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Simvastatin suppresses ethanol effects on the kidney of adolescent mice

Makgotso Nchodu1, Robin du Preez1, Alice Efuntayo1, Oladiran Ibukunolu Olateju1

Abstract

Introduction. Adolescents tend to experiment with ethanol which often results in heavy episodic drinking patterns leading to serious health concerns later in life. Chronic ethanol use damages renal tissue, promotes collagen deposition, and induces renal inflammation, thereby causing renal dysfunction. Therefore, an intervention such as simvastatin (a blood cholesterol-lowering drug) that could suppress the effects of ethanol on the kidney may be beneficial. This study explored the impact of simvastatin against the onset of renal morphological damage, fibrosis, and inflammation caused by ethanol exposure in mice.

Materials and methods. Ten four–week old C57BL/6J mice (F = 5; M = 5) were assigned to each experimental group: (I) NT; no administration of ethanol or simvastatin; (II) EtOH; 2.5 g/kg/day of 20% ethanol; intraperitoneal injection (i.p.) (III) SIM; 5 mg/kg/day of simvastatin; orally (iv) EtOH + SIM5; 5 mg/kg/day of simvastatin, orally, followed by 2.5 g/kg/day of 20% ethanol;  i.p. and (v) EtOH + SIM15; 15 mg/kg/day simvastatin, orally, followed by 2.5 g/kg/day of 20% ethanol;  i.p. After the 28–day treatment period, the right kidney was removed and processed for haematoxylin and eosin staining, Masson’s trichrome staining, or Tumour necrosis factor–alpha (TNF–α) immunohistochemistry. The renal corpuscular area, glomerular area, and urinary space area were measured and the area of collagen or TNF–α expression was quantified using ImageJ software.

Results. Ethanol administration significantly increased the renal corpuscular area, the glomerular area, the area of collagen, and the area of tissue with TNF–α immunoreactivity but decreased the area of urinary space. Simvastatin generally suppressed the ethanol effects in both sexes, although to varying degrees. 

Conclusions. Simvastatin proved to suppress collagen deposition and the TNF–α production induced by ethanol in the kidney of mice thus indicating its effectiveness in the treatment of ethanol-related renal diseases.

