In vivo assessment of the nephrotoxic effects of the synthetic cannabinoid AB-FUBINACA

<h3>Background</h3><p dir="ltr">The widespread misuse of synthetic cannabinoids (SCs) has led to a notable increase in reported adverse effects, raising significant health concerns. SCs use has been particularly associated with acute kidney injury (AKI). However, the path...

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Main Author: Ayman Alzu’bi (13162392) (author)
Other Authors: Ejlal Abu-El-Rub (5168183) (author), Bahaa Al-Trad (3574976) (author), Hiba Alzoubi (18001609) (author), Hadeel Abu-El-Rub (22052093) (author), Dima Albals (22052096) (author), Gamal T. Abdelhady (13162395) (author), Noor S. Bader (22052099) (author), Rawan Almazari (21842705) (author), Raed M. Al-Zoubi (2037490) (author)
Published: 2024
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Summary:<h3>Background</h3><p dir="ltr">The widespread misuse of synthetic cannabinoids (SCs) has led to a notable increase in reported adverse effects, raising significant health concerns. SCs use has been particularly associated with acute kidney injury (AKI). However, the pathogenesis of SCs-induced AKI is not well-understood.</p><h3>Methods</h3><p dir="ltr">We investigated the nephrotoxic effect of acute administration of N-[(1S)- 1-(aminocarbonyl)-2-methylpropyl]-1-[(4-fluorophenyl)methyl]-1H-indazole-3-carboxamide (AB-FUBINKA) (3 mg/kg for 5 days) in mice. Various parameters of oxidative stress, inflammation, and apoptosis have been quantified. The expressions of mitochondrial complexes (I–V) in renal tissues were also assessed.</p><h3>Results</h3><p dir="ltr">Our findings showed that AB-FUBINACA induced substantial impairment in the renal function that is accompanied by elevated expression of renal tubular damage markers; KIM-1 and NGAL. Administration of AB-FUBINACA was found to be associated with a significant increase in the expression of oxidative stress markers (iNOS, NOX4, NOX2, NOS3) and the level of lipid peroxidation in the kidney. The expression of pro-inflammatory markers (IL-6, TNF-alpha, NF-kB) was also enhanced following exposure to AB-FUBINACA. These findings were also correlated with increased expression of major apoptosis regulatory markers (Bax, caspase-9, caspase-3) and reduced expression of mitochondrial complexes I, III, and IV.</p><h3>Conclusion</h3><p dir="ltr">These results indicate that AB-FUBINACA can trigger oxidative stress and inflammation, and activate caspase-dependent apoptosis in the kidney, with these processes being possibly linked to disruption of mitochondrial complexes and could be an underlying mechanism of SCs-induced nephrotoxicity.</p><h2>Other Information</h2><p dir="ltr">Published in: Forensic Toxicology<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s11419-024-00699-9" target="_blank">https://dx.doi.org/10.1007/s11419-024-00699-9</a></p>