Squalene attenuates the oxidative stress and activates AKT/mTOR pathway against cisplatin-induced kidney damage in mice

The clinical use of cisplatin, which is a first-line anticancer agent, is highly restricted due to its adverse effects on kidneys that lead to nephrotoxicity. Therefore, some potential reno-protective substances have been used in combination with cisplatin to cope with nephrotoxicity. Due to its high antitumor activity and oxygen-carrying capacity, we investigated the molecular effects of squalene against cisplatin-induced oxidative stress and kidney damage in mice. Single dose of cisplatin (7 mg/kg) was given to male Balb/c mice. Squalene (100 mg/kg/day) was administered orogastrically to mice for 10 days. Following sacrification, molecular alterations were investigated as analysis of the levels of oxidative stress index (OSI), inflammatory cytokines and cell survival-related proteins in addition to histopathological examinations in mice kidney tissue. The level OSI and Interferon-gamma (IFN-γ) decreased in the cisplatin and squalene cotreated mice compared to cisplatin-treated mice. Squalene treatment also increased the activation of protein kinase B (AKT). Furthermore, cisplatin-induced inactivation of mammalian target of rapamycin (mTOR) and histopathological damages were reversed by squalene. It may be suggested that squalene ameliorated the cisplatin-induced histopathological damages in the kidney through activation of AKT/mTOR signaling pathway by regulating the balance of the redox system due to its antioxidative effect.

___

  • Arany I, Safirstein RL (2003). Cisplatin nephrotoxicity. Seminars in Nephrology 23 (5): 460-464.
  • Ayla S, Seckin I, Tanriverdi G, Cengiz M, Eser M et al. (2011). Doxorubicin induced nephrotoxicity: protective effect of nicotinamide. International Journal of Cell Biology 2011: 390238. doi: 10.1155/2011/390238.
  • Bonifacio A, Sanvee GM, Bouitbir J, Krähenbühl S (2015). The AKT/ mTOR signaling pathway plays a key role in statin-induced myotoxicity. Biochimica et Biophysica Acta 1853 (8): 1841- 1849. doi: 10.1016/j.bbamcr.2015.04.010.
  • Das B, Antoon R, Tsuchida R, Lotfi S, Morozova O et al. (2008). Squalene selectively protects mouse bone marrow progenitors against cisplatin and carboplatin-induced cytotoxicity in vivo without protecting tumor growth. Neoplasia 10 (10): 1105- 1119.
  • Dasari S, Tchounwou PB (2014). Cisplatin in cancer therapy: molecular mechanisms of action. European Journal of Pharmacology 740: 364-378. doi: 10.1016/j.ejphar.2014.07.025.
  • Dong J, Sulik KK, Chen SY (2008). Nrf2-mediated transcriptional induction of antioxidant response in mouse embryos exposed to ethanol in vivo: implications for the prevention of fetal alcohol spectrum disorders. Antioxidants and Redox Signaling 10 (12): 2023-33. doi: 10.1089/ars.2007.2019.
  • Eren H, Aydin HR, Tumkaya L, Kazaz IO, Kalkan Y et al. (2018). Whortleberry protects kidney against the cisplatin-induced nephrotoxicity: an experimental study. Renal Failure 40 (1): 466-474. doi: 10.1080/0886022X.2018.1500292.
  • Foerster F, Boegel S, Heck R, Pickert G, Rüssel N et al. (2017). Enhanced protection of C57 BL/6 vs Balb/c mice to melanoma liver metastasis is mediated by NK cells. Oncoimmunology 7(4): e1409929. doi: 10.1080/2162402X.2017.1409929.
  • Fu D, Shang X, Ni Z, Shi G. (2016). Shikonin inhibits inflammation and chondrocyte apoptosis by regulation of the PI3K/Akt signaling pathway in a rat model of osteoarthritis. Experimental and Therapeutic Medicine 12 (4): 2735-2740.
  • Haghi-Aminjan H, Farhood B, Rahimifard M, Didari T, Baeeri M et al. (2018). The protective role of melatonin in chemotherapyinduced nephrotoxicity: a review of non-clinical studies. Expert Opinion on Drug Metabolism and Toxicology 14 (9): 937-950. doi: 10.1080/17425255.2018.1513492.
  • Hashim YZH, Eng M, Gill CI, McGlynn H, Rowland IR (2005). Components of olive oil and chemoprevention of colorectal cancer. Nutrition Reviews 63 (11): 374-386.
