Harmine Has Nephroprotective Effect Against Methotrexate-Induced Injury in Mice via Inhibition of Oxidative Stress

Document Type : Original paper

Authors

1 Medical Biology Research Center, Health Technology Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.

2 Pharmaceutical Sciences Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.

3 Department of Anatomy, Kermanshah University of Medical Sciences, Kermanshah, Iran

4 Student Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Abstract

Background and objectives: Despite clinical use, the efficacy of methotrexate is often limited by some adverse effects, mainly nephrotoxicity. The most common mechanism of methotrexate-induced kidney damages is oxidative stress. Harmine as a plant-derived compound has antioxidant and anti-inflammatory properties, The aim of this study was to evaluate the therapeutic effect of harmine, against methotrexate -induced nephrotoxicity. Methods: The mice were divided into six groups: control (saline only); 20 mg/kg methotrexate; 20 mg/kg harmine, and 20 mg/kg methotrexate + harmine at three doses of 5, 10, or 20 mg/kg. Administrations were intraperitoneally and the treatment period was a 14-days. After this time, the sera and kidneys were collected from each group for the following analyses. Samples were analyzed by hematoxylin-eosin (H&E) staining, qRT-PCR, and biochemical assays. Results: The mice that received methotrexate showed significant increase in creatinine and blood urea nitrogen levels, and 10, or 20 mg/kg harmine mitigated these results. The number and diameter of glomeruli were improved by harmine in methotrexate -treated groups. Moreover, malondialdehyde and nitric oxide levels showed significant increase in the kidney of the mice that received methotrexate, while total antioxidant capacity and superoxide dismutase were diminished. Harmine treatment suppressed oxidative stress markers and also enhanced antioxidant defense parameters. Harmine inhibited methotrexate-induced oxidative stress as shown by the decreased expression of Nqo1, Ho-1, Trx1 and Nrf2 at mRNA level. Harmine also ameliorated histological alterations induced by methotrexate. Conclusion: Our results suggested that harmine has the potential to protect against methotrexate-induced nephrotoxicity.

