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2017 ; 7
(ä): 44804
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Renal Medulla is More Sensitive to Cisplatin than Cortex Revealed by Untargeted
Mass Spectrometry-Based Metabolomics in Rats
#MMPMID28300186
Zhang P
; Chen JQ
; Huang WQ
; Li W
; Huang Y
; Zhang ZJ
; Xu FG
Sci Rep
2017[Mar]; 7
(ä): 44804
PMID28300186
show ga
Nephrotoxicity has long been the most severe and life-threatening side-effect of
cisplatin, whose anticancer effect is therefore restricted. Previous pathological
studies have shown that both renal cortex and medulla could be injured by
cisplatin. Our TUNEL (terminal deoxynucleotidyl transferase-mediated dUTP nick
end-labeling) assay results further uncovered that medulla subjected more severe
injury than cortex. In order to depict the underlying metabolic mechanism of
spatial difference in response to cisplatin, in the present study, mass
spectrometry-based untargeted metabolomics approach was applied to profile renal
cortex and medulla metabolites of rat after receiving a single dose of cisplatin
(2.5, 5 or 10?mg/kg). Eventually, 53 and 55 differential metabolites in cortex
and medulla were screened out, respectively. Random forest, orthogonal partial
least squares-discriminant analysis and metabolic cumulative fold change analysis
revealed that metabolic changes in medulla were more obviously dose-dependent
than those in cortex, which confirmed the conclusion that medulla was more
sensitive to cisplatin exposure. Furthermore, 29 intermediates were recognized as
the most contributive metabolites for the sensitivity difference. Metabolic
pathways interrupted by cisplatin mainly included amino acid, energy, lipid,
pyrimidine, purine, and creatine metabolism. Our findings provide new insight
into the mechanism study of cisplatin-induced nephrotoxicity.