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The Toxicologist - Society of Toxicology

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577 URANYL NITRATE INHIBITS LACTATE<br />

GLUCONEOGENESIS IN ISOLATED HUMAN AND<br />

MOUSE RENAL PROXIMAL TUBULES: A CELLULAR<br />

METABOLOMIC STUDY.<br />

A. Conjard-Duplany 1, 2 , S. Renault 1 , H. Faiz 1 , R. Gadet 1 , B. Ferrier 1, 2 , G.<br />

Martin 1, 2 and G. Baverel 2 . 1 Metabolomics and Metabolic Diseases, Inserm, Lyon<br />

Cedex 08, France and 2 Metabolys Inc., Lyon, Rhône-Alpes, France.<br />

As part <strong>of</strong> a study on uranium nephrotoxicity, we investigated the effect <strong>of</strong> uranyl<br />

nitrate in isolated human and mouse kidney cortex tubules metabolizing the physiological<br />

substrate lactate. For this, isolated human and mouse renal proximal<br />

tubules were incubated with variously labelled lactates in the absence and the presence<br />

<strong>of</strong> uranyl nitrate. In the millimolar range, uranyl nitrate reduced lactate removal<br />

and gluconeogenesis and the cellular ATP level in a dose-dependent fashion.<br />

After incubation in phosphate-free Krebs-Henseleit medium with 5 mM L-[1-<br />

13C]-, or L-[2-13C]-, or L-[3-13C]lactate, substrate utilization and product formation<br />

were measured by enzymatic and NMR spectroscopic methods. In the presence<br />

<strong>of</strong> 3mM uranyl nitrate, glucose production and the intracellular ATP content<br />

were significantly reduced in both human and mouse tubules. Combination <strong>of</strong> enzymatic<br />

and NMR measurements with a mathematical model <strong>of</strong> lactate metabolism<br />

revealed an inhibition <strong>of</strong> fluxes through lactate dehydrogenase and the gluconeogenic<br />

enzymes in the presence <strong>of</strong> 3 mM uranyl nitrate; in human and mouse<br />

tubules, fluxes were lowered by 20% and 14% (lactate dehydrogenase), 27% and<br />

32% (pyruvate carboxylase), 35% and 36% (phosphoenolpyruvate carboxykinase),<br />

and 39% and 45% (glucose-6-phosphatase), respectively. <strong>The</strong>se results indicate that<br />

natural uranium is an inhibitor <strong>of</strong> renal lactate gluconeogenesis in both humans<br />

and mice. Moreover, they show that the cellular metabolomic approach is a precious<br />

tool to evaluate the effects <strong>of</strong> nephrotoxic compounds.<br />

578 GENDER SPECIFIC DIFFERENCES IN THE<br />

EXPRESSION OF URINARY MARKERS OF<br />

INFLAMMATION AND OXIDATIVE STRESS.<br />

I. S. Richards and M. M. Bourgeois. EOH, University <strong>of</strong> South Florida COPH,<br />

Tampa, FL.<br />

Activation <strong>of</strong> inflammatory and oxidative stress pathways and the onset <strong>of</strong> renal,<br />

cardiovascular, cerebrovascular and other systemic damage have been shown to be<br />

mechanistically linked. This study compares the expression <strong>of</strong> inflammatory, stress<br />

and vascular biomarkers in the urine <strong>of</strong> male and female donors. Specimens were<br />

assayed for aldosterone, total protein, creatine kinase, creatinine, c reactive protein,<br />

heat shock protein, microalbumin, myeloperoxidase, myoglobin, neutrophil gelatinase<br />

associated lipocalin, proatrial natriuretic peptide, vascular endothelial growth<br />

factor and interleukins 1 alpha, 1 beta, 6 and 10 using enzyme-linked immunosorbent<br />

assays. Many <strong>of</strong> these markers have been assayed exclusively in<br />

serum specimens without reference to gender specific differences. Urine specimens<br />

are non-invasive and may provide for qualitative clinical testing once appropriate<br />

normal ranges have been established. Increased expression <strong>of</strong> these markers is associated,<br />

in varying degrees <strong>of</strong> specificity, with vascular damage, oxidative stress and<br />

inflammation. Establishing a link between gender and biomarker expression in<br />

urine is the first step in developing a diagnostic tool that may permit rapid selection<br />