Keywords

Main Subjects


  • Awdishu L, Mehta RL. The 6R’s of drug induced nephrotoxicity. BMC Nephrol. 2017; 18(1): 1–2.
  • Jalili C, Ghanbari A, Roshankhah S, Salahshoor MR. Toxic effects of methotrexate on rat kidney recovered by crocin as a consequence of antioxidant activity and lipid peroxidation prevention. Iran Biomed J. 2020; 24(1): 39–46.
  • Campbell GA, Hu D, Okusa MD. Acute kidney injury in the cancer patient. Adv Chronic Kidney Dis. 2014; 21(1): 64–71.
  • Sakthiswary R, Suresh E. Methotrexate in systemic lupus erythematosus: a systematic review of its efficacy. Lupus. 2014; 23(3): 225–235.
  • Malaviya AN. Landmark papers on the discovery of methotrexate for the treatment of rheumatoid arthritis and other systemic inflammatory rheumatic diseases: a fascinating story. Int J Rheum Dis. 2016; 19(9): 844–851.
  • Li Z, Chen L, He C, Han Y, Han M, Zhang Y, Qi L, Xing X, Huang W, Gao Z, Xing Improving anti-tumor outcomes for colorectal cancer therapy through in situ thermosensitive gel loading harmine. Am J Transl Res. 2020; 12(5): 1658–1671.
  • Widemann BC, Adamson PC. Understanding and managing methotrexate nephrotoxicity. Oncologist. 2006; 11(6): 694–703.
  • Abd El-Twab SM, Hozayen WG, Hussein OE, Mahmoud AM. 18 β-Glycyrrhetinic acid protects against methotrexate-induced kidney injury by up-regulating the Nrf2/ARE/HO-1 pathway and endogenous antioxidants. Ren Fail. 2016; 38(9): 1516–1527.
  • Mahmoud AM, Hussein OE, Abd El-Twab SM, Hozayen WG. Ferulic acid protects against methotrexate nephrotoxicity via activation of Nrf2/ARE/HO-1 signaling and PPARγ, and suppression of NF-κB/NLRP3 inflammasome axis. Food Func. 2019; 10(8): 4593–4607.
  • Henderson ES, Adamson RH, Oliverio VT. The metabolic fate of tritiated methotrexate: II absorption and excretion in man. Cancer Res. 1965; 25(7): 1018–1024.
  • Perazella MA, Moeckel GW. Nephrotoxicity from chemotherapeutic agents: clinical manifestations, pathobiology, and prevention/therapy. Semin Nephrol. 2010; 30(6): 570–581.
  • Perazella MA. Crystal-induced acute renal failure. Am J Med. 1999; 106(4): 459–465.
  • Abraham P, Kolli VK, Rabi S. Melatonin attenuates methotrexate‐induced oxidative stress and renal damage in rats. Cell Biochem Funct. 2010; 28(5): 426–433.
  • Chainy GB, Sahoo DK. Hormones and oxidative stress: an overview. Free Radic Res. 2020; 54(1): 1–26.
  • Öktem F, Yilmaz HR, Ozguner F, Olgar S, Ayata A, Uzar E, Uz Methotrexate-induced renal oxidative stress in rats: the role of a novel antioxidant caffeic acid phenethyl ester. Toxicol Ind Health. 2006; 22(6): 241–247.
  • Abdel-Raheem IT, Khedr NF. Renoprotective effects of montelukast, a cysteinyl leukotriene receptor antagonist, against methotrexate-induced kidney damage in rats. Naunyn Schmiedebergs Arch Pharmacol. 2014; 387(4): 341–353.
  • Dabak DO, Kocaman N. Effects of silymarin on methotrexate-induced nephrotoxicity in rats. Ren Fail. 2015; 37(4): 734–739.
  • Morsy MA, Ibrahim SA, Amin EF, Kamel MY, Rifaai RA, Hassan MK. Curcumin ameliorates methotrexate-induced nephrotoxicity in rats. Adv Pharmacol Sci. 2013; Article ID 387071.
  • Olayinka E, Ore A, Adeyemo O, Ola O. Ameliorative effect of gallic acid on methotrexate-induced hepatotoxicity and nephrotoxicity in rat. J Xenobiot. 2016; 6(1): 14–18.
  • Cascella M, Palma G, Barbieri A, Bimonte S, Amruthraj NJ, Muzio MR, Vecchio VD, Rea D, Falco M, Luciano A, Arra C, Cuomo Role of Nigella sativa and its constituent thymoquinone on chemotherapy-induced nephrotoxicity: evidences from experimental animal studies. Nutrients. 2017; 9(6): 1–14.
  • Shalaby YM, Menze ET, Azab SS, Awad AS. Involvement of Nrf2/HO-1 antioxidant signaling and NF-κB inflammatory response in the potential protective effects of vincamine against methotrexate-induced nephrotoxicity in rats: cross talk between nephrotoxicity and neurotoxicity. Arch Toxicol. 2019; 93(5): 1417–1431.
  • Hassanein EH, Shalkami AG, Khalaf MM, Mohamed WR, Hemeida RA. The impact of Keap1/Nrf2, P38MAPK/NF-κB and Bax/Bcl2/caspase-3 signaling pathways in the protective effects of berberine against methotrexate-induced nephrotoxicity. Biomed Pharmacother. 2019; 109: 47–56.
  • Wu LW, Zhang JK, Rao M, Zhang ZY, Zhu HJ, Zhang C. Harmine suppresses the proliferation of pancreatic cancer cells and sensitizes pancreatic cancer to gemcitabine treatment. Onco Targets Ther. 2019; 12: 4585–
  • Salahshoor MR, Roshankhah S, Motavalian V, Jalili C. Effect of harmine on nicotine-induced kidney dysfunction in male mice. Int J Prev Med. 2019; 10(1): 1–7.
  • Niu X, Yao Q, Li W, Zang L, Li W, Zhao J, Liu F, Zhi Harmine mitigates LPS-induced acute kidney injury through inhibition of the TLR4-NF-κB/NLRP3 inflammasome signalling pathway in mice. Eur J Pharmacol. 2019; 849: 160–169.
  • Kajbaf F, Oryan S, Ahmadi R, Eidi A. Harmine, a natural β-carboline alkaloid, ameliorates apoptosis by decreasing the expression of caspase-3 in the kidney of diabetic male Wistar rats. Gene Rep. 2020; 21(8): 100863-100872.
  • Nishikimi M, Rao NA, Yagi K. The occurrence of superoxide anion in the reaction of reduced phenazine methosulfate and molecular oxygen. Biochem Biophys Res Commun. 1972; 46(2): 849–854.
