Objective: The intrarenal RAS is characterized by high levels of angiotensin II (AII) and wide distribution of angiotensin receptors (ATR). There is indirect data showing cross-talk between the RAS and the human organic cation transporter 2 (hOCT2). This transporter is highly expressed in the basolateral membrane of proximal tubules cells and plays an important role for uptake, accumulation, and toxicity of cisplatin. Therefore, we aimed to investigate whether AII is able to modulate cisplatin toxicity in Madin-Darby canine kidney (MDCK) cells. Design and method: The uptake of the fluorescent organic cation 4-(4-(dimethylamino)styryl)-N-methylpyridinium iodide (ASP+, 20 μM) added to the basolateral compartment of MDCK cells stably expressing hOCT2 growing on filters was measured in the presence of 1 nM AII alone or with the AT1R blocker losartan. Following 1 hr incubation at 37C, cells were solubilized and the intracellular ASP+ concentration was measured with a microfluorimeter. Next, cell monolayers were incubated with 0.1 mM cisplatin alone or with 1 nM AII and blocker combinations. During and after incubation with different solutions trans-epithelial electrical resistance (TEER) and cell viability of MDCK cell monolayers was evaluated. All values are given as mean ± SEM. Results: Incubation with 1 nM AII significantly stimulated hOCT2 mediated ASP+ uptake (ASP+ concentration in lysates of control and AII stimulated cells: 1.8 ± 0.4 and 2.2 ± 0.2 μmol/g protein, n=7–13, respectively). This effect was abolished under 1 μM losartan. Following incubation with 0.1 mM cisplatin TEER decreased to values similar of no-cell control. AII had no additional effect on the loss of electrical resistance. However, cell viability decreased more drastically when cisplatin was applied together with AII. This effect was abolished in the presence of losartan (cisplatin alone - 46.6 ± 1.4% vs with AII - 39.2 ± 2% of control experiments which were set as 100%, p < 0.05). Application of cisplatin together with cimetidine and AII lessened the toxicity (49.1 ± 1.3% of control, p < 0.05). Conclusions: We propose that in MDCK cell system AII augments cisplatin toxicity and that this effect is related to stimulated hOCT2 function.
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