Aristolochic acids (AAs) are powerful nephrotoxins that cause severe tubulointerstitial
fibrosis. The biopsy-proven peritubular
capillary rarefaction may worsen the progression of renal lesions via tissue
hypoxia. As we previously observed the overproduction of
reactive oxygen species (ROS) by cultured endothelial cells exposed to AA, we here investigated in vitro AA-induced metabolic changes by 1H-NMR spectroscopy on intracellular medium and
cell extracts. We also tested the effects of
nebivolol (NEB), a β-blocker agent exhibiting
antioxidant properties. After 24 h of AA exposure, significantly reduced cell viability and intracellular ROS overproduction were observed in EAhy926 cells; both effects were counteracted by NEB pretreatment. After 48 h of exposure to AA, the most prominent metabolite changes were significant decreases in
arginine, glutamate,
glutamine and
glutathione levels, along with a significant increase in the
aspartate, glycerophosphocholine and
UDP-
N-acetylglucosamine contents. NEB pretreatment slightly inhibited the changes in
glutathione and glycerophosphocholine. In the supernatants from exposed cells, a decrease in
lactate and
glutamate levels, together with an increase in
glucose concentration, was found. The AA-induced reduction in
glutamate was significantly inhibited by NEB. These findings confirm the involvement of oxidative stress in AA toxicity for endothelial cells and the potential benefit of NEB in preventing endothelial injury.