Nobiletin alleviates cisplatin-induced ototoxicity via activating autophagy and inhibiting NRF2/GPX4-mediated ferroptosis. 2024

Wenao Song, and Li Zhang, and Xiaolin Cui, and Rongrong Wang, and Jingyu Ma, and Yue Xu, and Yan Jin, and Dawei Wang, and Zhiming Lu
Department of Clinical Laboratory, Shandong Provincial Hospital, Shandong University, Jinan, 250021, China.

Nobiletin, a citrus polymethoxy flavonoid with antiapoptotic and antioxidative properties, could safeguard against cisplatin-induced nephrotoxicity and neurotoxicity. Cisplatin, as the pioneer of anti-cancer drug, the severe ototoxicity limits its clinical applications, while the effect of nobiletin on cisplatin-induced ototoxicity has not been identified. The current study investigated the alleviating effect of nobiletin on cisplatin-induced ototoxicity and the underlying mechanisms. Apoptosis and ROS formation were evaluated using the CCK-8 assay, Western blotting, and immunofluorescence, indicating that nobiletin attenuated cisplatin-induced apoptosis and oxidative stress. LC3B and SQSTM1/p62 were determined by Western blotting, qPCR, and immunofluorescence, indicating that nobiletin significantly activated autophagy. Nobiletin promoted the nuclear translocation of NRF2 and the transcription of its target genes, including Hmox1, Nqo1, and ferroptosis markers (Gpx4, Slc7a11, Fth, and Ftl), thereby inhibiting ferroptosis. Furthermore, RNA sequencing analysis verified that autophagy, ferroptosis, and the NRF2 signaling pathway served as crucial points for the protection of nobiletin against ototoxicity caused by cisplatin. Collectively, these results indicated, for the first time, that nobiletin alleviated cisplatin-elicited ototoxicity through suppressing apoptosis and oxidative stress, which were attributed to the activation of autophagy and the inhibition of NRF2/GPX4-mediated ferroptosis. Our study suggested that nobiletin could be a prospective agent for preventing cisplatin-induced hearing loss.

UI MeSH Term Description Entries
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D002945 Cisplatin An inorganic and water-soluble platinum complex. After undergoing hydrolysis, it reacts with DNA to produce both intra and interstrand crosslinks. These crosslinks appear to impair replication and transcription of DNA. The cytotoxicity of cisplatin correlates with cellular arrest in the G2 phase of the cell cycle. Platinum Diamminodichloride,cis-Diamminedichloroplatinum(II),cis-Dichlorodiammineplatinum(II),Biocisplatinum,Dichlorodiammineplatinum,NSC-119875,Platidiam,Platino,Platinol,cis-Diamminedichloroplatinum,cis-Platinum,Diamminodichloride, Platinum,cis Diamminedichloroplatinum,cis Platinum
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000079403 Ferroptosis A form of REGULATED CELL DEATH initiated by oxidative perturbations of the intracellular microenvironment that is under constitutive control by glutathione peroxidase 4 and can be inhibited by iron chelators and lipophilic antioxidants. Oxytosis
D000080662 Phospholipid Hydroperoxide Glutathione Peroxidase A selenoenzyme that converts GLUTATHIONE plus FATTY ACID HYDROPEROXIDES to GLUTATHIONE DISULFIDE plus hydroxy fatty acids and water. GPX4 Phospholipid Hydroperoxide Glutathione Peroxidase,Glutathione Peroxidase 4,PH-GPeroxidase,PHGPx Enzyme,Phospholipid Hydroperoxide Glutathione Peroxidase GPX4,Phospholipid-Hydroperoxide Glutathione Peroxidase,Selenium-Dependent Glutathione Peroxidase Type-4,Glutathione Peroxidase, Phospholipid-Hydroperoxide,PH GPeroxidase,Selenium Dependent Glutathione Peroxidase Type 4
D000081015 Ototoxicity Damage to the EAR or its function secondary to exposure to toxic substances such as drugs used in CHEMOTHERAPY; IMMUNOTHERAPY; or RADIATION. Auditory Toxicity,Drug-Induced Cochlear Toxicity,Drug-Induced Cochleotoxicity,Drug-Induced Otological Toxicity,Drug-Induced Ototoxicity,Drug-Induced Vestibular Toxicity,Drug-Induced Vestibulotoxicity,Drug-Related Cochlear Toxicity,Drug-Related Cochleotoxicity,Drug-Related Otological Toxicity,Drug-Related Ototoxicity,Otological Toxicity,Radiation-Induced Ototoxicity,Cochlear Toxicities, Drug-Induced,Cochlear Toxicities, Drug-Related,Cochlear Toxicity, Drug-Induced,Cochlear Toxicity, Drug-Related,Cochleotoxicities, Drug-Induced,Cochleotoxicities, Drug-Related,Cochleotoxicity, Drug-Induced,Cochleotoxicity, Drug-Related,Drug Induced Cochlear Toxicity,Drug Induced Cochleotoxicity,Drug Induced Otological Toxicity,Drug Induced Ototoxicity,Drug Induced Vestibular Toxicity,Drug Induced Vestibulotoxicity,Drug Related Cochlear Toxicity,Drug Related Cochleotoxicity,Drug Related Otological Toxicity,Drug Related Ototoxicity,Drug-Induced Cochlear Toxicities,Drug-Induced Cochleotoxicities,Drug-Induced Otological Toxicities,Drug-Induced Ototoxicities,Drug-Induced Vestibular Toxicities,Drug-Induced Vestibulotoxicities,Drug-Related Cochlear Toxicities,Drug-Related Cochleotoxicities,Drug-Related Otological Toxicities,Drug-Related Ototoxicities,Otological Toxicities, Drug-Induced,Otological Toxicities, Drug-Related,Otological Toxicity, Drug-Induced,Otological Toxicity, Drug-Related,Ototoxicities,Ototoxicities, Drug-Induced,Ototoxicities, Drug-Related,Ototoxicities, Radiation-Induced,Ototoxicity, Drug-Induced,Ototoxicity, Drug-Related,Ototoxicity, Radiation-Induced,Radiation Induced Ototoxicity,Radiation-Induced Ototoxicities,Toxicity, Otological,Vestibular Toxicities, Drug-Induced,Vestibular Toxicity, Drug-Induced,Vestibulotoxicities, Drug-Induced,Vestibulotoxicity, Drug-Induced
D001343 Autophagy The segregation and degradation of various cytoplasmic constituents via engulfment by MULTIVESICULAR BODIES; VACUOLES; or AUTOPHAGOSOMES and their digestion by LYSOSOMES. It plays an important role in BIOLOGICAL METAMORPHOSIS and in the removal of bone by OSTEOCLASTS. Defective autophagy is associated with various diseases, including NEURODEGENERATIVE DISEASES and cancer. Autophagocytosis,ER-Phagy,Lipophagy,Nucleophagy,Reticulophagy,Ribophagy,Autophagy, Cellular,Cellular Autophagy,ER Phagy
D047309 Flavones A group of 4-keto-FLAVONOIDS. 2-Phenyl-2-Ene-Benzopyran-4-One Compounds
D051267 NF-E2-Related Factor 2 A basic-leucine zipper transcription factor that was originally described as a transcriptional regulator controlling expression of the BETA-GLOBIN gene. It may regulate the expression of a wide variety of genes that play a role in protecting cells from oxidative damage. Nfe2l2 Protein,Nuclear Factor (Erythroid-Derived 2)-Like 2 Protein,Nuclear Factor E2-Related Factor 2,NF E2 Related Factor 2,Nuclear Factor E2 Related Factor 2

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