522
Views
78
Downloads
2
Crossref
2
WoS
2
Scopus
1
CSCD
Despite cisplatin has been widely used in the treatment of various cancers, the noteworthy nephrotoxicity greatly constrained its clinical value. For this reason, finding novel targeted therapies to attenuate the nephrotoxicity of cisplatin should be pretty significant. Our previous study found that histone deacetylase sirtuin 6 (SIRT6) could be an ideal target for the treatment of cisplatin-induced acute kidney injury. In this study, we explored the protective effects of ellagic acid, a natural polyphenol compound that activates SIRT6, on cisplatin-induced nephrotoxicity. Pre-treatment of ellagic acid attenuated cytotoxicity of cisplatin in primary renal cells and TCMK-1 cells. Moreover, ellagic acid ameliorated renal dysfunction, apoptosis and fibrosis induced by cisplatin in mice. Furthermore, ellagic acid reduced nephrotoxicity-associated inflammatory factor interleukin (IL)-1β and IL-6 expression both in vitro and in vivo. Mechanistically, ellagic acid reversed cisplatin-reduced SIRT6 expression and diminished cisplatin-induced tumor necrosis factor (TNF)-α expression. And SIRT6 knockdown abrogated the protective effects of ellagic acid on cisplatin-induced cell apoptosis, indicating the renal-protective effects of ellagic acid are mainly dependent on ellagic acid-mediated SIRT6 activation. Our results provide preclinical rationale for using ellagic acid as a feasible and promising agent to ameliorate cisplatin-induced acute kidney injury, and support ellagic acid as a potential adjunctive therapy for future cancer treatment.
Despite cisplatin has been widely used in the treatment of various cancers, the noteworthy nephrotoxicity greatly constrained its clinical value. For this reason, finding novel targeted therapies to attenuate the nephrotoxicity of cisplatin should be pretty significant. Our previous study found that histone deacetylase sirtuin 6 (SIRT6) could be an ideal target for the treatment of cisplatin-induced acute kidney injury. In this study, we explored the protective effects of ellagic acid, a natural polyphenol compound that activates SIRT6, on cisplatin-induced nephrotoxicity. Pre-treatment of ellagic acid attenuated cytotoxicity of cisplatin in primary renal cells and TCMK-1 cells. Moreover, ellagic acid ameliorated renal dysfunction, apoptosis and fibrosis induced by cisplatin in mice. Furthermore, ellagic acid reduced nephrotoxicity-associated inflammatory factor interleukin (IL)-1β and IL-6 expression both in vitro and in vivo. Mechanistically, ellagic acid reversed cisplatin-reduced SIRT6 expression and diminished cisplatin-induced tumor necrosis factor (TNF)-α expression. And SIRT6 knockdown abrogated the protective effects of ellagic acid on cisplatin-induced cell apoptosis, indicating the renal-protective effects of ellagic acid are mainly dependent on ellagic acid-mediated SIRT6 activation. Our results provide preclinical rationale for using ellagic acid as a feasible and promising agent to ameliorate cisplatin-induced acute kidney injury, and support ellagic acid as a potential adjunctive therapy for future cancer treatment.
N. Pabla, Z. Dong, Cisplatin nephrotoxicity: mechanisms and renoprotective strategies, Kidney Int. 73 (2008) 994-1007. https://doi.org/10.1038/sj.ki.5002786.
Z.H. Siddik, Cisplatin: mode of cytotoxic action and molecular basis of resistance, Oncogene. 22 (2003) 7265-7279. https://doi.org/10.1038/sj.onc.1206933.
A.R. Chang, C.M. Ferrer, R. Mostoslavsky, SIRT6, a mammalian deacylase with multitasking abilities, Physiol Rev. 100 (2020) 145-169. https://doi.org/10.1152/physrev.00030.2018.
T.L. Kawahara, E. Michishita, A.S. Adler, et al., SIRT6 links histone H3 lysine 9 deacetylation to NF-kappaB-dependent gene expression and organismal life span, Cell. 136 (2009) 62-74. https://doi.org/10.1016/j.cell.2008.10.052.
