Aristolochic Acid Induced Suicidal Erythrocyte Death

Background/Aims: Aristolochic Acid, a component of Aristolochia plants, has been shown to cause acute kidney injury, renal aristolochic acid nephropathy, Balkan endemic nephropathy, and urothelial carcinoma. Aristolochic acid nephropathy may be associated with severe anemia. The anemia could theoret...

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Main Authors: Abaid Malik, Rosi Bissinger, Salvatrice Calabrò, Caterina Faggio, Kashif Jilani, Florian Lang
Format: Article
Language:English
Published: Karger Publishers 2014-10-01
Series:Kidney & Blood Pressure Research
Subjects:
Online Access:http://www.karger.com/Article/FullText/368454
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author Abaid Malik
Rosi Bissinger
Salvatrice Calabrò
Caterina Faggio
Kashif Jilani
Florian Lang
author_facet Abaid Malik
Rosi Bissinger
Salvatrice Calabrò
Caterina Faggio
Kashif Jilani
Florian Lang
author_sort Abaid Malik
collection DOAJ
description Background/Aims: Aristolochic Acid, a component of Aristolochia plants, has been shown to cause acute kidney injury, renal aristolochic acid nephropathy, Balkan endemic nephropathy, and urothelial carcinoma. Aristolochic acid nephropathy may be associated with severe anemia. The anemia could theoretically be due to stimulation of eryptosis, the suicidal death of erythrocytes characterized by cell shrinkage and cell membrane scrambling with translocation of phosphatidylserine to the erythrocyte cell membrane surface. Signalling involved in the stimulation of eryptosis include increase of cytosolic Ca2+-activity ([Ca2+]i) and formation of ceramide. Methods: Cell volume was estimated from forward scatter, phosphatidylserine-exposure from annexin V binding, [Ca2+]i from Fluo3 fluorescence, and ceramide abundance from binding of fluorescent antibodies in flow cytometry. Results: A 48 hours exposure to Aristolochic Acid (≥ 75 g/ml) was followed by a significant decrease of forward scatter and increase of annexin-V-binding. The effects were paralleled by a significant increase of [Ca2+]i and significantly blunted, but not abrogated by removal of extracellular Ca2+. Aristolochic Acid further significantly increased ceramide abundance. Conclusions: Aristolochic Acid triggers eryptosis, an effect at least in part due to entry of extracellular Ca2+ and ceramide formation. i 2014 S. Karger AG, Basel
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spelling doaj.art-ae24c33d892d4cb796cb6655418ad1fd2022-12-21T22:48:02ZengKarger PublishersKidney & Blood Pressure Research1420-40961423-01432014-10-0139540841910.1159/000368454368454Aristolochic Acid Induced Suicidal Erythrocyte DeathAbaid MalikRosi BissingerSalvatrice CalabròCaterina FaggioKashif JilaniFlorian LangBackground/Aims: Aristolochic Acid, a component of Aristolochia plants, has been shown to cause acute kidney injury, renal aristolochic acid nephropathy, Balkan endemic nephropathy, and urothelial carcinoma. Aristolochic acid nephropathy may be associated with severe anemia. The anemia could theoretically be due to stimulation of eryptosis, the suicidal death of erythrocytes characterized by cell shrinkage and cell membrane scrambling with translocation of phosphatidylserine to the erythrocyte cell membrane surface. Signalling involved in the stimulation of eryptosis include increase of cytosolic Ca2+-activity ([Ca2+]i) and formation of ceramide. Methods: Cell volume was estimated from forward scatter, phosphatidylserine-exposure from annexin V binding, [Ca2+]i from Fluo3 fluorescence, and ceramide abundance from binding of fluorescent antibodies in flow cytometry. Results: A 48 hours exposure to Aristolochic Acid (≥ 75 g/ml) was followed by a significant decrease of forward scatter and increase of annexin-V-binding. The effects were paralleled by a significant increase of [Ca2+]i and significantly blunted, but not abrogated by removal of extracellular Ca2+. Aristolochic Acid further significantly increased ceramide abundance. Conclusions: Aristolochic Acid triggers eryptosis, an effect at least in part due to entry of extracellular Ca2+ and ceramide formation. i 2014 S. Karger AG, Baselhttp://www.karger.com/Article/FullText/368454PhosphatidylserineAristolochic AcidCalciumCeramideCell volumeEryptosis
spellingShingle Abaid Malik
Rosi Bissinger
Salvatrice Calabrò
Caterina Faggio
Kashif Jilani
Florian Lang
Aristolochic Acid Induced Suicidal Erythrocyte Death
Kidney & Blood Pressure Research
Phosphatidylserine
Aristolochic Acid
Calcium
Ceramide
Cell volume
Eryptosis
title Aristolochic Acid Induced Suicidal Erythrocyte Death
title_full Aristolochic Acid Induced Suicidal Erythrocyte Death
title_fullStr Aristolochic Acid Induced Suicidal Erythrocyte Death
title_full_unstemmed Aristolochic Acid Induced Suicidal Erythrocyte Death
title_short Aristolochic Acid Induced Suicidal Erythrocyte Death
title_sort aristolochic acid induced suicidal erythrocyte death
topic Phosphatidylserine
Aristolochic Acid
Calcium
Ceramide
Cell volume
Eryptosis
url http://www.karger.com/Article/FullText/368454
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AT caterinafaggio aristolochicacidinducedsuicidalerythrocytedeath
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