  • Hermida MA, Dinesh Kumar J, Leslie NR (2017). GSK3 and its interactions with the PI3K/AKT/mTOR signalling network. Advances in Biological Regulation 65: 5-15. doi: 10.1016/j. jbior.2017.06.003.
  • He X, Ma Q (2012). Disruption of Nrf2 synergizes with high glucose to cause heightened myocardial oxidative stress and severe cardiomyopathy in diabetic mice. Journal of Diabetes and Metabolism 2012 (suppl 7): 002.
  • Ho YP, Au-Yeung SC, To KK (2003). Platinum-based anticancer agents: innovative design strategies and biological perspectives. Medicinal Research Reviews 23 (5): 633-655.
  • Kilic U, Kilic E, Tuzcu Z, Tuzcu M, Ozercan IH et al. (2013). Melatonin suppresses cisplatin-induced nephrotoxicity via activation of Nrf-2/HO-1 pathway. Nutrition and Metabolism (Lond) 10 (1): 7. doi: 10.1186/1743-7075-10-7.
  • Kilic U, Sahin K, Tuzcu M, Basak N, Orhan C et al. (2015a). Enhancement of cisplatin sensitivity in human cervical cancer: epigallocatechin-3-gallate. Frontiers in Nutrition 1: 28. doi: 10.3389/fnut.2014.00028.
  • Kilic U, Gok O, Erenberk U, Dundaroz MR, Torun E et al. (2015b). A remarkable age-related increase in SIRT1 protein expression against oxidative stress in elderly: SIRT1 gene variants and longevity in human. PLoS One 10: e0117954. doi: 10.1371/ journal.pone.0117954.
  • Kimura A, Ishida Y, Inagaki M, Nakamura Y, Sanke T et al. (2012). Interferon-γ is protective in cisplatin-induced renal injury by enhancing autophagic flux. Kidney International 82 (10): 1093- 1104. doi: 10.1038/ki.2012.240.
  • Kuhlmann M, Burkhardt G, Köhler H (1997). Insights into potential cellular mechanisms of cisplatin nephrotoxicity and their clinical application. Nephrology Dialysis Transplantation 12 (12): 2478-2480.
  • Li L, Duan W, Zhang L, Li X, Fu X et al. (2017). The efficacy and safety of gemcitabine, cisplatin, prednisone, thalidomide versus CHOP in patients with newly diagnosed peripheral T-cell lymphoma with analysis of biomarkers. British Journal of Haematology 178 (5): 772-780. doi: 10.1111/bjh.14763.
  • Liu GC, Ahrens EH Jr, Schreibman PH, Crouse JR (1976). Measurement of squalene in human tissues and plasma: validation and application. Journal of Lipid Research 17 (1): 38-45.
  • Liu J, Livingston MJ, Dong G, Tang C, Su Y et al. (2018). Histone deacetylase inhibitors protect against cisplatin-induced acute kidney injury by activating autophagy in proximal tubular cells. Cell Death and Disease 9 (3): 322. doi: 10.1038/s41419- 018-0374-7.
  • Ma Q (2013). Role of Nrf2 in oxidative stress and toxicity. Annual Review of Pharmacology and Toxicology 53: 401-426. doi: 10.1146/annurev-pharmtox-011112-140320.
  • Nematbakhsh M, Pezeshki Z, Eshraghi Jazi F, Mazaheri B, Moeini M et al. (2017). Cisplatin-Induced Nephrotoxicity; Protective Supplements and Gender Differences. Asian Pacific Journal of Cancer Prevention 18 (2): 295-314.
  • Newmark HL (1997). Squalene, olive oil, and cancer risk: a review and hypothesis. Cancer Epidemiology Biomarkers and Prevention 6 (12): 1101-1103.
  • Newmark HL (1999). Squalene, olive oil, and cancer risk. Review and hypothesis. Annals of the New York Academy of Sciences 889: 193-203.
  • Ondrejková A, Süli J, Harvanová J, Ondrejka R, Prokeš M (2017). Antioxidative protection of squalene adjuvant and rabies vaccine with adjuvant. Biological and Pharmaceutical Bulletin 40 (7): 1029-1034. doi: 10.1248/bpb.b17-00026.
  • Ozkok A, Edelstein CL (2014). Pathophysiology of cisplatin-induced acute kidney injury. Biomed Research International 2014: 967826. doi: 10.1155/2014/967826.
  • Paquette M, El-Houjeiri L, Pause A (2018). mTOR pathways in cancer and autophagy. Cancers (Basel) 10 (1): E18. doi: 10.3390/cancers10010018.
