Title : Megalin Blockade with Cilastatin Suppresses Drug-Induced Nephrotoxicity.

Pub. Date : 2017 Jun

PMID : 28052987






7 Functional Relationships(s)
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1 Here, we tested the hypothesis that cilastatin also blocks megalin-mediated uptake of vancomycin, cisplatin, colistin, and aminoglycosides, thereby limiting the nephrotoxicity of these drugs. Vancomycin low density lipoprotein receptor-related protein 2 Mus musculus
2 Quartz crystal microbalance analysis showed that megalin also binds vancomycin and cisplatin and that cilastatin competes with megalin for binding to gentamicin, colistin, vancomycin, and cisplatin. Vancomycin low density lipoprotein receptor-related protein 2 Mus musculus
3 Quartz crystal microbalance analysis showed that megalin also binds vancomycin and cisplatin and that cilastatin competes with megalin for binding to gentamicin, colistin, vancomycin, and cisplatin. Vancomycin low density lipoprotein receptor-related protein 2 Mus musculus
4 In kidney-specific mosaic megalin knockout mice treated with colistin, vancomycin, or cisplatin, the megalin-replete proximal tubule epithelial cells exhibited signs of injury, whereas the megalin-deficient cells did not. Vancomycin low density lipoprotein receptor-related protein 2 Mus musculus
5 In kidney-specific mosaic megalin knockout mice treated with colistin, vancomycin, or cisplatin, the megalin-replete proximal tubule epithelial cells exhibited signs of injury, whereas the megalin-deficient cells did not. Vancomycin low density lipoprotein receptor-related protein 2 Mus musculus
6 In kidney-specific mosaic megalin knockout mice treated with colistin, vancomycin, or cisplatin, the megalin-replete proximal tubule epithelial cells exhibited signs of injury, whereas the megalin-deficient cells did not. Vancomycin low density lipoprotein receptor-related protein 2 Mus musculus
7 In conclusion, megalin blockade with cilastatin efficiently suppresses the nephrotoxicity induced by gentamicin, colistin, vancomycin, or cisplatin. Vancomycin low density lipoprotein receptor-related protein 2 Mus musculus