Therapeutic activity of green synthesized selenium nanoparticles from turmeric against cisplatin-induced oxido-inflammatory stress and cell death in mice kidney

Abstract Cisplatin (CDDP) is a commonly prescribed chemotherapeutic agent; however, its associated nephrotoxicity limits its clinical efficacy and sometimes requires discontinuation of its use. The existing study was designed to explore the reno-therapeutic efficacy of turmeric (Tur) alone or conjugated with selenium nanoparticles (Tur-SeNPs) against CDDP-mediated renal impairment in mice and the mechanisms underlying this effect. Mice were orally treated with Tur extract (200 mg/kg) or Tur-SeNPs (0.5 mg/kg) for 7 days after administration of a single dose of CDDP (5 mg/kg, i.p.). N-acetyl cysteine NAC (100 mg/kg) was used as a standard antioxidant compound. The results revealed that Tur-SeNPs counteracted CDDP-mediated serious renal effects in treated mice. Compared with the controls, Tur or Tur-SeNPs therapy remarkably decreased the kidney index along with the serum levels of urea, creatinine, Kim-1, and NGAL of the CDDP-injected mice. Furthermore, Tur-SeNPs ameliorated the renal oxidant status of CDDP group demonstrated by decreased MDA and NO levels along with elevated levels of SOD, CAT, GPx, GR, GSH, and gene expression levels of HO-1. Noteworthy, lessening of renal inflammation was exerted by Tur-SeNPs via lessening of IL-6 and TNF-α besides down-regulation of NF-κB gene expression in mouse kidneys. Tur-SeNPs treatment also restored the renal histological features attained by CDDP challenge and hindered renal apoptosis through decreasing the Bax levels and increasing Bcl-2 levels. Altogether, these outcomes suggest that the administration of Tur conjugated with SeNPs is effective neoadjuvant chemotherapy to guard against the renal adverse effects that are associated with CDDP therapy.


