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. 2024 Jul 20;9(10):2883–2903. doi: 10.1016/j.ekir.2024.07.020

Table 2.

NAC protective effects in kidney damage models in cell lines

Pathology Cell model Damage scheme (NAC) IC50/EC50 Time points and scheme of application Protective effects Other effects Ref.
Nephrotoxicity and obstructive nephropathy Rat kidney proximal tubule (NRK-52E) cell line 1.5 μM of cadmium in DMEM containing 2% FBS for 24 h. 10000 μmol/l Pretreatment for 1 h ↑ Cell viability
↓ Intracellular and mitochondrial ROS
- Restored mitochondrial morphology
↑ SIRT1
↑ PGC-1 (α and β)
Senescence: ↑ Cells in cell cycle phases G0/G1
↓ Cells in cell cycle phases S and G2/M
↓ SA-β-Gal-positive areas
↓ p53 and p21
Dong et al.57
HK-2 and NRK-52E cell lines High levels of folic acid (≥200 μM) for 3–6 mo 25 μmol/l Coincubation for 72 h Restored PARP1 and ↑ cyclin D1, Bcl-2, GP×1, and MnSOD expression
↓ Epithelial-mesenchymal transition
↓ FA-induced genotoxicity Kandel et al.54
Nephrotoxicity HK-2 cell line 0,625-10 μM of vancomycin for 24 h.
To measure ROS, it was 6 h
5000 μmol/l Pretreatment for 2 h ↑ Cell viability
↓ KIM-1
↓ NGAL
↓ Bax/Bcl-2
↓ Caspase 3
↓ ROS
↓ p-P38
↓ p-JNK
Yu et al.61
NRK-52E cells line 300–600 μM of uranyl acetate for 6, 12, 18, and 24 h 2000 μmol/l Pretreatment for 1 h ↓ Apoptosis
↓ ROS
↓ GRP78
↓ CHOP
↓ Caspase 12
↓ Caspase 3
↑ p-PI3K
Hu et al.53
PK15 cell line Fusarium toxins (0.25–8 μM of DON, 5–160 μM ZEN, and 5–160 μM FB1) in serum-free media for 24 h. 500 μmol/l Coadministration for 24 h ↓ Cell death
↑ GR
↑ SOD
↓ MDA
↓ ROS
↓ mRNA levels of Bax
↑ mRNA levels and expression of Bcl-2
↓ mRNA levels and expression of caspase-3
↓ mRNA levels of caspase-9
↓ mRNA levels of cytochrome-c
↓ mRNA levels of p53
Zhang et al.60
Kidney injury and diabetic kidney disease NRK-52E cells line starved for 6 h High concentrations of glucose (30 mM) for 48 h 2000 μmol/l Pretreatment for 48 h. ↓ ROS
↑ p-RIPK1 and p-RIPK3
↓ mRNA level of MCP-1
↓ IL-1β
Guo et al.62
Senescence NRK-52E cell line 20 μM of cisplatin for 6 h 10000 μmol/l Pretreatment for 1 h ↓ IL-1β
↓ IL-6
↓ TNF-α
↓ Intracellular and mitochondrial ROS
↑ PGC-1 (α and β)
↑ mRNA levels of UCP2, COX-IV, ATP5α, TFAM, NRF1
↑ SIRT1
↓ acetyl-p53
Senescence: ↓ SA-β-Gal-positive area
↓ p53
↓ p21
Li et al.47

(acetyl) p53, (acetylated) tumor suppressor P53; (Mn)SOD, (manganese) superoxide dismutase; (p)-JNK, (phosphorylated) c-Jun N-terminal kinases; (p)-RIPK1, (phosphorylated) receptor-interacting protein kinase 1; (p)-RIPK3, (phosphorylated) receptor-interacting protein kinase 3; (p)-PI3K, (phosphorylated) phosphatidylinositol 3-kinase; (NAC), N-acetylcysteine concentration; ATP, adenosine triphosphate; ATP5α, ATP synthase F1 subunit alpha; Bax, Bcl-2 associated X-protein; Bcl-2, B-cell lymphoma (2); CHOP, C/EBP homologous protein; COX-IV, cytochrome c oxidase IV; DMEM, Dulbecco's Modified Eagle Medium; DON, deoxynivalenol; FA, Fatty acids; FB1, fumonisin B1; FBS, fetal bovine serum; GP×1, glutathione peroxidase 1; GR, glutathione reductase; GRP78, glucose-regulated protein 78; HK-2, proximal tubule epithelial cell line; IL-1β, interleukin-1-beta; IL-6, interleukin-6; KIM-1, kidney injury molecule 1; MCP-1, monocyte chemoattractant protein 1; MDA, malondialdehyde; NAC, N-acetylcysteine; NGAL, neutrophil gelatinase associated lipocalin; NRF1, nuclear respiratory factor 1; NRK-52E, rat kidney proximal tubule cells; p21, cyclin-dependent kinase inhibitor 1; PARP1, poly (ADP-ribose) polymerase 1; PGC-1 (α and β), peroxisome proliferator-activated receptor-gamma coactivator; p-P38, phosphorylated P38 mitogen-activated protein kinase; ROS, reactive oxygen species; SA-β-Gal, senescence-associated beta-galactosidase; SIRT1, sirtuin 1; TDCPP, Tris(1,3-dichloroisopropyl) phosphate; TFAM, mitochondrial transcription factor A; TNF-α, tumor necrosis factor alpha; UCP2, uncoupling protein 2; ZEN, zearalenone.