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References

  1. Van Beusecum J, Inscho EW. Regulation of renal function and blood pressure control by P2 purinoceptors in the kidney. Curr Opin Pharmacol. 2015; 21: 82–88.
  2. Ojeda ML, Barrero MJ, Nogales F, et al. Oxidative effects of chronic ethanol consumption on the functions of heart and kidney: folic acid supplementation. Alcohol Alcohol. 2012; 47(4): 404–412.
  3. Brzóska MM, Moniuszko-Jakoniuk J, Piłat-Marcinkiewicz B, et al. Liver and kidney function and histology in rats exposed to cadmium and ethanol. Alcohol Alcohol. 2003; 38(1): 2–10.
  4. Damman K, Testani JM. The kidney in heart failure: an update. Eur Heart J. 2015; 36(23): 1437–1444.
  5. Matzopoulos RG, Truen S, Bowman B, et al. The cost of harmful alcohol use in South Africa. S Afr Med J. 2014; 104(2): 127–132.
  6. Obad A, Peeran A, Little JI, et al. Alcohol-mediated organ damages: heart and brain. Front Pharmacol. 2018; 9: 81.
  7. Das Kumar S, Vasudevan DM. Alcohol induced effects on kidney. Indian J Clin Biochem. 2008; 23(1): 4–9.
  8. Hu PJ, Wu MY, Lin TC, et al. Effect of statins on renal function in chronic kidney disease patients. Sci Rep. 2018; 8(1): 16276.
  9. Abdollahzadeh Fa, Samadi M, Shirpoor A, et al. Ethanol consumption promotes TNF–α signaling pathway in rat kidney: rescue effect of curcumin. J Chem Health Risks. 2022; 12(2): 271–280.
  10. Marshall EJ. Adolescent alcohol use: risks and consequences. Alcohol Alcohol. 2014; 49(2): 160–164.
  11. Morojele N, Ramsoomar L. Addressing adolescent alcohol use in South Africa. South African Medical Journal. 2016; 106(6): 551.
  12. Yudhisthira NL. Renal histopathology after mixed liquor consumption in Wistar rat. GSC Biol Pharm Sci. 2022; 20(3): 324–329.
  13. Swart LA, Seedat M, Nel J. Alcohol consumption in adolescent homicide victims in the city of Johannesburg, South Africa. Addiction. 2015; 110(4): 595–601.
  14. Olsson CA, Romaniuk H, Salinger J, et al. Drinking patterns of adolescents who develop alcohol use disorders: results from the Victorian Adolescent Health Cohort Study. BMJ Open. 2016; 6(2): e010455.
  15. Bertscher A, London L, Rohrs SA. human rights analysis of South Africa's control of marketing of alcoholic beverages bill. Homa Publica. 2020; 4(1): 065–065.
  16. Lee YJ, Cho S, Kim SR. Effect of alcohol consumption on kidney function: population-based cohort study. Sci Rep. 2021; 11(1): 2381.
  17. Latchoumycandane C, Nagy LE, McIntyre TM. Chronic ethanol ingestion induces oxidative kidney injury through taurine-inhibitable inflammation. Free Radic Biol Med. 2014; 69: 403–416.
  18. Kainama SY, Kakisina P, Watuguly T, et al. Expression of TNF-α on Wistar Rat ( L.) with Extract of Pletekan Leaves ( L.). Pak J Biol Sci. 2022; 25(10): 938–951.
  19. Justo P, Lorz C, Sanz A, et al. Expression of apoptosis regulatory proteins in tubular epithelium stressed in culture or following acute renal failure. Kidney Int. 2000; 57(3): 969–981.
  20. Thabit A, Alhifany A, Alsheikh R, et al. Effect of simvastatin and atorvastatin on serum vitamin d and bone mineral density in hypercholesterolemic patients: a cross-sectional study. J Osteoporos. 2014; 2014: 468397.
  21. Liu D, Liu Y, Yi Z, et al. Simvastatin protects cardiomyocytes from doxorubicin cardiotoxicity by suppressing endoplasmic reticulum stress and activating Akt signaling. Int J Clin Exp Med. 2016; 9(2): 2193–201.
  22. Morse LR, Coker J, Battaglino RA. Statins and bone health: a mini review. Actual Osteol. 2018; 14(1): 31.
  23. Pedersen TR. Pleiotropic effects of statins: evidence against benefits beyond LDL-cholesterol lowering. Am J Cardiovasc Drugs. 2010; 10 Suppl 1: 10–17.
  24. Gao K, Wang G, Wang Y, et al. Neuroprotective effect of simvastatin via inducing the autophagy on spinal cord injury in the rat model. Biomed Res Int. 2015; 2015: 260161.
  25. Xiao X, Chang G, Liu J, et al. Simvastatin ameliorates ventricular remodeling via the TGF‑β1 signaling pathway in rats following myocardial infarction. Mol Med Rep. 2016; 13(6): 5093–5101.
  26. Bea S, Oh IS, Kim JuH, et al. High-Intensity statin reduces the risk of mortality among chronic liver disease patients with atherosclerotic cardiovascular disease: a population-based cohort study. J Am Heart Assoc. 2023; 12(8): e028310.
  27. Cahyawati PN, Lestari D, Siskayani A, et al. Simvastatin Improves Renal Function and Glomerulosclerosis in Ischemic-reperfusion Injury. Indones Biomed J. 2020; 12(2): 143–8.
  28. Lach G, Fülling C, Bastiaanssen TFS, et al. Enduring neurobehavioral effects induced by microbiota depletion during the adolescent period. Transl Psychiatry. 2020; 10(1): 382.
  29. Cardoso de Sousa M, Vegian MR, Biserra MA, et al. Influence of chronic alcohol use on osteoblastic differentiation of bone marrow cells, bone properties, and hepatic and renal morphology of rats. Sci World J. 2018; 2018: 2494918.
  30. Patten AR, Fontaine CJ, Christie BR. A comparison of the different animal models of fetal alcohol spectrum disorders and their use in studying complex behaviors. Front Pediatr. 2014; 2: 93.