Introduction
Cisplatin (CDDP), a platinum derivative, is a widely used chemotherapeutic agent to treat various types of tumors such as ovary, bladder, testis, breast, and lung cancers [1,2].CDDP exerts its action by forming cross-links in the purine bases, resulting in disturbance in DNA and RNA replication and impairment in cellular division [3,4].Despite its effective anti-tumor activity, its clinical use is restricted due to serious toxic effects, of which renal damage is the main sequel [4,5].In addition to its action on tumor cells, CDDP also targets normal somatic cells, particularly in kidneys, as being the main route of CDDP excretion and accumulation [6].According to statistics, approximately 20-30% of CDDP-treated patients have developed severe renal dysfunction.Thus, effective therapeutic strategies are urgently needed to combat or prevent CDDP-induced renal injury.
The mechanisms of CDDP-induced renal impairment are complicated.Oxidative and inflammatory stresses besides cell apoptosis and necrosis are considered the primary hallmarks of CDDP-nephrotoxicity [4,5].Reactive oxygen species (ROS) are generated under CDDP therapy resulting in damage to kidney tubular epithelial cells and loss of renal function [2].CDDP was reported to induce a marked reduction in nuclear-factor-erythroid-2-related factor 2 (Nrf2), which is a vital regulator for other antioxidant enzymes such as hemeoxygenase-1 (HO-1) [7].Moreover, CDDP was accused of producing excess pro-inflammatory cytokines and triggering nuclear factor kappa-B (NF-κB) signaling that exacerbates further tissue damage [8].In addition, CDDP-treated renal epithelial cells displayed notable activation of caspases and mitochondrial translocation of Bax with subsequent tubular cell death [6][7][8].Hence, it is a reasonable therapeutic approach to protect against the toxic effects of CDDP via inhibition of oxidative, inflammatory, and apoptotic signaling pathways.
Turmeric (Curcuma longa L.), a member of Zingiberaceae family, has been used since ancient times as traditional food, spices, and phytotherapy for the treatment of anorexia, infectious diseases, gastric, hepatic and renal disorders [9].Moreover, it has a myriad of pharmacological activities, such as antimicrobial, antidepressant, anticancer, anti-inflammatory.and wound healing effects [10].The ethanolic turmeric extract exerted significant neuroprotection against trimethyltin-induced oxidative stress in rat brain by increasing the activities of antioxidant enzymes [11].Similarly, turmeric extract protected the liver from oxidative stress mediated by carbon tetrachloride [12], acute ethanol [13], and methotrexate [14] in experimental animals.Russo and collaborators found that oral administration of turmeric resulted in a significant decrease in urinary inflammatory markers and renal histopathological alterations caused by doxorubicin in rats [15].Additionally, curcumin, an active ingredient of the turmeric extract, has been reported to ameliorate against nephrotoxicity caused by zinc oxide nanoparticles [16], cadmium [17], arsenic [18], and cisplatin [19].Recently, Alvarenga et al. [20] reported that treatment with curcumin for 12 weeks resulted in significant decline in the plasma levels of tumor necrosis factor-α (TNF-α) of chronic kidney disease patients.
Unfortunately, curcumin bioavailability is low and its water solubility is very poor.In comparison to free curcumin, nanostructured curcumin has a higher systemic bioavailability in the plasma and tissues, according to Zou et al. [21].Furthermore, compared to therapy with native curcumin, nanocurcumin has a 60-fold longer biological half-life and enhances in vivo absorption and dispersion [22].Moreover, several formulations of nanoparticle-based curcumin were non-toxic in acute toxicity studies at doses equivalent to 2 g curcumin/kg of body weight.In this regard, the daily administration of a curcuminoid-essential oil complex at a dose of 1 g/kg body weight revealed no toxicity after 90 days [23] and Jantawong et al. [24] found that the oral median lethal dose (LD 50 ) values of curcumin-loaded nanocomplexes estimated using Lorke's method were 8.9 and 16.8 g/kg bw (equivalent to 2.5 and 4.5 g/kg bw of curcumin) for mice and hamsters, respectively.
Nanosized selenium particles (SeNPs) have attained much interest owing to their high bioavailability, lower toxic effects, and pronounced biological activities [25,26].SeNPs is highly safe in Wistar rats up to 5000 mg/kg and in mice up to 2000 mg/kg according to Khubulava et al. [27] and Lesnichaya et al. [28], respectively.Nano-selenium supplementation mitigated diabetic nephropathy induced oxidative stress and restored renal structure and function in pregnant rats [29].Likewise, SeNPs reversed vancomycin-induced renal toxicity via their antioxidant, anti-inflammatory, anti-apoptotic, and mitochondrial regulatory effects [30].Notably, previous studies have reported that eco-friendly synthesized SeNPs using herbal extracts elicited noteworthy antioxidative and anti-inflammatory activities owing to the synergism between selenium and phytochemicals [31,32].For example, SeNPs biosynthesized from the endophytic fungus Fusarium oxysporum displayed notable antioxidant and anti-apoptotic activities against doxorubicin-induced damage in liver, kidney and heart tissues of Swiss mice [33].Remarkable nephroprotective efficiency was observed for green synthetized SeNPs against melamine [34] and acetaminophen [35] toxicities in experimental rats.
Based on the above, this study was conducted to inspect the possible mitigating potency of Tur synthesized SeNPs against CDDP undesirable renal effects.The mechanisms underlying this effect involving oxidative stress, inflammation, and apoptosis were also elucidated in the kidney of treated mice.

Animal and ethical statement
Male Swiss albino mice of body weight ranging from 20 to 26 g and 8-week-olds were obtained from VACSERA animal facility (Cairo, Egypt).The mice underwent a one-week acclimatization period in a conventional laboratory setting with 12 h light/dark cycles, a temperature of 25 • C, and unrestricted access to water and pelleted rodent food.The Institutional Animal Care and Use Committee (IACUC) of Helwan University (approval number HU2021/Z/AES0921-02) approved all experimental protocols and techniques.All animal experiments took place at Zoology and Entomology Department, Faculty of Science, Helwan University (Cairo, Egypt).

