Purpose: This study aimed to test the influence of functional renal organic cation transporters (OCT2 in humans, Oct1 and Oct2 in mice) on biomarkers of cisplatin nephrotoxicity, such as urinary activity of N-acetyl-β-D- glucosaminidase (NAG). Experimental Design: Temporal cisplatin-induced nephrotoxicity was assessed by histopathology and biomarkers. Cisplatin-mediated NAG changes and survival were determined in wild-type and Oct1/2(-/-) mice. Identification of OCT2 inhibitors was done in transfected 293Flp-In cells, and the NCI60 cell line panel was used to assess contribution of OCT2 to cisplatin uptake in cancer cells. Results: Classical biomarkers such as blood urea nitrogen and serum creatinine were not elevated until 72 hours after cisplatin administration and substantial kidney damage had occurred. Oct1/2(-/-) mice had 2.9-fold lower NAG by 4 hours (P < 0.0001) and 2.3-fold increased survival (P = 0.0097). Among 16 agents, cimetidine strongly inhibited uptake of tetraethylammonium bromide (P = 0.0006) and cisplatin (P < 0.0001), but did not have an influence on cisplatin uptake in SK-OV-3 cells, the cancer line with the highest OCT2 mRNA levels. In wild-type mice, cimetidine inhibited cisplatin-induced NAG changes (P = 0.016 versus cisplatin alone) to a degree similar to that seen in Oct1/2(-/-) mice receiving cisplatin (P = 0.91). Cumulative NAG activity of >0.4 absorbance units (AU) was associated with 21-fold increased odds for severe nephrotoxicity (P = 0.0017), which was linked with overall survival (hazard ratio, 8.1; 95% confidence interval, 2.1-31; P = 0.0078). Conclusions: Cimetidine is able to inhibit OCT2-mediated uptake of cisplatin in the kidney, and subsequently ameliorate nephrotoxicity likely with minimal effect on uptake in tumor cells.

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Keywords animal experiment, animal model, animal tissue, area under the curve, article, cancer cell culture, cimetidine, cisplatin, controlled study, creatinine, creatinine blood level, disease severity, drug blood level, drug effect, drug elimination, enzyme activity, human, human cell, male, mouse, n acetyl beta glucosaminidase, nephrotoxicity, nonhuman, organic cation transporter 1, organic cation transporter 2, overall survival, priority journal, tetrylammonium bromide, urea, urea nitrogen blood level, urine level
Persistent URL dx.doi.org/10.1158/1078-0432.CCR-10-0949, hdl.handle.net/1765/21014
Journal Clinical Cancer Research
Franke, R.M, Koloske, A.M, Lancaster, C.S, Filipski, K.K, Hu, C, Zolk, O, … Sparreboom, A. (2010). Influence of Oct1/Oct2-deficiency on cisplatin-induced changes in urinary N-acetyl-β-D-glucosaminidase. Clinical Cancer Research, 16(16), 4198–4206. doi:10.1158/1078-0432.CCR-10-0949