PMID- 36525794 OWN - NLM STAT- MEDLINE DCOM- 20230105 LR - 20230111 IS - 1878-1705 (Electronic) IS - 1567-5769 (Linking) VI - 114 DP - 2023 Jan TI - Liraglutide ameliorates gentamicin-induced acute kidney injury in rats via PGC-1alpha- mediated mitochondrial biogenesis: Involvement of PKA/CREB and Notch/Hes-1 signaling pathways. PG - 109578 LID - S1567-5769(22)01063-3 [pii] LID - 10.1016/j.intimp.2022.109578 [doi] AB - Acute kidney injury (AKI) is a challenging side effect which may clinically impede the use of gentamicin (GM). The present study explored the impact of liraglutide (Lir) on GM-induced kidney injury in rats. Lir (0.2 and 0.4 mg/kg, s.c) was given for 10 days (a dose/day) starting 3 days before giving GM (100 mg/kg, i.p) once daily for 7 days. Interestingly, Lir notably ameliorated GM-induced elevated levels of renal injury markers; urea and creatinine. Moreover, Lir remarkably mitigated malondialdehyde (MDA) level and elevated glutathione (GSH) level as well as superoxide dismutase (SOD) activity. Also, Lir pre-treatment notably diminished inflammatory markers levels; interleukin-1beta (IL-1beta), tumor necrosis factor alpha (TNF-alpha), vascular cell adhesion molecule (VCAM), monocyte chemoattractant protein 1 (MCP-1) and interferon gamma (INF-gamma). In addition, Lir significantly replenished expression of Peroxisome proliferator-activated receptor gamma coactivator-1alpha (PGC-1alpha), Protein kinase A (PKA), cAMP response element-binding protein (CREB), nuclear Nuclear factor erythroid 2-related factor 2 (Nrf2), heme Oxygenase-1 (HO-1), B-cell lymphoma 2 (Bcl-2), and remarkably attenuated expression of Notch homolog 1 (Notch1), Hairy and enhancer of split-1 (Hes-1), Bcl-2-associated X (Bax), cleaved caspase 3 and nuclear Nuclear factor Kappa B (NF-kappaB (p65)). The nephroprotective activity of Lir was further confirmed by histopathological examination as well as transmission electron microscopy (TEM). In conclusion Lir achieved its nephroprotective effects through the amelioration of oxidative stress, inflammatory and apoptotic manifestations. It is worth-mentioning that the current study is the first to focus on the involvement of mitochondrial biogenesis and its upstream regulators, PKA/CREB and Notch/Hes-1 signaling pathways in the nephroprotective potentials of Lir. The attenuation of the aforementioned injurious aspects is partially attributed to the improvement of the mitochondrial status as demonstrated by elevated PGC-1alpha expression via acceleration of PKA/CREB and abatement of Notch/Hes-1 signaling pathways. CI - Copyright (c) 2022 Elsevier B.V. All rights reserved. FAU - Elkhoely, Abeer AU - Elkhoely A AD - Pharmacology and Toxicology Department, Faculty of Pharmacy, Helwan University, Cairo, Egypt. Electronic address: abeerelkhoely@gmail.com. LA - eng PT - Journal Article DEP - 20221214 PL - Netherlands TA - Int Immunopharmacol JT - International immunopharmacology JID - 100965259 RN - 0 (Cyclic AMP Response Element-Binding Protein) RN - 839I73S42A (Liraglutide) RN - 0 (Gentamicins) RN - EC 2.7.11.11 (Cyclic AMP-Dependent Protein Kinases) RN - 0 (NF-kappa B) RN - 0 (Proto-Oncogene Proteins c-bcl-2) SB - IM MH - Rats MH - Animals MH - *Cyclic AMP Response Element-Binding Protein/metabolism MH - Liraglutide/pharmacology/therapeutic use MH - Gentamicins MH - Cyclic AMP-Dependent Protein Kinases/metabolism MH - Organelle Biogenesis MH - Signal Transduction MH - NF-kappa B/metabolism MH - *Acute Kidney Injury/chemically induced/drug therapy/metabolism MH - Proto-Oncogene Proteins c-bcl-2/metabolism OTO - NOTNLM OT - Gentamicin OT - Kidney injury OT - Liraglutide OT - Mitochondrial biogenesis OT - PGC-1alpha COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2022/12/17 06:00 MHDA- 2023/01/06 06:00 CRDT- 2022/12/16 18:19 PHST- 2022/08/07 00:00 [received] PHST- 2022/12/06 00:00 [revised] PHST- 2022/12/08 00:00 [accepted] PHST- 2022/12/17 06:00 [pubmed] PHST- 2023/01/06 06:00 [medline] PHST- 2022/12/16 18:19 [entrez] AID - S1567-5769(22)01063-3 [pii] AID - 10.1016/j.intimp.2022.109578 [doi] PST - ppublish SO - Int Immunopharmacol. 2023 Jan;114:109578. doi: 10.1016/j.intimp.2022.109578. Epub 2022 Dec 14.