cis-Platinum(II) (cis-diammine dichloroplatinum; cisplatin) is a potent ant
itumor compound that is widely used for the treatment of many malignancies.
An important side-effect of cisplatin is nephrotoxicity, which results fro
m injury to renal tubular epithelial cells and can be manifested as either
acute renal failure or a chronic syndrome characterized by renal electrolyt
e wasting. Recently, apoptosis has been recognized as an important mechanis
m of cell death mediating the antitumor effect of cisplatin. This study was
undertaken to examine the mechanisms of cell death induced by cisplatin in
M-1 cells, which were derived from the outer cortical collecting duct cell
s of SV40 transgenic mice. Treatment of M-1 cells with high concentrations
of cisplatin (0.5 and 1 mM) for 2 hr led to necrotic cell death, whereas a
24-hr treatment with 5-20 muM cisplatin led to apoptosis. Antioxidants prot
ected against cisplatin-induced necrosis, but not apoptosis, indicating tha
t reactive oxygen species play a role in mediating necrosis but not apoptos
is induced by cisplatin and that the mechanism of cell death induced by cis
platin is concentration dependent. The low concentrations of cisplatin, whi
ch induced apoptosis in M-1 cells, did not affect the expression levels of
Bcl-2-related proteins and did not activate c-Jun NH2-terminal kinase (SAPK
/JNK). Cisplatin induced the translocation of endogenous Bax from the cytos
olic to the membrane fractions and, subsequently, the release of cytochrome
c. Overexpression of Bcl-2 blocked cisplatin-induced apoptosis and Bax tra
nslocation. These observations suggest that the subcellular redistribution
of Bax is a critical event in the apoptosis induced by cisplatin. (C) 2001
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