PMID- 34955823 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240404 IS - 1663-9812 (Print) IS - 1663-9812 (Electronic) IS - 1663-9812 (Linking) VI - 12 DP - 2021 TI - Dual sEH/COX-2 Inhibition Using PTUPB-A Promising Approach to Antiangiogenesis-Induced Nephrotoxicity. PG - 744776 LID - 10.3389/fphar.2021.744776 [doi] LID - 744776 AB - Kidney injury from antiangiogenic chemotherapy is a significant clinical challenge, and we currently lack the ability to effectively treat it with pharmacological agents. Thus, we set out to investigate whether simultaneous soluble epoxide hydrolase (sEH) and cyclooxygenase-2 (COX-2) inhibition using a dual sEH/COX-2 inhibitor PTUPB could be an effective strategy for treating antiangiogenic therapy-induced kidney damage. We used a multikinase inhibitor, sorafenib, which is known to cause serious renal side effects. The drug was administered to male Sprague-Dawley rats that were on a high-salt diet. Sorafenib was administered over the course of 56 days. The study included three experimental groups; 1) control group (naive rats), 2) sorafenib group [rats treated with sorafenib only (20 mg/kg/day p.o.)], and 3) sorafenib + PTUPB group (rats treated with sorafenib only for the initial 28 days and subsequently coadministered PTUPB (10 mg/kg/day i.p.) from days 28 through 56). Blood pressure was measured every 2 weeks. After 28 days, sorafenib-treated rats developed hypertension (161 +/- 4 mmHg). Over the remainder of the study, sorafenib treatment resulted in a further elevation in blood pressure through day 56 (200 +/- 7 mmHg). PTUPB treatment attenuated the sorafenib-induced blood pressure elevation and by day 56, blood pressure was 159 +/- 4 mmHg. Urine was collected every 2 weeks for biochemical analysis. After 28 days, sorafenib rats developed pronounced proteinuria (9.7 +/- 0.2 P/C), which intensified significantly (35.8 +/- 3.5 P/C) by the end of day 56 compared with control (2.6 +/- 0.4 P/C). PTUPB mitigated sorafenib-induced proteinuria, and by day 56, it reduced proteinuria by 73%. Plasma and kidney tissues were collected on day 56. Kidney histopathology revealed intratubular cast formation, interstitial fibrosis, glomerular injury, and glomerular nephrin loss at day 56 in sorafenib-treated rats. PTUPB treatment reduced histological features by 30%-70% compared with the sorafenib-treated group and restored glomerular nephrin levels. Furthermore, PTUPB also acted on the glomerular permeability barrier by decreasing angiotensin-II-induced glomerular permeability to albumin. Finally, PTUPB improved in vitro the viability of human mesangial cells. Collectively, our data demonstrate the potential of using PTUPB or dual sEH/COX-2 inhibition as a therapeutic strategy against sorafenib-induced glomerular nephrotoxicity. CI - Copyright (c) 2021 Jankiewicz, Barnett, Stavniichuk, Hwang, Hammock, Belayet, Khan and Imig. FAU - Jankiewicz, Wojciech K AU - Jankiewicz WK AD - Drug Discovery Center and Cardiovascular Center, Medical College of Wisconsin, Milwaukee, WI, United States. FAU - Barnett, Scott D AU - Barnett SD AD - Drug Discovery Center and Cardiovascular Center, Medical College of Wisconsin, Milwaukee, WI, United States. FAU - Stavniichuk, Anna AU - Stavniichuk A AD - Drug Discovery Center and Cardiovascular Center, Medical College of Wisconsin, Milwaukee, WI, United States. FAU - Hwang, Sung Hee AU - Hwang SH AD - Department of Entomology and Nematology and Comprehensive Cancer Center, University of California, Davis, Davis, CA, United States. FAU - Hammock, Bruce D AU - Hammock BD AD - Department of Entomology and Nematology and Comprehensive Cancer Center, University of California, Davis, Davis, CA, United States. FAU - Belayet, Jawad B AU - Belayet JB AD - Department of Chemistry and Biochemistry, University of Wisconsin Milwaukee, Milwaukee, WI, United States. FAU - Khan, A H AU - Khan AH AD - Drug Discovery Center and Cardiovascular Center, Medical College of Wisconsin, Milwaukee, WI, United States. FAU - Imig, John D AU - Imig JD AD - Drug Discovery Center and Cardiovascular Center, Medical College of Wisconsin, Milwaukee, WI, United States. LA - eng GR - P42 ES004699/ES/NIEHS NIH HHS/United States GR - R35 ES030443/ES/NIEHS NIH HHS/United States PT - Journal Article DEP - 20211209 PL - Switzerland TA - Front Pharmacol JT - Frontiers in pharmacology JID - 101548923 PMC - PMC8695932 OTO - NOTNLM OT - cyclooxygenase (COX) OT - eicosanoids OT - glomerular injury OT - kidney injury OT - multitarget drugs OT - nephrotoxicity OT - soluble epoxide hydrolase (sEH) OT - vascular endothelial growth factor COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2021/12/28 06:00 MHDA- 2021/12/28 06:01 PMCR- 2021/12/09 CRDT- 2021/12/27 06:23 PHST- 2021/07/20 00:00 [received] PHST- 2021/10/21 00:00 [accepted] PHST- 2021/12/27 06:23 [entrez] PHST- 2021/12/28 06:00 [pubmed] PHST- 2021/12/28 06:01 [medline] PHST- 2021/12/09 00:00 [pmc-release] AID - 744776 [pii] AID - 10.3389/fphar.2021.744776 [doi] PST - epublish SO - Front Pharmacol. 2021 Dec 9;12:744776. doi: 10.3389/fphar.2021.744776. eCollection 2021.