Cisplatin-induced human peripheral blood mononuclear cells’ oxidative stress and nephrotoxicity in head and neck cancer patients: the influence of hydrogen peroxide

Cisplatin is a widely used antineoplastic agent in the treatment of head and neck cancer. However, it is highly nephrotoxic. Oxidative stress is the main mechanism responsible for cisplatin-induced nephrotoxicity. The aim of this study was to characterize cisplatin-induced nephrotoxicity, oxidative...

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Veröffentlicht in:Molecular and cellular biochemistry 2018-03, Vol.440 (1-2), p.139-145
Hauptverfasser: Quintanilha, Júlia C. F., Visacri, Marília B., Sousa, Vanessa M., Bastos, Larissa B., Vaz, Camila O., Guarnieri, João P. O., Amaral, Laís S., Malaguti, Carina, Lima, Carmen S. P., Vercesi, Anibal E., Moriel, Patricia
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container_issue 1-2
container_start_page 139
container_title Molecular and cellular biochemistry
container_volume 440
creator Quintanilha, Júlia C. F.
Visacri, Marília B.
Sousa, Vanessa M.
Bastos, Larissa B.
Vaz, Camila O.
Guarnieri, João P. O.
Amaral, Laís S.
Malaguti, Carina
Lima, Carmen S. P.
Vercesi, Anibal E.
Moriel, Patricia
description Cisplatin is a widely used antineoplastic agent in the treatment of head and neck cancer. However, it is highly nephrotoxic. Oxidative stress is the main mechanism responsible for cisplatin-induced nephrotoxicity. The aim of this study was to characterize cisplatin-induced nephrotoxicity, oxidative stress in peripheral blood mononuclear cells, and the relationship between them. Twenty-four patients were included in the study. Patients had their blood collected prior to cisplatin administration, and 5 and 20 days after initiating therapy, to assess renal function and to determine oxidative stress with MitoSOX™Red, H 2 DCF-DA, and Amplex ® Red tests. Renal function was assessed by measuring serum creatinine, creatinine clearance, and blood urea nitrogen (BUN). Serum creatinine and creatinine clearance were used to grade nephrotoxicity using Common Terminology Criteria for Adverse Events (CTCAE) v4.0. Compared to baseline values, the mean BUN and serum creatinine increased 135 and 100%, respectively, 5 days after cisplatin infusion. Mean creatinine clearance showed a 43% decrease compared to baseline value. Non-statistically significant changes in superoxide anion (O 2 •− ), hydrogen peroxide (H 2 O 2 ), and general reactive oxygen species production occurred. A higher production of H 2 O 2 was correlated with variation in serum creatinine, and was associated with higher grades for serum creatinine increases and creatinine clearance reductions. Linear regression analyses showed an association between H 2 O 2 production and serum creatinine, creatinine clearance, and BUN levels. These results were observed for 5 days following cisplatin administration. In conclusion, H 2 O 2 production was significantly related to changes in all renal parameters that were evaluated, following the cisplatin infusion.
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A higher production of H 2 O 2 was correlated with variation in serum creatinine, and was associated with higher grades for serum creatinine increases and creatinine clearance reductions. Linear regression analyses showed an association between H 2 O 2 production and serum creatinine, creatinine clearance, and BUN levels. These results were observed for 5 days following cisplatin administration. 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F.</creatorcontrib><creatorcontrib>Visacri, Marília B.</creatorcontrib><creatorcontrib>Sousa, Vanessa M.</creatorcontrib><creatorcontrib>Bastos, Larissa B.</creatorcontrib><creatorcontrib>Vaz, Camila O.</creatorcontrib><creatorcontrib>Guarnieri, João P. O.</creatorcontrib><creatorcontrib>Amaral, Laís S.</creatorcontrib><creatorcontrib>Malaguti, Carina</creatorcontrib><creatorcontrib>Lima, Carmen S. P.</creatorcontrib><creatorcontrib>Vercesi, Anibal E.</creatorcontrib><creatorcontrib>Moriel, Patricia</creatorcontrib><title>Cisplatin-induced human peripheral blood mononuclear cells’ oxidative stress and nephrotoxicity in head and neck cancer patients: the influence of hydrogen peroxide</title><title>Molecular and cellular biochemistry</title><addtitle>Mol Cell Biochem</addtitle><addtitle>Mol Cell Biochem</addtitle><description>Cisplatin is a widely used antineoplastic agent in the treatment of head and neck cancer. However, it is highly nephrotoxic. 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Non-statistically significant changes in superoxide anion (O 2 •− ), hydrogen peroxide (H 2 O 2 ), and general reactive oxygen species production occurred. A higher production of H 2 O 2 was correlated with variation in serum creatinine, and was associated with higher grades for serum creatinine increases and creatinine clearance reductions. Linear regression analyses showed an association between H 2 O 2 production and serum creatinine, creatinine clearance, and BUN levels. These results were observed for 5 days following cisplatin administration. 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subjects Biochemistry
Biomedical and Life Sciences
Blood
Cancer
Cardiology
Chemotherapy
Cisplatin
Creatinine
Head
Head & neck cancer
Hydrogen peroxide
Leukocytes (mononuclear)
Life Sciences
Medical Biochemistry
Nephrology
Oncology
Oxidative stress
Patients
Peripheral blood mononuclear cells
Reactive oxygen species
Regression analysis
Renal function
Statistical analysis
Superoxide
Terminology
Toxicity
Urea
title Cisplatin-induced human peripheral blood mononuclear cells’ oxidative stress and nephrotoxicity in head and neck cancer patients: the influence of hydrogen peroxide
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