Abstract
Prolonged exposure to gadolinium-based contrast agents has been reported to trigger nephrogenic systemic fibrosis in end stage renal disease patients. However, the exact molecular mechanisms are not fully understood, and no effective therapy is available to date. In the present study, we report that gadolinium chloride (Gd3+) concentration- and time-dependently promoted the proliferation of HEK293 human embryonic kidney cells by increasing DNA synthesis. Gd3+ treatment increased the protein levels of phosphorylated Akt and MAPKs. Inhibition of Akt and ERK by pharmacological inhibitors abolished the increased proliferation and cell cycle progression. Furthermore, Gd3+ activated EGFR signaling possibly by enhancing EGFR clustering on the cell membrane. Inhibition of EGFR by gefitinib blocked Gd3+-induced proliferation. Gd3+ exposure also upregulated the mRNA levels of TGFβ-1, TGFβR1, TNFα, TIMP-1 and integrin αV, β1 which could also be attenuated by the inhibition of Akt and ERK signaling. Our study provides new clues for the etiological role of Gd3+ in the pathogenesis of nephrogenic systemic fibrosis, and suggests the inhibition of EGFR/Akt/ERK signaling as a potential treatment strategy.
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References
Abdel Fattah AR, Mishriki S, Kammann T, Sahu RP, Geng F, Puri IK (2018) Gadopentatic acid affects in vitro proliferation and doxorubicin response in human breast adenocarcinoma cells. Biometals 31:605–616
Amet S, Deray G (2012) Renal toxicity of contrast agents in oncologic patients. Bull du Cancer 99:295–307
Barton Pai A, Conner TA, McQuade CR (2009) Therapeutic use of the phosphate binder lanthanum carbonate. Expert Opin Drug Metab Toxicol 5:71–81
Ben CS, Slim R, Fathallah N (2015) Fibrosis—a common pathway to organ injury and failure. N Engl J Med 373:95
Bernstein EJ, Schmidt-Lauber C, Kay J (2012) Nephrogenic systemic fibrosis: a systemic fibrosing disease resulting from gadolinium exposure. Best Pract Res Clin Rheumatol 26:489–503
Bodary SC, McLean JW (1990) The integrin β1 subunit associates with the vitronectin receptor alpha v subunit to form a novel vitronectin receptor in a human embryonic kidney cell line. J Biol Chem 265:5938–5941
Chandran S, Petersen J, Jacobs C, Fiorentino D, Doeden K, Lafayette RA (2009) Imatinib in the treatment of nephrogenic systemic fibrosis. Am J Kidney Dis 53:129–132
Davis RL, Abraham JL (2009) Lanthanum deposition in a dialysis patient. Nephrol Dial Transplant 24:3247–3250
Edward M, Quinn JA, Mukherjee S, Jensen MB, Jardine AG, Mark PB, Burden AD (2008) Gadodiamide contrast agent ‘activates’ fibroblasts: a possible cause of nephrogenic systemic fibrosis. J Pathol 214:584–593
Fu LJ, Li JX, Yang XG, Wang K (2009) Gadolinium-promoted cell cycle progression with enhanced S-phase entry via activation of both ERK and PI3K signaling pathways in NIH 3T3 cells. J Biol Inorg Chem 14:219–227
Gao J et al (2015) Mechanistic insights into EGFR membrane clustering revealed by super-resolution imaging. Nanoscale 7:2511–2519
Goto K, Ogawa K (2016) Lanthanum deposition is frequently observed in the gastric mucosa of dialysis patients with lanthanum carbonate therapy: a clinicopathologic study of 13 cases, including 1 case of lanthanum granuloma in the colon and 2 nongranulomatous gastric cases. Int J Surg Pathol 24:89–92
Grobner T (2006) Gadolinium—a specific trigger for the development of nephrogenic fibrosing dermopathy and nephrogenic systemic fibrosis? Nephrol Dial Transplant 21:1104–1108
Grobner T, Prischl FC (2007) Gadolinium and nephrogenic systemic fibrosis. Kidney Int 72:260–264
Hao D, Ai T, Goerner F, Hu X, Runge VM, Tweedle M (2012) MRI contrast agents: basic chemistry and safety. J Magn Reson Imaging 36:1060–1071
Henderson NC, Sheppard D (2013) Integrin-mediated regulation of TGFbeta in fibrosis. Biochim Biophys Acta 1832:891–896
Hu J, Yu S, Yang X, Wang K, Qian Z (2006) Lanthanum induces extracellular signal-regulated kinase phosphorylation through different mechanisms in HeLa cells and NIH 3T3 cells. Biometals 19(1):13–18