E. Michishita, R.A. McCord, L.D. Boxer, et al., Cell cycle-dependent deacetylation of telomeric histone H3 lysine K56 by human SIRT6, Cell Cycle. 8 (2009) 2664-2666. https://doi.org/10.4161/cc.8.16.9367.
L. Tasselli, Y. Xi, W. Zheng, et al., SIRT6 deacetylates H3K18ac at pericentric chromatin to prevent mitotic errors and cellular senescence, Nat Struct Mol Biol. 23 (2016) 434-440. https://doi.org/10.1038/nsmb.3202.
L. Tasselli, W. Zheng, K.F. Chua, SIRT6: novel mechanisms and links to aging and disease, Trends Endocrinol Metab. 28 (2017) 168-185. https://doi.org/10.1016/j.tem.2016.10.002.
G. Liu, H. Chen, H. Liu, et al., Emerging roles of SIRT6 in human diseases and its modulators, Med Res Rev. 41 (2021) 1089-1137. https://doi.org/10.1002/med.21753.
A. Bhardwaj, S. Das, SIRT6 deacetylates PKM2 to suppress its nuclear localization and oncogenic functions, Proc Natl Acad Sci USA. 113 (2016) E538-E547. https://doi.org/10.1073/pnas.1520045113.
J.E. Dominy, Jr., Y. Lee, M.P. Jedrychowski, et al., The deacetylase Sirt6 activates the acetyltransferase GCN5 and suppresses hepatic gluconeogenesis, Mol Cell. 48 (2012) 900-913. https://doi.org/10.1016/j.molcel.2012.09.030.
G. Liszt, E. Ford, M. Kurtev, et al., Mouse Sir2 homolog SIRT6 is a nuclear ADP-ribosyltransferase, J Biol Chem. 280 (2005) 21313-21320. https://doi.org/10.1074/jbc.M413296200.
J.L. Feldman, J. Baeza, J.M. Denu, Activation of the protein deacetylase SIRT6 by long-chain fatty acids and widespread deacylation by mammalian sirtuins, J Biol Chem. 288 (2013) 31350-31356. https://doi.org/10.1074/jbc.C113.511261.
Z. Li, K. Xu, N. Zhang, et al., Overexpressed SIRT6 attenuates cisplatin-induced acute kidney injury by inhibiting ERK1/2 signaling, Kidney Int. 93 (2018) 881-892. https://doi.org/10.1016/j.kint.2017.10.021.
C. Ceci, P.M. Lacal, L. Tentori, et al., Experimental evidence of the antitumor, antimetastatic and antiangiogenic activity of ellagic acid, Nutrients. 10 (2018). https://doi.org/10.3390/nu10111756.
S. Alfei, F. Turrini, S. Catena, et al., Ellagic acid a multi-target bioactive compound for drug discovery in CNS? A narrative review, Eur J Med Chem. 183 (2019) 111724. https://doi.org/10.1016/j.ejmech.2019.111724.
T. Ahmed, W.N. Setzer, S.F. Nabavi, et al., Insights into effects of ellagic acid on the nervous system: a mini review, Curr Pharm Des. 22 (2016) 1350-1360. https://doi.org/10.2174/1381612822666160125114503.
D. Heber, Multitargeted therapy of cancer by ellagitannins, Cancer Lett. 269 (2008) 262-268. https://doi.org/10.1016/j.canlet.2008.03.043.
L. Vanella, C. Di Giacomo, R. Acquaviva, et al., Effects of ellagic acid on angiogenic factors in prostate cancer cells, Cancers. 5 (2013) 726-738. https://doi.org/10.3390/cancers5020726.
S. Wu, L. Tian, A new flavone glucoside together with known ellagitannins and flavones with anti-diabetic and anti-obesity activities from the flowers of pomegranate (Punica granatum), Nat Prod Res. 33 (2019) 252-257. https://doi.org/10.1080/14786419.2018.1446009.
L.A. BenSaad, K.H. Kim, C.C. Quah, et al., Anti-inflammatory potential of ellagic acid, gallic acid and punicalagin A&B isolated from Punica granatum, BMC Complement Altern Med. 17 (2017) 47. https://doi.org/10.1186/s12906-017-1555-0.