  • Pezeshki Z, Nematbakhsh M, Nasri H, Talebi A, Pilehvarian AA et al. (2013). Evidence against protective role of sex hormone estrogen in Cisplatin-induced nephrotoxicity in ovarectomized rat model. Toxicology International 20 (1): 43-47. doi: 10.4103/0971-6580.111568.
  • Rao CV, Newmark HL, Reddy BS (1998). Chemopreventive effect of squalene on colon cancer. Carcinogenesis 19: 287-290.
  • Sánchez-Fidalgo S, Villegas I, Rosillo MÁ, Aparicio-Soto M, de la Lastra CA (2015). Dietary squalene supplementation improves DSS-induced acute colitis by downregulating p38 MAPK and NFkB signaling pathways. Molecular Nutrition and Food Research 59 (2): 284-292. doi: 10.1002/mnfr.201400518.
  • Sastry J, Kellie SJ (2005). Severe neurotoxicity, ototoxicity and nephrotoxicity following high-dose cisplatin and amifostine. Pediatric Hematology and Oncology 22 (5): 441-445.
  • Senthilkumar S, Devaki T, Manohar BM, Babu MS (2006a). Effect of squalene on cyclophosphamide-induced toxicity. Clinica Chimica Acta 364 (1-2): 335-342.
  • Senthilkumar S, Yogeeta SK, Subashini R, Devaki T (2006b). Attenuation of cyclophosphamide induced toxicity by squalene in experimental rats. Chemico-Biological Interactions 160 (3): 252-260.
  • Shimeda Y, Hirotani Y, Akimoto Y, Shindou K, Ijiri Y et al. (2005). Protective effects of capsaicin against cisplatin-induced nephrotoxicity in rats. Biological and Pharmaceutical Bulletin 28 (9): 1635-1638.
  • Sies H, Masumoto H (1997). Ebselen as a glutathione peroxidase mimic and as a scavenger of peroxynitrite. Advances in Pharmacology 38: 229-246.
  • Smith TJ (2000). Squalene: potential chemopreventive agent. Expert Opinion on Investigational Drugs 9 (8): 1841-1848.
  • Sotiroudis TG, Kyrtopoulos SA (2008). Anticarcinogenic compounds of olive oil and related biomarkers. European Journal of Nutrition 47 (Suppl 2): 69-72. doi: 10.1007/s00394-008-2008-9.
  • Soyman Z, Uzun H, Bayindir N, Esrefoglu M, Boran B (2018). Can ebselen prevent cisplatin-induced ovarian damage? Archieves of Gynecology and Obstetrics 297 (6): 1549-1555. doi: 10.1007/ s00404-018-4750-4.
  • Talalay P, Dinkova-Kostova AT, Holtzclaw WD (2003). Importance of phase 2 gene regulation in protection against electrophile and reactive oxygen toxicity and carcinogenesis. Advances in Enzyme Regulation 43: 121-134.
  • Vazquez L, Fornari T, Señoráns FJ, Reglero G, Torres CF (2008). Supercritical carbon dioxide fractionation of nonesterified alkoxyglycerols obtained from shark liver oil. Journal of Agricultural and Food Chemistry 56 (3): 1078-1083. doi: 10.1021/jf0720842.
  • Verma PK, Raina R, Sultana M, Singh M, Kumar P (2016). Total antioxidant and oxidant status of plasma and renal tissue of cisplatin-induced nephrotoxic rats: protection by floral extracts of Calendula officinalis Linn. Renal Failure 38 (1): 142- 150. doi: 10.3109/0886022X.2015.1103585.
  • Wang D, Lippard SJ (2005). Cellular processing of platinum anticancer drugs. Nature Reviews Drug Discovery 4 (4): 307- 320.
  • Warleta F, Campos M, Allouche Y, Sánchez-Quesada C, RuizMora J et al. (2010). Squalene protects against oxidative DNA damage in MCF10A human mammary epithelial cells but not in MCF7 and MDAMB- 231 human breast cancer cells. Food and Chemical Toxicology 48 (4): 1092-1100. doi: 10.1016/j. fct.2010.01.031.
  • Wei YM, Li X, Xu M, Abais JM, Chen Y et al. (2013). Enhancement of autophagy by simvastatin through inhibition of Rac1- mTOR signaling pathway in coronary arterial myocytes. Cell Physiology and Biochemistry 31 (6): 925-937. doi: 10.1159/000350111.
  • Yao X, Panichpisal K, Kurtzman N, Nugent K (2007). Cisplatin nephrotoxicity: a review. The American Journal of The Medical Sciences 334 (2): 115-124.