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Expression of apoptosis-related factors in chronic cyclosporine nephrotoxicity after cyclosporine withdrawal

  • Can Li
  • , Sun Woo Lim
  • , Bo Kyung Sun
  • , Bum Soon Choi
  • , Sylvia Glowacka
  • , Alison J. Cox
  • , Darren J. Kelly
  • , Yong Soo Kim
  • , Jin Kim
  • , Byung Kee Bang
  • , Chul Woo Yang
  • The Catholic University of Korea
  • Yanbian University
  • University of Melbourne

Research output: Contribution to journalArticlepeer-review

28 Scopus citations

Abstract

AIM: To examine whether the reversibility of chronic cyclosporine A (CsA) nephrotoxicity is associated with apoptotic cell death and its regulatory factors. METHODS: Chronic CsA nephrotoxicity was induced in Sprague-Dawley rats by administering CsA (15 mg/kg, sc) for 5 weeks, and then withdrawing it for 5 or 10 weeks. The effect of CsA withdrawal on apoptotic cell death was evaluated by an in situ TdT-mediated deoxyuridine triphosphate-biotin nick end-labeling (TUNEL) assay and the expression of pro-apoptotic [(transforming growth factor-beta1 (TGF-β1) and Fas] and anti-apoptotic [epidermal growth factors (EGF) and Bcl-2] factors. RESULTS: Discontinuation of CsA induced significant decreases in TUNEL-positive cells in a time-dependent manner and the reduction in TUNEL-positive cells was correlated with the tubulointerstitial fibrosis score (r=0.919, P<0.01). Upregulation of TGF-β1 and Fas expression in CsA-treated rat kidneys was decreased significantly after withdrawal of CsA. In contrast, downregulated EGF and Bcl-2 expression returned to normal or supernormal levels. CONCLUSION: CsA withdrawal is associated with a decrease in apoptotic cell death and with changes in the expression of pro-apoptotic and anti-apoptotic molecules involved in renal wound repair. This may constitute one of the mechanisms underlying the reversibility of chronic CsA nephrotoxicity.

Original languageEnglish
Pages (from-to)401-411
Number of pages11
JournalActa Pharmacologica Sinica
Volume25
Issue number4
StatePublished - Apr 2004

Bibliographical note

Funding Information:
The work performed in the authors' laboratory was helped financially by the Fonds Cancérologique de la Caisse Générale d'Epargne et de Retraite and by the Ministry of Agriculture. R. Kettmann and G. Marbaix are Maître de Recherche and L. Willems is Aspirant of the Fonds National de la Recherche Scientifique. A Van den Broeke is a Fellow of the Lady Tata Memorial Trust.

Keywords

  • Apoptosis
  • Bcl-2
  • Cyclosporine
  • Epidermal growth factor
  • Fas
  • Fibrosis
  • Transforming growth factor-beta

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