Cadmium-induced lung injury is associated with oxidative stress, apoptosis, and altered SIRT1 and Nrf2/HO-1 signaling; protective role of the melatonin agonist agomelatine

Naunyn Schmiedebergs Arch Pharmacol. 2024 Apr;397(4):2335-2345. doi: 10.1007/s00210-023-02754-5. Epub 2023 Oct 11.

Abstract

Cadmium (Cd) is a hazardous heavy metal extensively employed in manufacturing polyvinyl chloride, batteries, and other industries. Acute lung injury has been directly connected to Cd exposure. Agomelatine (AGM), a melatonin analog, is a drug licensed for treating severe depression. This study evaluated the effect of AGM against Cd-induced lung injury in rats. AGM was administered in a dose of 25 mg/kg/day orally, while cadmium chloride (CdCl2) was injected intraperitoneally in a dose of 1.2 mg/kg to induce lung injury. Pre-treatment with AGM remarkably ameliorated Cd-induced lung histopathological abrasions. AGM decreased reactive oxygen species (ROS) production, lipid peroxidation, suppressed NDAPH oxidase, and boosted the antioxidants. AGM increased Nrf2, GCLC, HO-1, and TNXRD1 mRNA, as well as HO-1 activity and downregulated Keap1. AGM downregulated Bax and caspase-3 and upregulated Bcl-2, SIRT1, and FOXO3 expression levels in the lung. In conclusion, AGM has a protective effect against Cd-induced lung injury via its antioxidant and anti-apoptotic effects mediated via regulating Nrf2/HO-1 and SIRT1/FOXO3 signaling.

Keywords: Agomelatine; Cadmium; Oxidative stress.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antioxidants / pharmacology
  • Apoptosis
  • Cadmium
  • Kelch-Like ECH-Associated Protein 1 / metabolism
  • Lung Injury*
  • Melatonin* / pharmacology
  • NF-E2-Related Factor 2 / metabolism
  • Oxidative Stress
  • Rats
  • Sirtuin 1 / metabolism

Substances

  • Cadmium
  • NF-E2-Related Factor 2
  • Melatonin
  • Kelch-Like ECH-Associated Protein 1
  • Sirtuin 1
  • Antioxidants