PMID- 17032936 OWN - NLM STAT- MEDLINE DCOM- 20070327 LR - 20220408 IS - 1931-857X (Print) IS - 1522-1466 (Linking) VI - 292 IP - 2 DP - 2007 Feb TI - Endotoxin and cisplatin synergistically stimulate TNF-alpha production by renal epithelial cells. PG - F812-9 AB - Acute renal failure often occurs in the clinical setting of multiple renal insults. Tumor necrosis factor-alpha (TNF-alpha) has been implicated in the pathogenesis of cisplatin nephrotoxicity, ischemia-reperfusion injury, and endotoxin-induced acute renal failure. The current studies examined the interactions between cisplatin and endotoxin with particular emphasis on TNF-alpha production. Treatment of cultured murine proximal tubule cells (TKPTS cells) with cisplatin resulted in a modest production of TNF-alpha, while treatment with endotoxin did not result in any TNF-alpha production. However, the combination of cisplatin and endotoxin resulted in large amounts of TNF-alpha synthesis and secretion. The stimulation of TNF-alpha production was dependent on cisplatin-induced activation of p38 MAPK and was associated with phosphorylation of the translation initiation factor eIF4E and its upstream kinase Mnk1. Inhibition of p38 MAPK and, to a lesser extent, ERK, reduced cisplatin+endotoxin-stimulated TNF-alpha production and phosphorylation of Mnk1 and eIF4E. Synergy between cisplatin and endotoxin was also observed in certain tumor cell lines, but not in macrophages. In macrophages, in contrast to TKPTS cells, endotoxin alone activated p38 MAPK and stimulated TNF-alpha production with no added impact by cisplatin. The combination of cisplatin and endotoxin did not result in synergistic production of other cytokines, e.g., MCP-1 and MIP2, by TKPTS cells. In summary, these studies indicate that cisplatin sensitizes renal epithelial cells to endotoxin and dramatically increases the translation of TNF-alpha mRNA in a p38 MAPK-dependent manner. These interactions between cisplatin and endotoxin may be relevant to the pathogenesis of cisplatin nephrotoxicity in humans. FAU - Ramesh, Ganesan AU - Ramesh G AD - Div. of Nephrology, Pennsylvania State University College of Medicine, Hershey, PA 17033, USA. FAU - Kimball, Scot R AU - Kimball SR FAU - Jefferson, Leonard S AU - Jefferson LS FAU - Reeves, W Brian AU - Reeves WB LA - eng GR - R01-DK-063120/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20061010 PL - United States TA - Am J Physiol Renal Physiol JT - American journal of physiology. Renal physiology JID - 100901990 RN - 0 (Ccl2 protein, mouse) RN - 0 (Chemokine CCL2) RN - 0 (Chemokine CXCL2) RN - 0 (Endotoxins) RN - 0 (Eukaryotic Initiation Factor-4E) RN - 0 (Monokines) RN - 0 (RNA, Messenger) RN - 0 (Tumor Necrosis Factor-alpha) RN - EC 2.7.1.- (Mknk1 protein, mouse) RN - EC 2.7.11.1 (Protein Serine-Threonine Kinases) RN - EC 2.7.11.24 (p38 Mitogen-Activated Protein Kinases) RN - Q20Q21Q62J (Cisplatin) SB - IM MH - Animals MH - Cells, Cultured MH - Chemokine CCL2/biosynthesis MH - Chemokine CXCL2 MH - Cisplatin/*pharmacology MH - Drug Synergism MH - Endotoxins/*pharmacology MH - Epithelial Cells/*drug effects/*metabolism MH - Eukaryotic Initiation Factor-4E/metabolism MH - Humans MH - Kidney/*cytology MH - Kidney Tubules, Proximal/cytology MH - Mice MH - Monokines/biosynthesis MH - Phosphorylation MH - Protein Serine-Threonine Kinases/metabolism MH - RNA, Messenger/metabolism MH - Tumor Necrosis Factor-alpha/*biosynthesis MH - p38 Mitogen-Activated Protein Kinases/physiology EDAT- 2006/10/13 09:00 MHDA- 2007/03/28 09:00 CRDT- 2006/10/13 09:00 PHST- 2006/10/13 09:00 [pubmed] PHST- 2007/03/28 09:00 [medline] PHST- 2006/10/13 09:00 [entrez] AID - 00277.2006 [pii] AID - 10.1152/ajprenal.00277.2006 [doi] PST - ppublish SO - Am J Physiol Renal Physiol. 2007 Feb;292(2):F812-9. doi: 10.1152/ajprenal.00277.2006. Epub 2006 Oct 10.