2019
DOI: 10.3390/ijms20174074
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Radiocontrast Agent Diatrizoic Acid Induces Mitophagy and Oxidative Stress via Calcium Dysregulation

Abstract: Contrast-induced acute kidney injury (CI-AKI) is the third most common cause of hospital associated kidney damage. Potential mechanisms of CI-AKI may involve diminished renal hemodynamics, inflammatory responses, and direct cytotoxicity. The hypothesis for this study is that diatrizoic acid (DA) induces direct cytotoxicity to human proximal tubule (HK-2) cells via calcium dysregulation, mitochondrial dysfunction, and oxidative stress. HK-2 cells were exposed to 0–30 mg I/mL DA or vehicle for 2–24 h. Conversion… Show more

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Cited by 10 publications
(9 citation statements)
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References 85 publications
(96 reference statements)
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“…As a result, it is hypothesized that mitochondrial cells, as one of the first structures in cells, are damaged. In clinically relevant CM exposure, the previously suggested mechanism of misfolded or unfolded protein accumulation with subsequent endoplasmic reticulum stress does not play a critical role in decreasing cell viability ( 29 ). One of the main mechanisms of cellular death is a calcium overload within mitochondria.…”
Section: Pathogenesismentioning
confidence: 97%
See 2 more Smart Citations
“…As a result, it is hypothesized that mitochondrial cells, as one of the first structures in cells, are damaged. In clinically relevant CM exposure, the previously suggested mechanism of misfolded or unfolded protein accumulation with subsequent endoplasmic reticulum stress does not play a critical role in decreasing cell viability ( 29 ). One of the main mechanisms of cellular death is a calcium overload within mitochondria.…”
Section: Pathogenesismentioning
confidence: 97%
“…This may be, in part, due to the concentrations of CM used in animal studies (usually over 5–100 times the concentrations found in plasma of patient undergoing CM administration). As proposed by Ward et al ( 29 ) changes of cellular homeostasis and cellular disarray induced in animal studies would not occur at clinical practice. The chemical structure of CM may suggest that free iodine particles lead to cytotoxicity.…”
Section: Pathogenesismentioning
confidence: 98%
See 1 more Smart Citation
“…The natural anti-oxidant tetramethylpyrazine suppressed ROS production, mitophagy, mitochondrial fragmentation, and renal tubular cell apoptosis in CI-induced AKI [126]. In addition, Mitophagy was also noticed in renal tubules in FA-induced AKI in rats [127], and in diatrizoic acid (DA)-induced renal tubular cell injury [128], but the precise role and regulation of mitophagy in these settings remain unknown.…”
Section: Mitophagy In Other Types Of Akimentioning
confidence: 99%
“…Metabolic profiling of cultured kidney cells treated with different doses of cyclosporine A revealed a stark induction of glutathione metabolism, as well as alterations in amino acids and tricarboxylic acid cycle (TCA-cycle) intermediates [ 22 ]. Hence, the radiocontrast agent diatrizoic acid was also shown to induce an oxidative stress response [ 23 ]. Administration of the antiviral drug acyclovir, commonly causing acute kidney injury to rats, revealed excessive excretion of nitrogen containing metabolites to the urine [ 24 ].…”
Section: Introductionmentioning
confidence: 99%