PMID- 23737979 OWN - NLM STAT- MEDLINE DCOM- 20140110 LR - 20240109 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 8 IP - 5 DP - 2013 TI - Intermittent exposure to xenon protects against gentamicin-induced nephrotoxicity. PG - e64329 LID - 10.1371/journal.pone.0064329 [doi] LID - e64329 AB - Aminoglycoside antibiotics, especially gentamicin, are widely used to treat Gram-negative infections due to their efficacy and low cost. Nevertheless the use of gentamicin is limited by its major side effect, nephrotoxicity. Xenon (Xe) provided substantial organoprotective effects in acute injury of the brain and the heart and protected against renal ischemic-reperfusion injury. In this study, we investigated whether xenon could protect against gentamicin-induced nephrotoxicity. Male Wistar rats were intermittently exposed to either 70% xenon or 70% nitrogen (N2) balanced with 30% oxygen before and during gentamicin administration at a dose of 100 mg/kg for 7 days to model gentamicin-induced kidney injury. We observed that intermittent exposure to Xe provided morphological and functional renoprotection, which was characterized by attenuation of renal tubular damage, apoptosis, and oxidative stress, but not a reduction in inflammation. We also found that Xe pretreatment upregulated hypoxia-inducible factor 2alpha (HIF-2alpha) and its downstream effector vascular endothelial growth factor, but not HIF-1alpha. With regard to the three HIF prolyl hydroxylases, Xe pretreatment upregulated prolyl hydroxylase domain-containing protein-2 (PHD2), suppressed PHD1, and had no influence on PHD3 in the rat kidneys. Pretreatment with Xe also increased the expression of miR-21, a microRNA known to have anti-apoptotic effects. These results support Xe renoprotection against gentamicin-induced nephrotoxicity. FAU - Jia, Ping AU - Jia P AD - Division of Nephrology, Zhongshan Hospital Fudan University, Shanghai, China. FAU - Teng, Jie AU - Teng J FAU - Zou, Jianzhou AU - Zou J FAU - Fang, Yi AU - Fang Y FAU - Jiang, Suhua AU - Jiang S FAU - Yu, Xiaofang AU - Yu X FAU - Kriegel, Alison J AU - Kriegel AJ FAU - Liang, Mingyu AU - Liang M FAU - Ding, Xiaoqiang AU - Ding X LA - eng GR - HL111580/HL/NHLBI NIH HHS/United States GR - P01 HL082798/HL/NHLBI NIH HHS/United States GR - HL029587/HL/NHLBI NIH HHS/United States GR - R21 HL111580/HL/NHLBI NIH HHS/United States GR - HL082798/HL/NHLBI NIH HHS/United States GR - P01 HL029587/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20130530 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Anti-Bacterial Agents) RN - 0 (Basic Helix-Loop-Helix Transcription Factors) RN - 0 (Gentamicins) RN - 0 (MicroRNAs) RN - 0 (Vascular Endothelial Growth Factor A) RN - 0 (mirn21 microRNA, rat) RN - 1B37H0967P (endothelial PAS domain-containing protein 1) RN - 3H3U766W84 (Xenon) SB - IM MH - Animals MH - Anti-Bacterial Agents/*adverse effects MH - Apoptosis/drug effects MH - Basic Helix-Loop-Helix Transcription Factors/genetics MH - Cytoprotection/*drug effects MH - Down-Regulation/drug effects MH - Gentamicins/*adverse effects MH - Kidney/cytology/*drug effects/metabolism/physiology MH - Kidney Tubules/cytology/drug effects/metabolism/physiology MH - Male MH - MicroRNAs/genetics MH - Oxidative Stress/drug effects MH - Rats MH - Rats, Wistar MH - Time Factors MH - Up-Regulation/drug effects MH - Vascular Endothelial Growth Factor A/genetics MH - Xenon/*pharmacology PMC - PMC3667819 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2013/06/06 06:00 MHDA- 2014/01/11 06:00 PMCR- 2013/05/30 CRDT- 2013/06/06 06:00 PHST- 2013/02/03 00:00 [received] PHST- 2013/04/12 00:00 [accepted] PHST- 2013/06/06 06:00 [entrez] PHST- 2013/06/06 06:00 [pubmed] PHST- 2014/01/11 06:00 [medline] PHST- 2013/05/30 00:00 [pmc-release] AID - PONE-D-13-06007 [pii] AID - 10.1371/journal.pone.0064329 [doi] PST - epublish SO - PLoS One. 2013 May 30;8(5):e64329. doi: 10.1371/journal.pone.0064329. Print 2013.