Treatment protocol
The mice were allocated into five groups (7 mice /group) as follows: The first group (control): this group was orally given normal saline (0.9% NaCl solution) for seven days.The second group (CDDP group):this group received i.p. injection of 5 mg/kg body weight (b.wt.) of CDDP, as previously reported by Abdel Moneim [37].The third group (CDDP + Tur): received i.p. injection of CDDP at 5 mg/kg b.wt.and an hour later, mice were orally administered with turmeric extract at a dose of 200 mg/kg b.wt [36].The fourth group (CDDP + Tur-SeNPs group): The animals were intraperitoneally injected with 5 mg/kg b.wt.CDDP and then given 0.5 mg/kg b.wt. of turmeric extract loaded SeNPs orally an hour later.The fifth group (CDDP + NAC): animals received an i.p. injection of CDDP at 5 mg/kg b.wt., followed by an oral 100 mg/kg bw of N-acetylcysteine (NAC) as a reference drug after one hour [38].
The administration of these corresponding doses took place every day for 7 days.Within 24 h of the last treatment, mice were euthanized following an intraperitoneal injection of ketamine/xylazine (100 and 10 mg/kg b.wt., respectively).Blood was immediately drawn, stored at 37 • C for 24 min, centrifuged for 15 min at 3000 rpm, and the serum was kept at −20 • C. The left kidney from the animals was used for histological analysis after the kidneys were removed.The half of right one underwent homogenization with 10 mM PBS, centrifugation for 12 min at 3600 rpm, and storage of the supernatant at −80 • C for biochemical examinations.Whereas, the remaining half was stored at -80 • C for molecular measurements.

Assessment of relative kidney weight
The relative kidney weight was calculated according to the following equation [26]: Relative kidney weight = Left kidney weight/Body weight × 100

RNA extraction, cDNA synthesis, and quantitative RT-PCR
Total RNA was extracted from renal tissue by TRIzol reagent, followed by cDNA synthesis using RevertAid H Minus Reverse Transcriptase (Fermentas, Thermo Fisher Scientific Inc., Canada) as mentioned in the manufacturer's protocol.qRT-PCR was employed using the QuantiFast SYBR Green RT-PCR kit (Qiagen, Hilden, Germany).All reactions were conducted in duplicate using the ViiA7 System (Thermo Fisher Scientific, CA, U.S.A.).The PCR cycling conditions included initial denaturation at 95 • C for 12 min, followed by 40 cycles of denaturation at 94 • C for 60 s and annealing at 58 • C for 60 s, extension at 72 • C for 90 s, then holding for a final extension at 72 • C for 10 min.The relative gene expression was determined between the different groups using the Ct method.The primer sequences (Jena Bioscience [Jena, Germany]) for estimation of NF-κB and HO-1 gene expression levels were adjusted to GAPDH (housekeeping gene).Table 1 lists the primer sequences.

Estimation of renal apoptotic markers
The levels of apoptosis-related components in renal tissues, BCL2-associated X protein (Bax), and B-cell lymphoma 2 (Bcl-2), were measured using mouse ELISA kits (My BioSource, SD, U.S.A.) based on the manufacturer's instructions.

Renal histopathological examination
The left kidneys were fixed in 10% neutral buffered formalin for 24 h.Next, tissue samples were dehydrated, embedded in paraffin, and finally sectioned at 5 μm thick sections.Renal specimens were stained with H&E and examined under a Nikon Eclipse E200-LED (Tokyo, Japan) microscope at 400× magnification.

Statistical analysis
For the collected data, statistical analysis was carried out using SPSS version 23.Resulted data were subjected to one-way analysis of variance (ANOVA) followed by Duncan's post-hoc multiple tests to determine the differences between groups.The obtained results were displayed as mean + − standard deviation (SD).The statistical significance was determined when P-values were less than 0.05 (P<0.05).

Effect of Tur and Tur-SeNPs on kidney index and function markers in CDDP-injected mice
The nephroprotective ability of Tur or Tur-SeNPs against CDDP-caused changes in kidney index and function indices is shown in Figure 1.CDDP injection induced a substantial increase (P<0.05) in kidney index related to the control group.Noteworthy, treatment with Tur, Tur-SeNPs, or NAC restored (P<0.05) the kidney near to the control value.Furthermore, CDDP administration caused dramatic increases (P<0.05) in serum creatinine and urea compared with the sham group.Meanwhile, administration of Tur, Tur-SeNPs, or NAC to CDDP-injected mice notably (P<0.05)reversed these markers compared to the CDDP group.Notably, Tur-SeNPs therapy was able to lessen the serum creatinine value in CDDP-injected mice close to the control value, which may explain their high nephroprotective efficiency.
Moreover, we measured the levels of Kim-1 and NGAL as being indicators for renal injury and toxicity in respect to the routinely used serum urea and creatinine.When compared with the controls, substantial rises (P<0.05) were observed in the levels of Kim-1 and NGAL following CDDP injection.However, treatment with Tur, Tur-SeNPs, or NAC counteracted these changes, where Kim-1 and NGAL were reduced (P<0.05) in comparison to the CDDP-treated group.

