PMID- 28255274 OWN - NLM STAT- MEDLINE DCOM- 20171107 LR - 20181113 IS - 1449-2288 (Electronic) IS - 1449-2288 (Linking) VI - 13 IP - 2 DP - 2017 TI - Hyperhomocysteinemia Exacerbates Cisplatin-induced Acute Kidney Injury. PG - 219-231 LID - 10.7150/ijbs.16725 [doi] AB - Hyperhomocysteinemia (HHcy) has been linked to several clinical manifestations including chronic kidney disease. However, it is not known whether HHcy has a role in the development of acute kidney injury (AKI). In the present study, we reported that HHcy mice developed more severe renal injury after cisplatin injection and ischemia-reperfusion injury shown as more severe renal tubular damage and higher serum creatinine. In response to cisplatin, HHcy mice showed more prevalent tubular cell apoptosis and decreased tubular cell proliferation. Mechanistically, a heightened ER stress and a reduced Akt activity were observed in kidney tissues of HHcy mice after cisplatin injection. Stimulating cultured NRK-52E cells with Hcy significantly increased the fraction of cells in G2/M phase and cell apoptosis together with decreased Akt kinase activity. Akt agonist IGF-1 rescued HHcy-induced cell cycle arrest and cell apoptosis. In conclusion, the present study provides evidence that HHcy increases the sensitivity and severity of AKI. FAU - Long, Yanjun AU - Long Y AD - State Key Laboratory of Organ Failure Research, National Clinical Research Center of Kidney Disease, Division of Nephrology, Nanfang Hospital, Southern Medical University, Guangzhou, P.R. China;; Division of Nephrology, Guizhou Provincial People's Hospital, Guizhou Provincial Institute of Nephritic & Urinary Disease, Guiyang, P.R. China. FAU - Zhen, Xin AU - Zhen X AD - State Key Laboratory of Organ Failure Research, National Clinical Research Center of Kidney Disease, Division of Nephrology, Nanfang Hospital, Southern Medical University, Guangzhou, P.R. China. FAU - Zhu, Fengxin AU - Zhu F AD - State Key Laboratory of Organ Failure Research, National Clinical Research Center of Kidney Disease, Division of Nephrology, Nanfang Hospital, Southern Medical University, Guangzhou, P.R. China. FAU - Hu, Zheng AU - Hu Z AD - State Key Laboratory of Organ Failure Research, National Clinical Research Center of Kidney Disease, Division of Nephrology, Nanfang Hospital, Southern Medical University, Guangzhou, P.R. China. FAU - Lei, Wenjing AU - Lei W AD - State Key Laboratory of Organ Failure Research, National Clinical Research Center of Kidney Disease, Division of Nephrology, Nanfang Hospital, Southern Medical University, Guangzhou, P.R. China. FAU - Li, Shuang AU - Li S AD - State Key Laboratory of Organ Failure Research, National Clinical Research Center of Kidney Disease, Division of Nephrology, Nanfang Hospital, Southern Medical University, Guangzhou, P.R. China. FAU - Zha, Yan AU - Zha Y AD - Division of Nephrology, Guizhou Provincial People's Hospital, Guizhou Provincial Institute of Nephritic & Urinary Disease, Guiyang, P.R. China. FAU - Nie, Jing AU - Nie J AD - State Key Laboratory of Organ Failure Research, National Clinical Research Center of Kidney Disease, Division of Nephrology, Nanfang Hospital, Southern Medical University, Guangzhou, P.R. China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20170206 PL - Australia TA - Int J Biol Sci JT - International journal of biological sciences JID - 101235568 RN - 0LVT1QZ0BA (Homocysteine) RN - Q20Q21Q62J (Cisplatin) SB - IM MH - Acute Kidney Injury/*chemically induced/*etiology/metabolism MH - Animals MH - Apoptosis/drug effects MH - Cell Line MH - Cell Proliferation/drug effects MH - Cisplatin/*adverse effects MH - Endoplasmic Reticulum Stress/drug effects MH - Homocysteine/blood MH - Hyperhomocysteinemia/blood/*complications/metabolism MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Rats PMC - PMC5332876 OTO - NOTNLM OT - AKI OT - ER stress. OT - Hyperhomocysteinemia OT - apoptosis OT - cell proliferation COIS- Competing Interests: The authors have declared that no competing interest exists. EDAT- 2017/03/04 06:00 MHDA- 2017/11/08 06:00 PMCR- 2017/01/01 CRDT- 2017/03/04 06:00 PHST- 2016/07/04 00:00 [received] PHST- 2016/10/21 00:00 [accepted] PHST- 2017/03/04 06:00 [entrez] PHST- 2017/03/04 06:00 [pubmed] PHST- 2017/11/08 06:00 [medline] PHST- 2017/01/01 00:00 [pmc-release] AID - ijbsv13p0219 [pii] AID - 10.7150/ijbs.16725 [doi] PST - epublish SO - Int J Biol Sci. 2017 Feb 6;13(2):219-231. doi: 10.7150/ijbs.16725. eCollection 2017.