Cisplatin is an important
chemotherapeutic drug for the treatment
of solid tumors but often causes nephropathy as part of the off-target
toxicity. Iron accumulation and related damage were implicated in
cisplatin-induced kidney injury. However, the role of cisplatin in
the renal iron sensing mechanism and its target genes responsible
for iron uptake, storage, and release have not been investigated.
Cellular iron homeostasis is controlled by the interaction of iron
regulatory proteins (IRP1 and IRP2) and iron-responsive elements (IREs)
present in the untranslated regions of iron transport and storage
components. Here, we report that cisplatin does not influence the
expressions of IRP targets such as transferrin receptor-1 (TfR1),
divalent metal transporter-1 (DMT1), and ferroportin in renal cells
despite the increased heme oxygenase-1 (HO-1) level. Ferritin subunits
(Ft-H and Ft-L) are elevated in different magnitudes due to the increased
mRNA expression. Intriguingly, a higher expression of Ft-L mRNA is
detected than that of Ft-H mRNA. The inability of cisplatin in altering
the IRE–IRP interaction is confirmed by examining IRE-containing
luciferase activity, RNA electrophoretic mobility shift assay, and
activation of IRPs. The labile iron pool is depleted but reversed
by silencing of either Ft-H or Ft-L, suggesting increased iron storage
by ferritin. Silencing of Ft-H or Ft-L promotes cell death, suggesting
that ferritin acts to protect the renal cells from cisplatin-mediated
toxicity. A differential increase of transcripts and equivalent increase
of proteins of Ft-H and Ft-L and unaltered TfR1 and DMT1 transcripts
are found in the kidneys of cisplatin-treated rats along with iron
accumulation. Our results reveal that cisplatin does not influence
the IRE–IRP interaction despite alteration of the cellular
iron pool in renal cells. This insensitivity of the IRE–IRP
system may be implicated in the accumulation of iron to contribute
to cisplatin-induced nephropathy.