  31. Mohammadi S, Zamani E, Mohadeth Z, et al. Effects of different doses of simvastatin on lead-induced kidney damage in Balb/c male mice. Pharm Sci. 2015; 20(4): 157–162.
  32. McKay A, Leung BP, McInnes IB, et al. A novel anti-inflammatory role of simvastatin in a murine model of allergic asthma. J Immunol. 2004; 172(5): 2903–2908.
  33. Fernandes C, Marcondes S, Galindo G, et al. Kidney anatomy, histology and histometric traits associated to renosomatic index in Gymnotus inaequilabiatus (Gymnotiformes: Gymnotidae). Neotrop Ichthyol. 2019; 17(4).
  34. Chen Y, Yu Q, Xu CBA. convenient method for quantifying collagen fibers in atherosclerotic lesions by ImageJ software. Int J Clin Exp Med. 2017; 10(10): 14904–10.
  35. Latiff S, Olateju OI. Quantification and comparison of tenocyte distribution and collagen content in the commonly used autografts for anterior cruciate ligament reconstruction. Anat Cell Biol. 2022; 55(3): 304–310.
  36. Balzano T, Arenas YM, Dadsetan S, et al. Sustained hyperammonemia induces TNF-a IN Purkinje neurons by activating the TNFR1-NF-κB pathway. J Neuroinflammation. 2020; 17(1): 70.
  37. Silverstein DM. Inflammation in chronic kidney disease: role in the progression of renal and cardiovascular disease. Pediatr Nephrol. 2009; 24(8): 1445–1452.
  38. López-Hernández FJ, López-Novoa JM. Role of TGF-β in chronic kidney disease: an integration of tubular, glomerular and vascular effects. Cell Tissue Res. 2012; 347(1): 141–154.
  39. Singh VP, Singh N, Jaggi AS. A review on renal toxicity profile of common abusive drugs. Korean J Physiol Pharmacol. 2013; 17(4): 347–357.
  40. Chagnac A, Weinstein T, Korzets A, et al. Glomerular hemodynamics in severe obesity. Am J Physiol Renal Physiol. 2000; 278(5): F817–F822.
  41. Tobar A, Ori Y, Benchetrit S, et al. Proximal tubular hypertrophy and enlarged glomerular and proximal tubular urinary space in obese subjects with proteinuria. PLoS One. 2013; 8(9): e75547.
  42. Kataoka H, Nitta K, Hoshino J. Glomerular hyperfiltration and hypertrophy: an evaluation of maximum values in pathological indicators to discriminate "diseased" from "normal". Front Med (Lausanne). 2023; 10: 1179834.
  43. Kuppe C, Gröne HJ, Ostendorf T, et al. Common histological patterns in glomerular epithelial cells in secondary focal segmental glomerulosclerosis. Kidney Int. 2015; 88(5): 990–998.
  44. Eddy AA. Overview of the cellular and molecular basis of kidney fibrosis. Kidney Int Suppl (2011). 2014; 4(1): 2–8.
  45. Latchoumycandane C, Hanouneh M, Nagy LE, et al. Inflammatory PAF receptor signaling initiates hedgehog signaling and kidney fibrogenesis during ethanol consumption. PLoS One. 2015; 10(12): e0145691.
  46. Steele MR, Belostotsky V, Lau KK. The dangers of substance abuse in adolescents with chronic kidney disease: a review of the literature. CANNT J. 2012; 22(1): 15–22; quiz 23.
  47. Patel R, Nagueh SF, Tsybouleva N, et al. Simvastatin induces regression of cardiac hypertrophy and fibrosis and improves cardiac function in a transgenic rabbit model of human hypertrophic cardiomyopathy. Circulation. 2001; 104(3): 317–324.
  48. Sun F, Duan W, Zhang Yu, et al. Simvastatin alleviates cardiac fibrosis induced by infarction via up-regulation of TGF-β receptor III expression. Br J Pharmacol. 2015; 172(15): 3779–3792.
  49. MacDougall DA, Pugh SD, Bassi HS, et al. Simvastatin promotes cardiac myocyte relaxation in association with phosphorylation of troponin I. Front Pharmacol. 2017; 8: 203.
  50. Lee MMY, Sattar N, McMurray JJV, et al. Statins in the Prevention and Treatment of Heart Failure: a Review of the Evidence. Curr Atheroscler Rep. 2019; 21(10): 41.
  51. Skrzypiec-Spring M, Sapa-Wojciechowska A, Haczkiewicz-Leśniak K, et al. HMG-CoA reductase inhibitor, simvastatin is effective in decreasing degree of myocarditis by inhibiting metalloproteinases activation. Biomolecules. 2021; 11(10).
  52. Zhou Q, Liao JK. Statins and cardiovascular diseases: from cholesterol lowering to pleiotropy. Curr Pharm Des. 2009; 15(5): 467–478.
  53. Zhang X, Xiang C, Zhou YH, et al. Effect of statins on cardiovascular events in patients with mild to moderate chronic kidney disease: a systematic review and meta-analysis of randomized clinical trials. BMC Cardiovasc Disord. 2014; 14: 19.
  54. Baigent C, Landray MJ, Reith C, et al. SHARP Investigators. The effects of lowering LDL cholesterol with simvastatin plus ezetimibe in patients with chronic kidney disease (Study of Heart and Renal Protection): a randomised placebo-controlled trial. Lancet. 2011; 377(9784): 2181–2192.
  55. Christensen M, Su AW, Snyder RW, et al. Simvastatin protection against acute immune-mediated glomerulonephritis in mice. Kidney Int. 2006; 69(3): 457–463.
  56. Nchodu M, Efuntayo A, du Preez R, et al. Simvastatin significantly reduced alcohol-induced cardiac damage in adolescent mice. Cardiovasc Toxicol. 2024; 24(1): 15–26.



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