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Norcantharidin, a protective therapeutic agent in renal tubulointerstitial fibrosis

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Abstract

Progressive renal tubulointerstitial fibrosis is a common final pathway of nearly all forms of chronic kidney disease. Many efforts have been done to arrest or prevent renal tubulointerstitial fibrosis but with little progress. Nowadays, few therapeutic agents are available in clinical use. Norcantharidin (NCTD) is of great benefit in anticancer treatment, by inducing cell apoptosis, inhibiting cell proliferation, in addition, blocking tumor metastasis and angiogenesis in cancer, whereas little attention is given to its relationship with other diseases. Our recent studies demonstrated that NCTD was protective against renal tubulointerstitial fibrosis both in vivo and in vitro. The underlying mechanisms may include modulation of TGF-β1/Smad signal cascade, inhibition of protein serine/threonine phosphatases (PPP) as well as NF-κB. NCTD may be a promising therapeutic agent for renal tubulointerstitial fibrosis. In the present article, we will review the action of NCTD in renal tubulointerstitial fibrosis and discuss its possible mechanisms.

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Abbreviations

NCTD:

Norcantharidin

PPP:

Protein serine/threonine phosphatases

ACEI:

Angiotensin-converting enzyme inhibitors

ARB:

Angiotensin receptor blockers

ECM:

Extracellular matrix

CTGF:

Connective tissue growth factor

MCP-1:

Monocyte chemoattractant protein

EMT:

Epithelial–mesenchymal transition

FN:

Fibronectin

Col IV:

Collagen IV

SBEs:

Smad-binding elements

CaN:

Calcineurin

CaN/NFATc:

Nuclear factor of activated T cells

STZ:

Streptozotocin

References

  1. Zeisberg M, Neilson EG (2010) Mechanisms of tubulointerstitial fibrosis. J Am Soc Nephrol 21(11):1819–1834

    Article  PubMed  CAS  Google Scholar 

  2. Singh DK, Winocour P, Farrington K (2008) Mechanisms of disease: the hypoxic tubular hypothesis of diabetic nephropathy. Nat Clin Pract 4(4):216–226

    Article  CAS  Google Scholar 

  3. Balakumar P, Arora MK, Ganti SS, Reddy J, Singh M (2009) Recent advances in pharmacotherapy for diabetic nephropathy: current perspectives and future directions. Pharmacol Res 60(1):24–32

    Article  PubMed  CAS  Google Scholar 

  4. Nakatani T, Konishi T, Miyahara K, Noda N (2004) Three novel cantharidin-related compounds from the Chinese blister beetle, Mylabris phalerata Pall. Chem Pharm Bull 52(7):807–809

    Article  PubMed  CAS  Google Scholar 

  5. Rauh R, Kahl S, Boechzelt H, Bauer R, Kaina B, Efferth T (2007) Molecular biology of cantharidin in cancer cells. Chin Med 2:8

    Article  PubMed  Google Scholar 

  6. Wang GS (1989) Medical uses of mylabris in ancient China and recent studies. J Ethnopharmacol 26(2):147–162

    Article  PubMed  CAS  Google Scholar 

  7. Chen YJ, Shieh CJ, Tsai TH, Kuo CD, Ho LT, Liu TY, Liao HF (2005) Inhibitory effect of norcantharidin, a derivative compound from blister beetles, on tumor invasion and metastasis in CT26 colorectal adenocarcinoma cells. Anti Cancer Drugs 16(3):293–299

    Article  PubMed  CAS  Google Scholar 

  8. Kok SH, Hong CY, Kuo MY, Lee CH, Lee JJ, Lou IU, Lee MS, Hsiao M, Lin SK (2003) Comparisons of norcantharidin cytotoxic effects on oral cancer cells and normal buccal keratinocytes. Oral Oncol 39(1):19–26

    Article  PubMed  CAS  Google Scholar 

  9. Yang H, Guo W, Xu B, Li M, Cui J (2007) Anticancer activity and mechanisms of norcantharidin-Nd3II on hepatoma. Anti Cancer Drugs 18(10):1133–1137