  • Ohkawa H, Ohishi N, Yagi K. Assay for lipid peroxides in animal tissues by thiobarbituric acid reaction. Anal Biochem. 1979; 95(2): 351–358.
  • Giustarini D, Rossi R, Milzani A, Dalle‐Donne I. Nitrite and nitrate measurement by Griess reagent in human plasma: evaluation of interferences and standardization. Method Enzymol. 2008; 440: 361–380.
  • El Gendy MA, Soshilov AA, Denison MS, El-Kadi AO. Transcriptional and posttranslational inhibition of dioxin-mediated induction of CYP1A1 by harmine and harmol. Toxicol Lett. 2012; 208(1): 51–61.
  • Mahmoud AM, Germoush MO, Al-Anazi KM, Mahmoud AH, Farah MA, Allam AA. Commiphora molmol protects against methotrexate-induced nephrotoxicity by up-regulating Nrf2/ARE/HO-1 signaling. Biomed Pharmacother. 2018; 106: 499–509.
  • Kolli VK, Abraham P, Isaac B, Selvakumar D. Neutrophil infiltration and oxidative stress may play a critical role in methotrexate-induced renal damage. Chemotherapy. 2009; 55(2): 83–90.
  • Heidari R, Ahmadi A, Mohammadi H, Ommati MM, Azarpira N, Niknahad H. Mitochondrial dysfunction and oxidative stress are involved in the mechanism of methotrexate-induced renal injury and electrolytes imbalance. Biomed Pharmacother. 2018; 107(9): 834–840.
  • Christo JS, Rodrigues AM, Mouro MG, Cenedeze MA, De Jesus Simões M, Schor N, Higa EMS. Nitric oxide (NO) is associated with gentamicin (GENTA) nephrotoxicity and the renal function recovery after suspension of GENTA treatment in rats. Nitric Oxide. 2011; 24(2): 77–83.
  • Walker LM, Walker PD, Imam SZ, Ali SF, Mayeux PR. Evidence for peroxynitrite formation in renal ischemia-reperfusion injury: studies with the inducible nitric oxide synthase inhibitorl-N 6-(1-iminoethyl) lysine. J Pharmacol Exp Ther. 2000; 295(1): 417–422.
  • Manikandan R, Beulaja M, Thiagarajan R, Priyadarsini A, Saravanan R, Arumugam M. Ameliorative effects of curcumin against renal injuries mediated by inducible nitric oxide synthase and nuclear factor kappa B during gentamicin-induced toxicity in Wistar rats. Eur J Pharmacol. 2011; 670(2-3): 578–585.
  • Kobayashi A, Ohta T, Yamamoto M. Unique function of the Nrf2–Keap1 pathway in the inducible expression of antioxidant and detoxifying enzymes. Method Enzymol. 2004; 378: 273–286.
  • Shelton LM, Park BK, Copple IM. Role of Nrf2 in protection against acute kidney injury. Kidney Int. 2013; 84(6): 1090–1095.
  • De Zeeuw D, Akizawa T, Audhya P, Bakris GL, Chin M, Christ-Schmidt H, Goldsberry A, Houser M, Krauth M, Lambers Heerspink HJ, McMurray JJ, Meyer CJ, Parving HH, Remuzzi G, Toto RD, Vaziri ND, Wanner C, Wittes J, Wrolstad D, Chertow GM, Investigators Bardoxolone methyl in type 2 diabetes and stage 4 chronic kidney disease. N Engl J Med. 2013; 369(26): 2492–2503.
  • Loboda A, Damulewicz M, Pyza E, Jozkowicz A, Dulak J. Role of Nrf2/HO-1 system in development, oxidative stress response and diseases: an evolutionarily conserved mechanism. Cell Mol Life Sci. 2016; 73(17): 3221–3247.
  • Agarwal A, Balla J, Alam J, Croatt AJ, Nath KA. Induction of heme oxygenase in toxic renal injury: a protective role in cisplatin nephrotoxicity in the rat. Kidney Int. 1995; 48(4): 1298–1307.
  • Nioi P, McMahon M, Itoh K, Yamamoto M, Hayes JD. Identification of a novel Nrf2-regulated antioxidant response element (ARE) in the mouse NAD (P) H: quinone oxidoreductase 1 gene: reassessment of the ARE consensus sequence. Biochem J. 2003; 374(2): 337–348.
  • Jaiswal AK. Regulation of genes encoding NAD (P) H: quinone oxidoreductases. Free Radic Biol Med. 2000; 29(3-4): 254–262.
  • Ahsan MK, Lekli I, Ray D, Yodoi J, Das DK. Redox regulation of cell survival by the thioredoxin superfamily: an implication of redox gene therapy in the heart. Antioxid Redox Signal. 2009; 11(11): 2741–2758.
  • Kasuno K, Nakamura H, Ono T, Muso E, Yodoi J. Protective roles of thioredoxin, a redox-regulating protein, in renal ischemia/reperfusion injury. Kidney Int. 2003; 64(4): 1273–1282.
  • Jhang JJ, Yen GC. The role of Nrf2 in NLRP3 inflammasome activation. Cell Mol Immunol. 2017; 14(12): 1011–1012.
  • Shiravi A, Jalili C, Vaezi G, Ghanbari A, Alvani A. Acacetin attenuates renal damage-induced by ischemia-reperfusion with declining apoptosis and oxidative stress in mice. Int J Prev Med. 2020; 11: 1–8.
  • Jalili C, Akhshi N, Rashidi I, Ghanbari A. Harmine protects mercuric chloride kidney-induced injury by antioxidant activity in male mice: a biochemical and histological study. Res Pharm Sci. 2020; 15(6): 541–550.
  • Feyli S, Ghanbari A, Keshtmand Z. Therapeutic effect of pentoxifylline on reproductive parameters in diabetic male mice. Andrologia. 2017; Article ID e12604.
  • Raoofi A, Khazaei M, Ghanbari A. Protective effect of hydroalcoholic extract of Tribulus terrestris on cisplatin induced renal tissue damage in male mice. Int J Prev Med. 2015; 6: 1–7.
  • Jalili C, Salahshoor MR, Jalili F, Kakabaraei S, Akrami A, Sohrabi M, Ahookhash M, Ghanbari A. Therapeutic effect of resveratrol on morphine-induced damage in male reproductive system of mice by reducing nitric oxide serum level. Int J Morphol. 2017; 35(4): 1342–1347.
  • Musgrave IF, Badoer E. Harmane produces hypotension following microinjection into the RVLM: possible role of I1imidazoline receptors. Br J Pharmacol. 2000; 129(6): 1057–1059.