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Publication : Identification of OAT1/OAT3 as Contributors to Cisplatin Toxicity.

First Author  Hu S Year  2017
Journal  Clin Transl Sci Volume  10
Issue  5 Pages  412-420
PubMed ID  28689374 Mgi Jnum  J:350594
Mgi Id  MGI:6875415 Doi  10.1111/cts.12480
Citation  Hu S, et al. (2017) Identification of OAT1/OAT3 as Contributors to Cisplatin Toxicity. Clin Transl Sci 10(5):412-420
abstractText  Cisplatin is among the most widely used anticancer drugs and known to cause a dose-limiting nephrotoxicity, which is partially dependent on the renal uptake carrier OCT2. We here report a previously unrecognized, OCT2-independent pathway of cisplatin-induced renal injury that is mediated by the organic anion transporters OAT1 and OAT3. Using transporter-deficient mouse models, we found that this mechanism regulates renal uptake of a mercapturic acid metabolite of cisplatin that acts as a precursor of a potent nephrotoxin. The function of these two transport systems can be simultaneously inhibited by the tyrosine kinase inhibitor nilotinib through noncompetitive mechanisms, without compromising the anticancer properties of cisplatin. Collectively, our findings reveal a novel pathway that explains the fundamental basis of cisplatin-induced nephrotoxicity, with potential implications for its therapeutic management.
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