PMID- 30351976 OWN - NLM STAT- MEDLINE DCOM- 20190313 LR - 20211204 IS - 1205-7541 (Electronic) IS - 0008-4212 (Linking) VI - 96 IP - 12 DP - 2018 Dec TI - Protective effect of irbesartan against doxorubicin-induced nephrotoxicity in rats: implication of AMPK, PI3K/Akt, and mTOR signaling pathways. PG - 1209-1217 LID - 10.1139/cjpp-2018-0259 [doi] AB - Nephrotoxicity is one of the serious undesirable effects related to doxorubicin (DOX). Herein, we have investigated the potential protective effect of irbesartan (IRB) against chronic nephrotoxicity induced by DOX, and the implication of different mechanistic pathways underlying these effects. Rats were treated with either DOX (2.5 mg/kg i.p., 3 times/week) for 2 weeks, and (or) IRB (40 mg/kg, daily) for 3 weeks. IRB prohibited nephrotoxicity induced by DOX, which was evident by the increase in blood urea nitrogen and creatinine levels and histopathological changes. IRB improved DOX-induced alterations in oxidative status by diminishing lipid peroxidation and upregulating the antioxidant enzymes. Also, upon DOX treatment, the renal expression of tumor necrosis factor-alpha, interleukin-6, and caspase-3 were significantly increased; IRB diminished DOX-induced alterations in these parameters. Moreover, DOX significantly decreased the expression level of AMP-activated protein kinase (AMPK). Meanwhile, DOX induced activation of phosphatidylinositol 3-kinase (PI3K)/protein kinase B (Akt/PKB) and mammalian target of rapamycin (mTOR) pathways that cross talked with AMPK. On the contrary, IRB successfully counterbalanced all these effects. Collectively, these outcomes suggest that the modulation of AMPK, PI3K, Akt, and mTOR pathways plays a critical role in conferring the protective effects of IRB against DOX nephrotoxicity. FAU - Mohamed, Eman A AU - Mohamed EA AD - Department of Pharmacology and Toxicology, Faculty of Pharmacy (Girls), Al-Azhar University, Cairo, Egypt. AD - Department of Pharmacology and Toxicology, Faculty of Pharmacy (Girls), Al-Azhar University, Cairo, Egypt. FAU - Ahmed, Hebatalla I AU - Ahmed HI AD - Department of Pharmacology and Toxicology, Faculty of Pharmacy (Girls), Al-Azhar University, Cairo, Egypt. AD - Department of Pharmacology and Toxicology, Faculty of Pharmacy (Girls), Al-Azhar University, Cairo, Egypt. FAU - Zaky, Heba S AU - Zaky HS AD - Department of Pharmacology and Toxicology, Faculty of Pharmacy (Girls), Al-Azhar University, Cairo, Egypt. AD - Department of Pharmacology and Toxicology, Faculty of Pharmacy (Girls), Al-Azhar University, Cairo, Egypt. LA - eng PT - Journal Article DEP - 20181023 PL - Canada TA - Can J Physiol Pharmacol JT - Canadian journal of physiology and pharmacology JID - 0372712 RN - 0 (Antioxidants) RN - 0 (Interleukin-6) RN - 0 (Protective Agents) RN - 0 (Tumor Necrosis Factor-alpha) RN - 80168379AG (Doxorubicin) RN - AYI8EX34EU (Creatinine) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) RN - EC 3.4.22.- (Caspase 3) RN - J0E2756Z7N (Irbesartan) SB - IM MH - AMP-Activated Protein Kinases/metabolism MH - Animals MH - Antioxidants/metabolism MH - Blood Urea Nitrogen MH - Caspase 3/metabolism MH - Creatinine/metabolism MH - Disease Models, Animal MH - Doxorubicin/*pharmacology MH - Interleukin-6/metabolism MH - Irbesartan/*pharmacology MH - Kidney/*drug effects/metabolism MH - Lipid Peroxidation/drug effects MH - Male MH - Phosphatidylinositol 3-Kinases/metabolism MH - Protective Agents/*pharmacology MH - Proto-Oncogene Proteins c-akt/metabolism MH - Rats MH - Rats, Sprague-Dawley MH - Signal Transduction/*drug effects MH - TOR Serine-Threonine Kinases/metabolism MH - Tumor Necrosis Factor-alpha/metabolism MH - Up-Regulation/drug effects OTO - NOTNLM OT - AMPK OT - PI3K/Akt OT - doxorubicin OT - doxorubicine OT - irbesartan OT - irbesartan OT - mTOR OT - nephrotoxicity OT - nephrotoxicite OT - rats EDAT- 2018/10/24 06:00 MHDA- 2019/03/14 06:00 CRDT- 2018/10/24 06:00 PHST- 2018/10/24 06:00 [pubmed] PHST- 2019/03/14 06:00 [medline] PHST- 2018/10/24 06:00 [entrez] AID - 10.1139/cjpp-2018-0259 [doi] PST - ppublish SO - Can J Physiol Pharmacol. 2018 Dec;96(12):1209-1217. doi: 10.1139/cjpp-2018-0259. Epub 2018 Oct 23.