PMID- 19766721 OWN - NLM STAT- MEDLINE DCOM- 20100408 LR - 20151119 IS - 1096-1186 (Electronic) IS - 1043-6618 (Linking) VI - 61 IP - 1 DP - 2010 Jan TI - Antiapoptotic properties of recombinant human erythropoietin protects against tubular cyclosporine toxicity. PG - 71-5 LID - 10.1016/j.phrs.2009.08.010 [doi] AB - During the early post transplant period, the tubular epithelium is the main target of injuries including ischemia reperfusion and toxicity effects from calcineurin inhibitors. Taking into account the tissue protective effects of erythropoietin mediated through its antiapoptotic properties, we tested whether administration of recombinant human erythropoietin protects against acute cyclosporine nephrotoxicity. Four groups of five rats were intraperitoneally treated over 28 days with 100UI/Kg/48h Epoetin beta (15mg/kg/day CsA diluted in olive oil, 100UI/Kg/48h Epoetin beta+15mg/kg/day CsA, or olive oil. Histological changes due to tubular necrosis were evaluated with Masson'Trichrome staining. Apoptotic nuclei in kidneys were detected using the Terminal deoxynucleotidyl Transferase Biotin-dUTP Nick End Labeling (TUNEL) method. Phospho-Akt, Akt, cleaved caspase 3 and non cleaved caspase 3 expression were evaluated using immunblotting. We demonstrate that recombinant human erythropoietin (epoetin beta) improves renal function and protects against acute tubular injury. Our data suggest that this nephroprotective effect is mediated by Akt activation and inhibition of tubular apoptosis. Indeed, western blotting analysis of caspase 3 cleavage and Akt phosphorylation demonstrates that rhEPO activate Akt signaling and inhibits caspase 3 cleavage induced by CsA. TUNEL staining confirms that rhEPO inhibits CsA-induced tubular apoptosis. In conclusion, we describe here a new potential target of recombinant human erythropoietin and our results provide an interesting framework for further nephroprotective therapies based on recombinant human erythropoietin. CI - Copyright 2009 Elsevier Ltd. All rights reserved. FAU - Pallet, Nicolas AU - Pallet N AD - INSERM U775 and Universite Paris Descartes, Paris, France. nicolas.pallet@univ-paris5.fr FAU - Bouvier, Nicolas AU - Bouvier N FAU - Legendre, Christophe AU - Legendre C FAU - Beaune, Philippe AU - Beaune P FAU - Thervet, Eric AU - Thervet E FAU - Choukroun, Gabriel AU - Choukroun G FAU - Martinez, Frank AU - Martinez F LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090918 PL - Netherlands TA - Pharmacol Res JT - Pharmacological research JID - 8907422 RN - 0 (Biomarkers) RN - 0 (Protective Agents) RN - 0 (Recombinant Proteins) RN - 0 (epoetin beta) RN - 11096-26-7 (Erythropoietin) RN - 83HN0GTJ6D (Cyclosporine) RN - AYI8EX34EU (Creatinine) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 3.4.22.- (Casp3 protein, rat) RN - EC 3.4.22.- (Caspase 3) SB - IM MH - Acute Disease MH - Animals MH - Apoptosis/*drug effects MH - Biomarkers/blood MH - Blotting, Western MH - Caspase 3/metabolism MH - Creatinine/blood MH - Cyclosporine MH - Cytoprotection MH - Disease Models, Animal MH - Erythropoietin/*pharmacology MH - Humans MH - In Situ Nick-End Labeling MH - Kidney Cortex Necrosis/chemically induced/pathology/*prevention & control MH - Kidney Tubules/*drug effects/pathology MH - Male MH - Necrosis MH - Phosphorylation MH - Protective Agents/*pharmacology MH - Proto-Oncogene Proteins c-akt/metabolism MH - Rats MH - Rats, Sprague-Dawley MH - Recombinant Proteins MH - Signal Transduction/drug effects EDAT- 2009/09/22 06:00 MHDA- 2010/04/09 06:00 CRDT- 2009/09/22 06:00 PHST- 2009/07/17 00:00 [received] PHST- 2009/08/09 00:00 [revised] PHST- 2009/08/30 00:00 [accepted] PHST- 2009/09/22 06:00 [entrez] PHST- 2009/09/22 06:00 [pubmed] PHST- 2010/04/09 06:00 [medline] AID - S1043-6618(09)00241-2 [pii] AID - 10.1016/j.phrs.2009.08.010 [doi] PST - ppublish SO - Pharmacol Res. 2010 Jan;61(1):71-5. doi: 10.1016/j.phrs.2009.08.010. Epub 2009 Sep 18.