Predicting idiopathic toxicity of cisplatin by a pharmacometabonomic approach

Hyuk Nam Kwon, Mina Kim, He Wen, Sunmi Kang, Hye Ji Yang, Myung Joo Choi, Hee Seung Lee, Dalwoong Choi, In Suh Park, Young Ju Suh, Soon Sun Hong, Sunghyouk Park

Research output: Contribution to journalArticlepeer-review

52 Citations (Scopus)


Cisplatin has been one of the most widely used anticancer agents, but its nephrotoxicity remains a dose-limiting complication. Here, we evaluated the idiopathic nature and the predose prediction of cisplatin-induced nephrotoxicity using a nuclear magnetic resonance (NMR)-based pharmacometabonomic approach. Cisplatin produced serious toxic responses in some animals (toxic group), but had little effect in others (nontoxic group), as judged by hematological and histological results. The individual metabolic profiles, assessed by urine NMR spectra, showed large differences between the post-administration profiles of the two groups, indicating the relevance of the NMR approach. Importantly, multivariate analysis of the NMR data showed that the toxic and nontoxic groups can be differentiated based on the pretreatment metabolite profiles. Leave-one-out analysis, performed to evaluate the practical performance of our approach, gave a 66% accuracy rate in predicting toxic responses based on the pretreatment metabolite profiles. Hence, we provide a working model that can explain the idiopathic toxicity mechanism based on marker metabolites found by NMR analysis consistent with tissue NADH measurements. Thus, a pharmacometabonomic approach using pretreatment metabolite profiles may help expedite personalized chemotherapy of anticancer drugs.

Original languageEnglish
Pages (from-to)529-537
Number of pages9
JournalKidney International
Issue number5
Publication statusPublished - 2011 Mar


  • anticancer
  • cisplatin
  • pharmacometabonomics
  • prediction
  • toxicity

ASJC Scopus subject areas

  • Nephrology


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