Cisplatin cycles treatment sustains cardiovascular and renal damage involving TLR4 and NLRP3 pathways

Abstract Cisplatin is clinically proven to combat different cancers, including sarcomas, soft tissue cancers, bones, muscles, and blood. However, renal and cardiovascular toxicities are important limitations in cisplatin therapeutical use. Immunoinflammation could be key factor in cisplatin‐induced...

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Main Authors: Antonio González, Soledad García‐Gómez‐Heras, Raquel Franco‐Rodríguez, Visitación López‐Miranda, Esperanza Herradón
Format: Article
Language:English
Published: Wiley 2023-08-01
Series:Pharmacology Research & Perspectives
Subjects:
Online Access:https://doi.org/10.1002/prp2.1108
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author Antonio González
Soledad García‐Gómez‐Heras
Raquel Franco‐Rodríguez
Visitación López‐Miranda
Esperanza Herradón
author_facet Antonio González
Soledad García‐Gómez‐Heras
Raquel Franco‐Rodríguez
Visitación López‐Miranda
Esperanza Herradón
author_sort Antonio González
collection DOAJ
description Abstract Cisplatin is clinically proven to combat different cancers, including sarcomas, soft tissue cancers, bones, muscles, and blood. However, renal and cardiovascular toxicities are important limitations in cisplatin therapeutical use. Immunoinflammation could be key factor in cisplatin‐induced toxicity. The aim of the present study was to evaluate the activation of the inflammatory TLR4/NLRP3 pathway as a common mechanism for cardiovascular and renal cisplatin's cycles treatment toxicity. Adult male Wistar rats were treated with saline, cisplatin 2 mg/kg or cisplatin 3 mg/kg (intraperitoneally once a week, for five experimental weeks). After treatments, plasma, cardiac, vascular, and renal tissues were collected. Plasma malondialdehyde (MDA) and inflammatory cytokines were determined. TLR4, MyD88, NF‐κβ p65, NLRP3, and procaspase‐1 tissue expressions were also analyzed. Cisplatin treatment induced a dose‐dependent increase in plasma MDA and IL‐18. In cardiovascular system, an increase in NLRP3 and in cleaved caspase‐1 were observed in cardiac tissue and a moderate increase in TLR4, MyD88 appeared in mesenteric artery. In kidney, a significant dose‐dependent increase in TLR4, MyD88 and NLRP3 and cleaved caspase 1 expressions were observed after cisplatin treatments. In conclusion, cisplatin cycles provoke a low grade pro‐inflammatory systemic state. Kidney was more sensitive than cardiovascular tissues to this pro‐inflammatory state. TLR4 and NLRP3 are key pathways involved in renal tissue damage, NLRP3 is the main pathway involved in cardiac toxicity and TLR4 pathway in resistance vessel toxicity.
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spelling doaj.art-6fd726e4086740b991adedbdc44f45c62023-08-14T10:06:44ZengWileyPharmacology Research & Perspectives2052-17072023-08-01114n/an/a10.1002/prp2.1108Cisplatin cycles treatment sustains cardiovascular and renal damage involving TLR4 and NLRP3 pathwaysAntonio González0Soledad García‐Gómez‐Heras1Raquel Franco‐Rodríguez2Visitación López‐Miranda3Esperanza Herradón4Departamento de Ciencias Básicas de la Salud, Facultad de Ciencias de la Salud Universidad Rey Juan Carlos Alcorcón SpainDepartamento de Ciencias Básicas de la Salud, Facultad de Ciencias de la Salud Universidad Rey Juan Carlos Alcorcón SpainDepartamento de Ciencias Básicas de la Salud, Facultad de Ciencias de la Salud Universidad Rey Juan Carlos Alcorcón SpainDepartamento de Ciencias Básicas de la Salud, Facultad de Ciencias de la Salud Universidad Rey Juan Carlos Alcorcón SpainDepartamento de Ciencias Básicas de la Salud, Facultad de Ciencias de la Salud Universidad Rey Juan Carlos Alcorcón SpainAbstract Cisplatin is clinically proven to combat different cancers, including sarcomas, soft tissue cancers, bones, muscles, and blood. However, renal and cardiovascular toxicities are important limitations in cisplatin therapeutical use. Immunoinflammation could be key factor in cisplatin‐induced toxicity. The aim of the present study was to evaluate the activation of the inflammatory TLR4/NLRP3 pathway as a common mechanism for cardiovascular and renal cisplatin's cycles treatment toxicity. Adult male Wistar rats were treated with saline, cisplatin 2 mg/kg or cisplatin 3 mg/kg (intraperitoneally once a week, for five experimental weeks). After treatments, plasma, cardiac, vascular, and renal tissues were collected. Plasma malondialdehyde (MDA) and inflammatory cytokines were determined. TLR4, MyD88, NF‐κβ p65, NLRP3, and procaspase‐1 tissue expressions were also analyzed. Cisplatin treatment induced a dose‐dependent increase in plasma MDA and IL‐18. In cardiovascular system, an increase in NLRP3 and in cleaved caspase‐1 were observed in cardiac tissue and a moderate increase in TLR4, MyD88 appeared in mesenteric artery. In kidney, a significant dose‐dependent increase in TLR4, MyD88 and NLRP3 and cleaved caspase 1 expressions were observed after cisplatin treatments. In conclusion, cisplatin cycles provoke a low grade pro‐inflammatory systemic state. Kidney was more sensitive than cardiovascular tissues to this pro‐inflammatory state. TLR4 and NLRP3 are key pathways involved in renal tissue damage, NLRP3 is the main pathway involved in cardiac toxicity and TLR4 pathway in resistance vessel toxicity.https://doi.org/10.1002/prp2.1108cardiovascular toxicitycisplatin cyclesNLRP3renal damageTLR4
spellingShingle Antonio González
Soledad García‐Gómez‐Heras
Raquel Franco‐Rodríguez
Visitación López‐Miranda
Esperanza Herradón
Cisplatin cycles treatment sustains cardiovascular and renal damage involving TLR4 and NLRP3 pathways
Pharmacology Research & Perspectives
cardiovascular toxicity
cisplatin cycles
NLRP3
renal damage
TLR4
title Cisplatin cycles treatment sustains cardiovascular and renal damage involving TLR4 and NLRP3 pathways
title_full Cisplatin cycles treatment sustains cardiovascular and renal damage involving TLR4 and NLRP3 pathways
title_fullStr Cisplatin cycles treatment sustains cardiovascular and renal damage involving TLR4 and NLRP3 pathways
title_full_unstemmed Cisplatin cycles treatment sustains cardiovascular and renal damage involving TLR4 and NLRP3 pathways
title_short Cisplatin cycles treatment sustains cardiovascular and renal damage involving TLR4 and NLRP3 pathways
title_sort cisplatin cycles treatment sustains cardiovascular and renal damage involving tlr4 and nlrp3 pathways
topic cardiovascular toxicity
cisplatin cycles
NLRP3
renal damage
TLR4
url https://doi.org/10.1002/prp2.1108
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