Idee J-M, Port M, Raynal I, Schaefer M, Le Greneur S, Corot C (2006) Clinical and biological consequences of transmetallation induced by contrast agents for magnetic resonance imaging: a review. Fundam Clin Pharmacol 20:563–576
Joki N (2009) Pharmacodynamic and pharmacokinetic profile of lanthanum carbonate. Clin Calcium 19:213–218
Kelly B, Petitt M, Sanchez R (2008) Nephrogenic systemic fibrosis is associated with transforming growth factor beta and Smad without evidence of renin-angiotensin system involvement. J Am Acad Dermatol 58:1025–1030
Lacour B, Lucas A, Auchere D, Ruellan N, de Serre Patey NM, Drueke TB (2005) Chronic renal failure is associated with increased tissue deposition of lanthanum after 28-day oral administration. Kidney Int 67:1062–1069
Li JX, Fu LJ, Yang XG, Wang K (2012) Integrin-mediated signaling contributes to gadolinium-containing-particle-promoted cell survival and G1 to S phase cell cycle transition by enhancing focal adhesion formation. J Biol Inorg Chem 17:375–385
MacNeil S et al (2011) Gadolinium contrast agent associated stimulation of human fibroblast collagen production. Investig Radiol 46:711–717
Maemondo M et al (2010) Gefitinib or chemotherapy for non-small-cell lung cancer with mutated EGFR. N Engl J Med 362:2380–2388
Margadant C, Sonnenberg A (2010) Integrin-TGF-beta crosstalk in fibrosis, cancer and wound healing. EMBO Rep 11:97–105
Mitsumori LM, Bhargava P, Essig M, Maki JH (2014) Magnetic resonance imaging using gadolinium-based contrast agents. Top Magn Reson Imaging 23:51–69
Morcos SK, Thomsen HS, Webb JA (1999) Contrast-media-induced nephrotoxicity: a consensus report. Contrast media safety committee, european society of urogenital radiology (ESUR). Eur Radiol 9:1602–1613
Ramalho J, Semelka RC, Ramalho M, Nunes RH, AlObaidy M, Castillo M (2016) Gadolinium-based contrast agent accumulation and toxicity: an update. Am J Neuroradiol 37:1192–1198
Rogosnitzky M, Branch S (2016) Gadolinium-based contrast agent toxicity: a review of known and proposed mechanisms. Biometals 29:365–376
Sanyal S, Marckmann P, Scherer S, Abraham JL (2011) Multiorgan gadolinium (Gd) deposition and fibrosis in a patient with nephrogenic systemic fibrosis—an autopsy-based review. Nephrol Dial Transplant 26:3616–3626
Schmitt-Willich H (2007) Stability of linear and macrocyclic gadolinium based contrast agents. Br J Radiol 80:581–582
Shen L, Yang A, Yao P, Sun X, Chen C, Mo C, Shi L, Chen Y, Liu Q (2014) Gadolinium promoted proliferation in mouse embryo fibroblast NIH3T3 cells through Rac and PI3K/Akt signaling pathways. Biometals 27:753–762
Staks T, Schuhmann-Giampieri G, Frenzel T, Weinmann HJ, Lange L, Platzek J (1994) Pharmacokinetics, dose proportionality, and tolerability of gadobutrol after single intravenous injection in healthy volunteers. Investig Radiol 29:709–715
Swaminathan S, Arbiser JL, Hiatt KM, High W, Abul-Ezz S, Horn TD, Shah SV (2010) Rapid improvement of nephrogenic systemic fibrosis with rapamycin therapy: possible role of phospho-70-ribosomal-S6 kinase. J Am Acad Dermatol 62:343–345
Teo RD, Termini J, Gray HB (2016) Lanthanides: applications in cancer diagnosis and therapy. J Med Chem 59:6012–6024
Thomsen HS (2004) Gadolinium-based contrast media may be nephrotoxic even at approved doses. Eur Radiol 14:1654–1656
Yu S, Hu J, Yang X, Wang K, Qian ZM (2006) La(3+)-induced extracellular signal-regulated kinase (ERK) signaling via a metal-sensing mechanism linking proliferation and apoptosis in NIH 3T3 cells. Biochemistry 45:11217–11225
Acknowledgements
This work was supported by the National Natural Science Foundation of China (21001011, 81472657) and the state key laboratory of environmental chemistry and ecotoxicology (KF2013-17). The authors thank the member of Yu’s group for their helpful discussions and suggestions.
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Pan, X., Li, J., He, X. et al. Gadolinium chloride promotes proliferation of HEK293 human embryonic kidney cells by activating EGFR/PI3K/Akt and MAPK pathways. Biometals 32, 683–693 (2019). https://doi.org/10.1007/s10534-019-00205-4
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DOI: https://doi.org/10.1007/s10534-019-00205-4