J. Khateeb, A. Gantman, A.J. Kreitenberg, et al., Paraoxonase 1 (PON1) expression in hepatocytes is upregulated by pomegranate polyphenols: a role for PPAR-gamma pathway, Atherosclerosis. 208 (2010) 119-125. https://doi.org/10.1016/j.atherosclerosis.2009.08.051.
M. Rahnasto-Rilla, J. Järvenpää, M. Huovinen, et al., Effects of galloflavin and ellagic acid on sirtuin 6 and its anti-tumorigenic activities, Biomed Pharmacother. 131 (2020) 110701. https://doi.org/10.1016/j.biopha.2020.110701.
R.P. Miller, R.K. Tadagavadi, G. Ramesh, et al., Mechanisms of cisplatin nephrotoxicity, Toxins. 2 (2010) 2490-2518. https://doi.org/10.3390/toxins2112490.
Y. He, Y. Xiao, X. Yang, et al., SIRT6 inhibits TNF-α-induced inflammation of vascular adventitial fibroblasts through ROS and Akt signaling pathway, Exp Cell Res. 357 (2017) 88-97. https://doi.org/10.1016/j.yexcr.2017.05.001.
J. Zhang, Z.W. Ye, K.D. Tew, et al., Cisplatin chemotherapy and renal function, Adv Cancer Res. 152 (2021) 305-327. https://doi.org/10.1016/bs.acr.2021.03.008.
T. Gómez-Sierra, D. Eugenio-Pérez, A. Sánchez-Chinchillas, et al., Role of food-derived antioxidants against cisplatin induced-nephrotoxicity, Food Chem Toxicol. 120 (2018) 230-242. https://doi.org/10.1016/j.fct.2018.07.018.
D.J. Crona, A. Faso, T.F. Nishijima, et al., A systematic review of strategies to prevent Cisplatin-induced nephrotoxicity, Oncologist. 22 (2017) 609-619. https://doi.org/10.1634/theoncologist.2016-0319.
B. Hakiminia, A. Goudarzi, A. Moghaddas, has vitamin E any shreds of evidence in cisplatin-induced toxicity, J Biochem Mol Toxicol. 33 (2019) e22349. https://doi.org/10.1002/jbt.22349.
M. Liu, K. Liang, J. Zhen, et al., Sirt6 deficiency exacerbates podocyte injury and proteinuria through targeting Notch signaling, Nat Commun. 8 (2017) 413. https://doi.org/10.1038/s41467-017-00498-4.
M. Falsaperla, G. Morgia, A. Tartarone, et al., Support ellagic acid therapy in patients with hormone refractory prostate cancer (HRPC) on standard chemotherapy using vinorelbine and estramustine phosphate, Eur Urol. 47 (2005) 449-454. https://doi.org/10.1016/j.eururo.2004.12.001.
M.A. Nuñez-Sánchez, A. González-Sarrías, R. García-Villalba, et al., Gene expression changes in colon tissues from colorectal cancer patients following the intake of an ellagitannin-containing pomegranate extract: a randomized clinical trial, J Nutr Biochem. 42 (2017) 126-133. https://doi.org/10.1016/j.jnutbio.2017.01.014.
C.J. Paller, X. Ye, P.J. Wozniak, et al., A randomized phase Ⅱ study of pomegranate extract for men with rising PSA following initial therapy for localized prostate cancer, Prostate Cancer Prostatic Dis. 16 (2013) 50-55. https://doi.org/10.1038/pcan.2012.20.
A.J. Pantuck, J.T. Leppert, N. Zomorodian, et al., Phase Ⅱ study of pomegranate juice for men with rising prostate-specific antigen following surgery or radiation for prostate cancer, Clin Cancer Res. 12 (2006) 4018-4026. https://doi.org/10.1158/1078-0432.Ccr-05-2290.
This work was financially supported by grants from the National Natural Science Foundation of China (82170873, 81871095), the National Key R&D Program of China (2018YFC2000304), the Tsinghua Precision Medicine Foundation (10001020132), and the Tsinghua University Spring Breeze Fund (20211080005). We thank Jingjing Wang at Cell Biology Facility, Center of Biomedical Analysis, Tsinghua University for the technical support.
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).