<strong>of</strong> an appropriate clinical intervention. Our research suggests that significant<br />

gender based differences may exist in the expression <strong>of</strong> urinary inflammatory and<br />

stress biomarkers.<br />

This work has been supported in part by the Agency for Community Treatment<br />

and Services <strong>of</strong> Tampa.<br />

579 URINARY KIDNEY INJURY MOLECULE-1 (KIM-1) AS A<br />

RENAL BIOMARKER IN GENTAMICIN (GEN)-<br />

INDUCED RENAL INJURY AND RECOVERY.<br />

R. Rouse 1 , L. Zhang 2 , P. Harlow 3 , J. Zhang 1 , P. Espandiari 4 , S. Stewart 1 , B.<br />

Rosenzweig 1 , K. Thompson 1 and N. Sadrieh 5 . 1 Division <strong>of</strong> Applied Pharmacology<br />

Research, U.S. FDA, CDER, Silver Spring, MD, 2 Office <strong>of</strong> Clinical Pharmacology,<br />

U.S. FDA, CDER, Silver Spring, MD, 3 Division <strong>of</strong> Cardiovascular and Renal<br />

Products, U.S. FDA, CDER, Silver Spring, MD, 4 Division <strong>of</strong> Metabolism and<br />

Endocrinology Products, U.S. FDA, CDER, Silver Spring, MD and 5 Science and<br />

Research Staff, U.S. FDA, CDER, Silver Spring, MD.<br />

This study was undertaken to determine and characterize the sensitivity <strong>of</strong> Kim-1<br />

relative to that <strong>of</strong> existing biomarkers <strong>of</strong> acute kidney injury. <strong>The</strong> evolution and recovery<br />

<strong>of</strong> renal injury was followed in male SD rats given Gen (0, 75, 150, or 300<br />

mg/kg) for up to three consecutive days. Representatives from each group were sacrificed<br />

at 11 time points over 45 days. Necropsy sampling included serum for blood<br />

urea nitrogen (BUN) and creatinine (sCr), urine for Kim-1,kidney for RNA extraction,<br />

PCR, and histopathology evaluation. Urinary Kim-1 (uKim-1) levels showed<br />

a significant dose-dependent increase over days 1 to 7 that peaked at day 7, and<br />

then returned to control levels by day 15. Changes in uKim-1 preceded<br />

histopathology changes and were preceded by changes in Kim1 gene expression.<br />

Increases in BUN and sCr were lower in magnitude than those <strong>of</strong> uKim-1.<br />

Decreases in elevated BUN and sCr levels preceded decreases in elevated uKim-1<br />

levels during recovery. A completely blinded pathology evaluation using a semiquantative<br />

scale <strong>of</strong> 0-5 showed a correlation <strong>of</strong> the severity <strong>of</strong> kidney injury with all<br />

biomarkers. Discrimination methods including receiver operating<br />

characteristics(ROC) analysis indicated that uKim-1 and renal Kim1 gene expression<br />

significantly outperformed BUN and sCr for the detection <strong>of</strong> renal injury.<br />

Conclusions: 1) Kim-1 is a more sensitive biomarker for detecting acute renal injury<br />

than BUN and sCr during both evolution and recovery <strong>of</strong> injury. 2) Kim-1 excretion<br />

into urine diminishes with tissue repair. 3) <strong>The</strong> correlation <strong>of</strong> Kim-1 excretion<br />

into urine with tissue injury was better during injury evolution than during<br />

repair and recovery.<br />

580 METABOLOMIC ANALYSIS OF RAT URINE<br />

FOLLOWING ACUTE EXPOSURE TO<br />

PERFLUORINATED CHEMICALS.<br />

W. M. Henderson 1 , T. W. Collette 1 , D. J. Dix 2 and D. R. Ekman 1 . 1 National<br />

Exposure Research Laboratory, U.S. EPA, Athens, GA and 2 National Center for<br />