Effect of Tur and Tur-SeNPs on renal oxidant/antioxidant status of CDDP-injected mice
As represented in Figure 2, the i.p. injection of CDDP evoked noticeable rises (P<0.05) in the renal levels of MDA and NO together with decline (P<0.05) in GSH levels in the renal tissue in respect to the controls.On the other hand, Tur, Tur-SeNPs, or NAC treatment reduced (P<0.05)markedly MDA and NO levels and increased (P<0.05) the renal GSH contents in CDDP-treated group.It is noteworthy that the values of the abovementioned parameters in Tur-SeNPs-administered group were close to those of the control group.
Concerning the antioxidant enzymatic activities, a single dose of injected CDDP induced marked suppression (P<0.05) in renal SOD, GR, GPx, and CAT when compared with the control group.The therapeutic administration of Tur, Tur-SeNPs or NAC enhanced the antioxidant response in mouse kidneys of CDDP group as indicated by remarkable rise (P<0.05) in the antioxidant enzymatic activities.Similar antioxidant potential was also observed by NAC in CDDP-injured kidneys.Notably, Tur loaded SeNPs was successful to restore these antioxidant biomarkers when compared to the sole administration of Tur, indicating its stronger antioxidant capacity (Figure 3).
Using qRT-PCR technique, we investigated the effect of Tur alone or conjugated with SeNPs on the transcriptional level of HO-1 in the renal tissue of treated mice (Figure 4).CDDP treatment caused significant down-regulation (P<0.05) in the relative mRNA levels of HO-1 compared with the control values.In contrast, administration of Tur, Tur-SeNPs, or NAC to mice exposed to CDDP meaningfully up-regulated (P<0.05)HO-1 gene expression when compared with the group with CDDP challenge.

Effects of Tur and Tur-SeNPs on renal inflammation of CDDP-injected mice
In order to assess the renal inflammatory reaction in response to different treatments, pro-inflammatory cytokine levels and NF-κB mRNA expression were measured (Figure 5).CDDP injection induced an obvious upsurge (P<0.05) in the renal pro-inflammatory indices (TNF-α and IL-6) compared with the controls.However, treatment with Tur, Tur-SeNPs, or NAC significantly mitigated (P<0.05)such increases in the tested kidney cytokines mediated by CDDP challenge.
In addition, the mice exposed to CDDP had a noticeable up-regulated (P<0.05)gene expression level of NF-κB compared with the untreated group.On the other side, CDDP-injected mice and treated with Tur-SeNPs or NAC showed a remarkable lower gene transcription levels (P<0.05) of NF-κB than those in the CDDP group.This reduction was near to the control value in Tur-SeNPs-treated group.No significant changes were noticed in expression of this transcriptional factor upon the comparison between CDDP and CDDP+Tur-treated groups.

Figure 5. Effects of orally administered turmeric (Tur), turmeric-loaded selenium nanoparticles (Tur-SeNPs), or N-acetyl cysteine (NAC) on the renal levels of (A) IL-6 and (B) TNF-α as well as (C) the mRNA gene expression of nuclear factor kappa-B (NF-κB) in the kidney of cisplatin (CDDP)-injected mice
Data are expressed as mean + − SD (n=7).The mRNA levels for NF-κB were quantified with GAPDH as an internal control.a and b denote significant differences (P<0.05)compared with the untreated control and CDDP-treated groups, respectively.

Effects of Tur and Tur-SeNPs on renal apoptotic markers of CDDP-injected mice
Apoptotic cell death plays an important role in CDDP-induced nephrotoxicity and mediated by the interplay between pro-apoptotic protein (Bax) and anti-apoptotic proteins (Bcl-2).We observed in our study outstanding decreases (P<0.05) in renal Bcl-2 levels, together with considerable increase (P<0.05) in renal Bax levels in the CDDP group as compared with the untreated group.Nevertheless, Tur or Tur-SeNPs-treated groups showed notable upsurges (P<0.05) in Bcl-2 levels and substantial decline (P<0.05) in Bax levels in comparison with CDDP group.Furthermore, the treatment of CDDP toxicity with NAC evoked marked increases (P<0.05) in Bcl-2 levels without any significant changes in Bax levels (Figure 6).