    Article  PubMed  CAS  Google Scholar 

  10. Liao HF, Su SL, Chen YJ, Chou CH, Kuo CD (2007) Norcantharidin preferentially induces apoptosis in human leukemic Jurkat cells without affecting viability of normal blood mononuclear cells. Food Chem Toxicol 45(9):1678–1687

    Article  PubMed  CAS  Google Scholar 

  11. An WW, Gong XF, Wang MW, Tashiro S, Onodera S, Ikejima T (2004) Norcantharidin induces apoptosis in HeLa cells through caspase, MAPK, and mitochondrial pathways. Acta Pharmacol Sin 25(11):1502–1508

    PubMed  CAS  Google Scholar 

  12. An WW, Wang MW, Tashiro SI, Onodera S, Ikejima T (2005) Mitogen-activated protein kinase-dependent apoptosis in norcantharidin-treated A375–S2 cells is proceeded by the activation of protein kinase C. Chin Med J 118(3):198–203

    PubMed  CAS  Google Scholar 

  13. Yang PY, Chen MF, Kao YH, Hu DN, Chang FR, Wu YC (2011) Norcantharidin induces apoptosis of breast cancer cells: involvement of activities of mitogen activated protein kinases and signal transducers and activators of transcription. Toxicol In Vitro 25(3):699–707

    Article  PubMed  Google Scholar 

  14. Chen YJ, Tsai YM, Kuo CD, Ku KL, Shie HS, Liao HF (2009) Norcantharidin is a small-molecule synthetic compound with anti-angiogenesis effect. Life Sci 85(17–18):642–651

    Article  PubMed  CAS  Google Scholar 

  15. Peng C, Liu X, Liu E, Xu K, Niu W, Chen R, Wang J, Zhang Z, Lin P, Wang J, Agrez M, Niu J (2009) Norcantharidin induces HT-29 colon cancer cell apoptosis through the alphavbeta6-extracellular signal-related kinase signaling pathway. Cancer Sci 100(12):2302–2308

    Article  PubMed  CAS  Google Scholar 

  16. Wilmer WA, Rovin BH, Hebert CJ, Rao SV, Kumor K, Hebert LA (2003) Management of glomerular proteinuria: a commentary. J Am Soc Nephrol 14(12):3217–3232

    Article  PubMed  CAS  Google Scholar 

  17. Liu FY, Li Y, Peng YM, Ye K, Li J, Liu YH, Duan SB, Ling GH, Xu XQ, Zhou LT (2008) Norcantharidin ameliorates proteinuria, associated tubulointerstitial inflammation and fibrosis in protein overload nephropathy. Am J Nephrol 28(3):465–477

    Article  PubMed  CAS  Google Scholar 

  18. Li Y, Chen Q, Liu FY, Peng YM, Hou T, Duan SB, Li J, Luo JH, Sun L, Ling GH (2011) Norcantharidin attenuates tubulointerstitial fibrosis in rat models with diabetic nephropathy. Ren Fail 33(2):233–241

    Article  PubMed  CAS  Google Scholar 

  19. Li Y, Liu FY, Peng YM, Zhan M, Duan SB, Li J, Sun L, Ye K, Luo JH (2011) Norcantharidin inhibits proliferation and fibronectin expression of HK-2 cells induced by albumin in vitro. Cell Biol Int

  20. Li Y, Chen Q, Liu FY (2011) Norcantharidin inhibits the expression of extracellular matrix and TGF-β1 in HK-2 cells induced by high glucose independent of calcineurin signal pathway. Lab Invest. doi:10.1038/labinvest.2011.119

  21. Akool el-S, Doller A, Babelova A, Tsalastra W, Moreth K, Schaefer L, Pfeilschifter J, Eberhardt W (2008) Molecular mechanisms of TGF beta receptor-triggered signaling cascades rapidly induced by the calcineurin inhibitors cyclosporin A and FK506. J Immunol 181(4):2831–2845

    CAS  Google Scholar 

  22. Liu FY Sun Y, Sun L (2009) Norcantharidin inhibits tubular epithelial mesenchymal transition by downregulating activation of Smad2/3 and snail. ASN Renal Week 550493

