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A correlation between a proteomic evaluation and conventional measurements in the assessment of renal proximal tubular toxicity.

Abstract
4-Aminophenol (4-AP), D-serine, and cisplatin are established rodent nephrotoxins that damage proximal tubules within the renal cortex. Using high throughput 2D gel proteomics to profile protein changes in the plasma of compound-treated animals, we identified several markers of kidney toxicity. Male F344 and Alpk rats were treated with increasing doses of 4-AP, D-serine, or cisplatin, and plasma samples were collected over time. Control groups received saline or nontoxic isomers, L-serine, and transplatin. Plasma proteins that displayed dose- and temporal-dependent regulation in each study were further characterized by mass spectrometry to elucidate the protein identity. Several isoforms of the rat-specific T-kininogen protein were identified in each study. T-kininogen was elevated in the plasma of 4-AP-, D-serine-, and cisplatin-treated animals at early time points, returning to baseline levels 3 weeks after treatment. The protein was not elevated in the plasma of control animals or those treated with nontoxic compounds. We propose that T-kininogen may be required to counteract apoptosis in proximal tubular cells in order to minimize tissue damage following a toxic insult. In addition, T-kininogen may be required to stimulate localized inflammation to aid tissue repair. We also identified several isoforms of the inter-alpha inhibitor H4P heavy chain in the 4-AP and D-serine studies. In each case, the protein expression levels in the blood samples paralleled the extent of kidney toxicity, highlighting the correlation between protein alterations and clinical chemistry endpoints. A further set of proteins correlating with kidney damage was found to be a component of the complement cascade and other blood clotting factors, indicating a contribution of the immune system to the observed toxicity. These observations underscore the value of proteomics in identifying new biomarkers and in the elucidation of mechanisms of toxicity.
AuthorsLasantha R Bandara, Mike D Kelly, Edward A Lock, Sandy Kennedy
JournalToxicological sciences : an official journal of the Society of Toxicology (Toxicol Sci) Vol. 73 Issue 1 Pg. 195-206 (May 2003) ISSN: 1096-6080 [Print] United States
PMID12657746 (Publication Type: Comparative Study, Journal Article)
Chemical References
  • Antineoplastic Agents
  • Blood Proteins
  • Kininogens
  • Potassium Channel Blockers
  • Proteome
  • alpha-Macroglobulins
  • Serine
  • Creatinine
  • 4-Aminopyridine
  • Cisplatin
Topics
  • 4-Aminopyridine (toxicity)
  • Animals
  • Antineoplastic Agents (toxicity)
  • Blood Proteins (metabolism)
  • Cisplatin (toxicity)
  • Creatinine (blood)
  • Dose-Response Relationship, Drug
  • Electrophoresis, Polyacrylamide Gel
  • Fanconi Syndrome (chemically induced, pathology)
  • Image Processing, Computer-Assisted
  • Kidney Function Tests
  • Kininogens (biosynthesis)
  • Male
  • Mass Spectrometry
  • Molecular Weight
  • Potassium Channel Blockers (toxicity)
  • Proteome (chemistry, drug effects)
  • Rats
  • Rats, Inbred F344
  • Serine (toxicity)
  • alpha-Macroglobulins (metabolism)

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