Effect of Tur or Tur-SeNPs on renal histological features of CDDP-injected mice
The kidney sections from different groups are shown in Figure 7.The control group showed normal kidney morphology of renal glomeruli and tubules without any observed pathological lesions (Figure 7A).On the contrary, CDDP injection resulted in remarkable shrunken glomeruli, cellular degeneration, necrotic tubules, apoptosis, and dilated tubules (Figure 7B).Pre-treatment with Tur or Tur-SeNPs significantly ameliorated these pathological changes in mice kidneys challenged by CDDP (Figures 7C and 4D).In addition, a significant improvement in the kidney histoarchitecture was noticed in CDDP+NAC group (Figure 7E); however, damaged glomeruli, apoptotic cells and inflammatory cell infiltration were seen.

Discussion
It has been reported that the discerning accumulation of CDDP in the renal cortex is accompanied by severe nephrotoxicity that is accredited to the functional properties of the kidney to eliminate anti-tumor drugs and metabolites effectively [5,7].Following a single administration of CDDP, serum urea and creatinine as well as the kidney index increased, as compared with the normal group.As being the waste end products of protein metabolism that are excreted by the kidneys, increases in these metabolites advocate renal failure due to damage of renal glomeruli and tubules [26,[46][47][48].Noteworthy, renal histopathological screening showed focal areas of necrosis, and tubular epithelium as well as damaged glomeruli.Another evidence to consider is the marked upsurge in serum NGAL and KIM-1 levels after CDDP injection that confirmed severe renal injury because they are sensitive biomarkers in the initiation of kidney injury [49,50].These findings are in agreement with former reports [4,7,50].In a clinical trial, urinary Kim-1, Cystatin C, and NGAL displayed substantial increases earlier than creatinine and urea in patients receiving platinum-based therapy [51].An in vitro study performed by Oh and colleagues also revealed that treatment with CDDP increased the levels of NGAL and Kim-1 in treated kidney proximal tubular cells [49].
On the other hand, this impairment in kidney function and the renal histological alterations evoked by CDDP was markedly restored in the groups that received Tur or Tur-SeNPs, which revealed their nephroprotective potential.It was formerly observed that turmeric-extracted curcumin, in a dose-dependent manner, decreased serum urea and creatinine levels in a rat model of arsenic-induced nephrotoxicity [18].Furthermore, El-Gizawy et al. [19] reported that curcumin nanoparticles counteracted the increases in serum levels of urea, uric acid, and creatinine mediated by CDDP injection in intoxicated rats.Co-treatment with curcumin nanoparticles offered marked decreases in renal function markers as well as Kim-1 and lipocalin-2 in hydroxyapatite nanoparticle-exposed rats [52].Similar findings were also noticed by Anwar and colleagues in rabbits receiving curcumin loaded chitosan nanoparticles to protect against cypermethrin induced nephrotoxicity [53].Furthermore, the administration of SeNPs was formerly reported to lessen the increased renal function biomarkers in acute kidney injury [26], diabetes [29], and cadmium toxicity [54] in rat models.In addition, previous investigations confirmed the nephroprotective effect of green synthetized SeNPs.Zahran et al. [55] found significant improvements in renal function in nicotine-exposed rats and concomitantly administered with ginger Zingiber officinale.Likewise, pre-treatment with SeNPs synthesized using Spermacoce hispida attenuated the acetaminophen-induced elevated renal injury markers.Overall, these results showed that Tur-SeNPs exerted a noteworthy protective effect against CDDP-induced nephrotoxicity and this effect was probably associated with their antioxidant properties.
It is an undeniable fact that overgeneration of ROS has a vital role in CDDP-mediated renal damage.In harmony with previous reports [4,5,7], our study confirmed a pronounced oxidative stress in renal tissue after CDDP injection in male mice.CDDP was reported to react with cellular proteins and thiol containing molecules that result in a decrease in the antioxidant defense [1].Our study also revealed a marked down-regulation of HO-1 gene expression in CDDP-injected group.Under an undesirable condition of oxidative stress, Keap1 triggers the activation of Nrf2 and its downstream-regulated genes [56].Nrf2 regulates the induction of detoxification enzymes and antioxidants such as HO-1 for scavenging of deleterious radicals and maintenance of cellular homeostasis [57,58].Recent articles, in accordance with our study, have reported that CDDP results in down-regulation of Nrf2 and its related antioxidant enzymes [7,50].
