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Macrophage depletion protects against cisplatin-induced ototoxicity and nephrotoxicity
Journal article   Open access   Peer reviewed

Macrophage depletion protects against cisplatin-induced ototoxicity and nephrotoxicity

Cathy Yea Won Sung, Naoki Hayase, Peter S T Yuen, John Lee, Katharine Fernandez, Xuzhen Hu, Hui Cheng, Robert A Star, Mark E Warchol and Lisa L Cunningham
Science advances, Vol.10(30), p.eadk9878
07/26/2024
DOI: 10.1126/sciadv.adk9878
PMCID: PMC11268410
PMID: 39047106
url
https://doi.org/10.1126/sciadv.adk9878View
Published (Version of record) Open Access

Abstract

Cisplatin is a widely used anticancer drug with notable side effects including ototoxicity and nephrotoxicity. Macrophages, the major resident immune cells in the cochlea and kidney, are important drivers of both inflammatory and tissue repair responses. To investigate the roles of macrophages in cisplatin-induced toxicities, we used PLX3397, a U.S. Food and Drug Administration-approved inhibitor of the colony-stimulating factor 1 receptor, to eliminate tissue-resident macrophages. Mice treated with cisplatin alone had considerable hearing loss (ototoxicity) and kidney injury (nephrotoxicity). Macrophage ablation resulted in significantly reduced hearing loss and had greater outer hair cell survival. Macrophage ablation also protected against cisplatin-induced nephrotoxicity, as evidenced by markedly reduced tubular injury and fibrosis. Mechanistically, our data suggest that the protective effect of macrophage ablation against cisplatin-induced ototoxicity and nephrotoxicity is mediated by reduced platinum accumulation in both the inner ear and the kidney. Together, our data indicate that ablation of tissue-resident macrophages represents an important strategy for mitigating cisplatin-induced ototoxicity and nephrotoxicity.
Aminopyridines Animals Antineoplastic Agents - adverse effects Antineoplastic Agents - toxicity Cisplatin - adverse effects Cisplatin - toxicity Cochlea - drug effects Cochlea - metabolism Cochlea - pathology Hearing Loss - chemically induced Hearing Loss - prevention & control Kidney - drug effects Kidney - metabolism Kidney - pathology Kidney Diseases - chemically induced Kidney Diseases - pathology Kidney Diseases - prevention & control Macrophages - drug effects Macrophages - metabolism Mice Mice, Inbred C57BL Ototoxicity - etiology Ototoxicity - prevention & control Pyrroles

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