysis of urine is increasingly used to indicate biochemical
perturbations due to renal toxicity. This study was designed to assess the value
of a combined (1)H-NMR and gas chromatography-mass spectrometry (GC-MS)
metabonomics approach and a set of novel urinary protein markers for early
detection of nephrotoxicity following treatment of male Wistar rats with
gentamicin (60 and 120 mg/kg bw, s.c.) for 7 days. Time- and dose-dependent
separation of gentamicin-treated animals from controls was observed by principal
component analysis of (1)H-NMR and GC-MS data. The major metabolic alterations
responsible for group separation were linked to the gut microflora, thus related
to the pharmacology of the drug, and increased glucose in urine of
gentamicin-treated animals, consistent with damage to the S(1) and S(2) proximal
tubules, the primary sites for glucose reabsorption. Altered excretion of urinary
protein biomarkers Kim-1 and lipocalin-2, but not Timp-1 and clusterin, was
detected before marked changes in clinical chemistry parameters were evident. The
early increase in urine, which correlated with enhanced gene and protein
expression at the site of injury, provides further support for lipocalin-2 and
Kim-1 as sensitive, noninvasive biomarkers of nephrotoxicity.