  23. Okada H, Kikuta T, Kobayashi T, Inoue T, Kanno Y, Takigawa M, Sugaya T, Kopp JB, Suzuki H (2005) Connective tissue growth factor expressed in tubular epithelium plays a pivotal role in renal fibrogenesis. J Am Soc Nephrol 16(1):133–143

    Article  PubMed  CAS  Google Scholar 

  24. Phanish MK, Winn SK, Dockrell ME (2010) Connective tissue growth factor-(CTGF, CCN2)—a marker, mediator and therapeutic target for renal fibrosis. Nephron 114(3):e83–e92

    PubMed  CAS  Google Scholar 

  25. Yokoi H, Mukoyama M, Nagae T, Mori K, Suganami T, Sawai K, Yoshioka T, Koshikawa M, Nishida T, Takigawa M, Sugawara A, Nakao K (2004) Reduction in connective tissue growth factor by antisense treatment ameliorates renal tubulointerstitial fibrosis. J Am Soc Nephrol 15(6):1430–1440

    Article  PubMed  CAS  Google Scholar 

  26. Baba Y, Hirukawa N, Tanohira N, Sodeoka M (2003) Structure-based design of a highly selective catalytic site-directed inhibitor of Ser/Thr protein phosphatase 2B (calcineurin). J Am Chem Soc 125(32):9740–9749

    Article  PubMed  CAS  Google Scholar 

  27. Stewart SG, Hill TA, Gilbert J, Ackland SP, Sakoff JA, McCluskey A (2007) Synthesis and biological evaluation of norcantharidin analogues: towards PP1 selectivity. Bioorg Med Chem 15(23):7301–7310

    Article  PubMed  CAS  Google Scholar 

  28. Hill TA, Stewart SG, Gordon CP, Ackland SP, Gilbert J, Sauer B, Sakoff JA, McCluskey A (2008) Norcantharidin analogues: synthesis, anticancer activity and protein phosphatase 1 and 2A inhibition. ChemMedChem 3(12):1878–1892

    Article  PubMed  CAS  Google Scholar 

  29. Gooch JL, Gorin Y, Zhang BX, Abboud HE (2004) Involvement of calcineurin in transforming growth factor-beta-mediated regulation of extracellular matrix accumulation. J Biol Chem 279(15):15561–15570

    Article  PubMed  CAS  Google Scholar 

  30. Cobbs SL, Gooch JL (2007) NFATc is required for TGFbeta-mediated transcriptional regulation of fibronectin. Biochem Biophys Res Commun 362(2):288–294

    Article  PubMed  CAS  Google Scholar 

  31. Huber MA, Azoitei N, Baumann B, Grunert S, Sommer A, Pehamberger H, Kraut N, Beug H, Wirth T (2004) NF-kappaB is essential for epithelial-mesenchymal transition and metastasis in a model of breast cancer progression. J Clin Invest 114(4):569–581

    PubMed  CAS  Google Scholar 

  32. Huang Y, Liu Q, Liu K, Yagasaki K, Zhang G (2009) Suppression of growth of highly-metastatic human breast cancer cells by norcantharidin and its mechanisms of action. Cytotechnology 59(3):201–208

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

This study was supported by National Natural Science Foundation of China (Grant No. 81100486), the Natural Science Foundation of Hunan Province, China (Grant No.10JJ2011), the specialized Research Fund for the Doctoral Program of Higher Education of China (Grant No. 20070533062), and the scientific project of Research Center of Metabolic Syndrome in Central South University of China (Grant No. DY-2008-02-03).

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Correspondence to Ying Li or Fu You Liu.

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Ying Li and Yan Ge contributed equally to this work.

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Li, Y., Ge, Y., Liu, F.Y. et al. Norcantharidin, a protective therapeutic agent in renal tubulointerstitial fibrosis. Mol Cell Biochem 361, 79–83 (2012). https://doi.org/10.1007/s11010-011-1091-z

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  • DOI: https://doi.org/10.1007/s11010-011-1091-z

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