Computational <strong>Toxicology</strong>, U.S. EPA, Research Triangle Park, NC.<br />

Perfluorinated chemicals (PFCs), namely perfluorooctanoic acid (PFOA) and perfluorooctane<br />

sulfonate (PFOS), represent an emerging class <strong>of</strong> persistent and bioaccumulative<br />

compounds. Global occurrence <strong>of</strong> these fluorochemicals, coupled with<br />

probable human exposure, has prompted investigations <strong>of</strong> the biochemical impacts<br />

<strong>of</strong> PFCs that elicit toxicity through modulation <strong>of</strong> peroxisome proliferator-activated<br />

receptors (PPAR) as well as other modes <strong>of</strong> action. Genomic studies have<br />

shown that PFOA and PFOS affect genes involved in cholesterol synthesis and fatty<br />

acid metabolism and result in signs <strong>of</strong> steatosis and hepatomegaly in rats. As a biomarker-based<br />

approach, this study focused on the use <strong>of</strong> metabolomics for identifying<br />

fluxes in the endogenous metabolome using proton nuclear magnetic resonance<br />

( 1 H-NMR) and both liquid and gas chromatography coupled to mass spectrometry<br />

(LC-MS n and GC-MS). To study this, male SD rats were dosed daily by gavage for<br />

5 days with 20 mg/kg PFOA or 10 mg/kg PFOS. Urine was collected 24 hrs prior<br />

to, and twice daily during, the exposure period at 8 and 16 hr intervals. Urine was<br />

either buffered ( 1 H-NMR), filtered and diluted (LC-MS n ), or extracted with chlor<strong>of</strong>orm:methanol,<br />

lyophilized and derivatized (GC-MS) prior to analysis. Spectra<br />

were subjected to principal components (PCA) and partial least squares discriminant<br />

analysis (PLS-DA) to determine the effects <strong>of</strong> each PFC on the urinary<br />

metabolite pr<strong>of</strong>ile. For each analytical platform, differences between the control<br />

and exposed rats were observed at the earliest time point. Moreover, PFC-related effects<br />

were temporal and classes sustained distinct separation following three days <strong>of</strong><br />

exposure. Components <strong>of</strong> the spectra responsible for time and PFC-dependent<br />

clustering are being investigated. Identification <strong>of</strong> significant changes in urinary<br />

metabolites will aid in identifying biomarkers associated with PPAR activation, hepatotoxicity,<br />

and exposure to these and other PFCs.<br />

581 ROADMAP FOR NOVEL BIOMARKER CANDIDATE<br />

NOMINATION FOR PREDICTIVE SAFETY TESTING<br />

CONSORTIUM (PSTC) HEPATOTOXICITY WORKING<br />

GROUP.<br />

W. J. Bailey. Analytical & Systems <strong>Toxicology</strong>, Merck & Co., Inc., West Point, PA.<br />

Arginase 1 (Arg1) and glutathione S-alkyltransferase Alpha (Gstα) are two novel<br />

biomarkers <strong>of</strong> liver toxicity. “Fit-for-purpose” ELISA assays have been validated and<br />

performance <strong>of</strong> these biomarkers has been assessed for specificity and sensitivity relative<br />

to ALT over a number <strong>of</strong> studies. <strong>The</strong> data in support <strong>of</strong>, and strategy used to<br />

evaluate and nominate these biomarkers for potential Voluntary Exploratory Data<br />

Submission (VXDS) will be detailed as a guidance for future efforts in bringing<br />

candidate biomarkers forward. Roadmap milestones should include 1) clearly defined<br />

biological claims described in a Biomarker Research plan submitted to C-Path<br />

and the FDA; 2) mechanistic/biological rationale for the biomarker; 3) assay validation;<br />

4) sample/study assessment based on the biological claims; 4) performance<br />

evaluation relative to ALT and histopathology; 5) nomination within the PSTC<br />

Working Group; 6) independent validation from PSTC members; 7) VXDS submission.<br />

<strong>The</strong> real world experience <strong>of</strong> Arg1 and Gstα will be used to illustrate the<br />

process.<br />

124 SOT 2010 ANNUAL MEETING

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