2006
DOI: 10.1158/0008-5472.can-06-1043
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Ifosfamide-Induced Nephrotoxicity: Mechanism and Prevention

Abstract: The efficacy of ifosfamide (IFO), an antineoplastic drug, is severely limited by a high incidence of nephrotoxicity of unknown etiology. We hypothesized that inhibition of complex I (C-I) by chloroacetaldehyde (CAA), a metabolite of IFO, is the chief cause of nephrotoxicity, and that agmatine (AGM), which we found to augment mitochondrial oxidative phosphorylation and B-oxidation, would prevent nephrotoxicity. Our model system was isolated mitochondria obtained from the kidney cortex of rats treated with IFO o… Show more

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Cited by 82 publications
(73 citation statements)
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References 45 publications
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“…A set of separate experiments was performed similarly but using 15 15 N amino acids were measured by GC-MS as described in previous reports (11,13).…”
Section: C]glucose-batches Of 1000 Cultured Islets From Sur1mentioning
confidence: 99%
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“…A set of separate experiments was performed similarly but using 15 15 N amino acids were measured by GC-MS as described in previous reports (11,13).…”
Section: C]glucose-batches Of 1000 Cultured Islets From Sur1mentioning
confidence: 99%
“…For measurement of the 13 C enrichment in amino acids, samples were prepared as previously described (14,15). Briefly, an aliquot of islet perchloric acid extract was purified by passage on an AG-1 (Cl Ϫ , 100 -200 mesh; 0.5 ϫ 2.5 cm) or AG-50 (H ϩ , 100 -200 mesh) column and then converted into the t-butyldimethylsilyl derivatives.…”
Section: C]glucose-batches Of 1000 Cultured Islets From Sur1mentioning
confidence: 99%
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“…The reactive toxic metabolite Chloroacetaldehyde (CAA), which is produced by the side-chain oxidation of IFO in renal tubular cells (Woodland et al, 2000), is believed to cause the nephrotoxic effect (Springate et al, 1999;Aleska et al, 2005) through inducing oxidative stress (Sener et al, 2004;Knouzy et al, 2010). Nissim et al (2006) hypothesized that the CAA-induced dysfunction of mitochondrial oxidative phosphorylation in renal proximal tubules impairs energy production, thereby resulting in multiple metabolic abnormalities and cellular damage. Generally, drugs in developing countries may not always get perfect storing facilities, though facing many unfavorable conditions such as storing in high temperature degrees.…”
Section: Introductionmentioning
confidence: 99%