Interestingly, Tur or Tur-SeNPs treatment can effectively inhibit CDDP-induced renal oxidative stress suggesting their protective effect that is associated with their antioxidant properties.In the same regard, Pakfetrat et al. [59] found notable increases in the activities of GPX, GR, and CAT with decreases in MDA levels in the plasma of hemodialysis patients receiving Tur regularly for eight weeks.As well, concomitant administration of curcumin with colistin displayed remarkable renoprotective action by augmenting the antioxidant biomarkers (CAT and GSH) and reducing the MDA levels [60].These outcomes are in accordance with previous findings where Tur or curcumin reduced ROS generation and enhanced antioxidant mediators [16,61,62].This effect of Tur might be attributed to the abundance of phenolic and flavonoid compounds, which could successfully inhibit the oxidative stress associated with CDDP injection [61].Moreover, curcumin in nanoforms were able to alleviate the renal oxidative injury induced by hydroxyapatite nanoparticles in treated male rats [63].The authors endorsed the ROS scavenging effect of turmeric-extracted curcumin by the electron transfer and donation of hydrogen atoms.Moreover, oral SeNPs administration restored the antioxidant balance in the renal tissue in a rat model of acute kidney injury [64].Supplementation with SeNPs elicited a remarkable antioxidant efficacy against diabetic nephropathy in pregnant female rats [29].Similar outcomes were also reported by Sadek and colleagues in cadmium chloride [54] and vancomycin [30]-mediated renal stresses.The ability of selenium to quench hydrogen peroxide radicals refers to its position as a selenocysteine residue in the active site of selenoproteins, including GPx [65,66].Previous studies had reported that green synthetized SeNPs with phytochemicals offered a distinguished antioxidant power than that of SeNPs alone [26,35].Likewise, biosynthesized SeNPs with the endophytic fungus Fusarium oxysporum evoked marked reductions in the generation of free radicals and MDA in the hepatic, renal and cardiac tissues of doxorubicin-injected mice [33].Synthetized SeNPs using Spermacoce hispida were reported to accomplish significant antioxidant effects against hepatorenal toxicity accompanied by acetaminophen exposure [35].This is due to the synergistic effect of Tur and SeNPs to guard the rat kidney against CDDP toxicity through increasing endogenous antioxidants and protecting mitochondrial functions.Besides, recent investigations have demonstrated the contribution of Nrf2/HO-1 pathway in the palliative effect of Tur against cellular oxidative stress [62,67].Lui et al. [68] found that curcumin intervention evoked noteworthy rises in the levels of gene and protein expression of Nrf2, NQO1, HO-1, and Keap1 in renal injury induced by aristolochic acid in rats.In addition, SeNPs were found to protect against epilepsy-mediated oxidative challenge via the up-regulation of Nrf2 and HO-1 [25].The activation of Nrf2 and its downstream genes was also observed after the administration of biogenic SeNPs [26,69].Our results coherently revealed indicated that Tur-SeNPs supplementation might enhance the nephritic Nrf2 and its downstream gene HO-1 that counteracted CDDP-induced renal impairment in mice.
Oxidative stress is well known to boost the production of inflammatory mediators that strongly involved in the pathophysiology of CDDP-induced renal damage [4,5].Among these mediators, TNF-α is recognized as a key mediator in the expression of inflammatory cytokines and recruitment of immune cells in the renal tissue after CDDP challenge [70].In this study, CDDP injection significantly increased the levels of TNF-α and IL-6 as well as the mRNA expression of NF-κB in the mouse kidneys.NF-κB is the hub of many signaling pathways and its activation enhances the transcription of various pro-inflammatory cytokines [57,71].It was documented that the activation of NF-κB is the main dedicator of renal inflammation under CDDP challenge [5,7].Furthermore, the activation of NF-κB stimulates the transcription of other inflammatory-mediated genes such as COX-2 and iNOS [3].
On the other side, a remarkable anti-inflammatory effect was observed in CDDP-injected group and treated with Tur or Tur-SeNPs that may endorse for the ability to suppress the pro-inflammatory cytokines in renal tissue.Our findings are in agreement with former reports that validated the anti-inflammatory potential of Tur [19,52,60,67].In fact, a clinical study reported that curcumin supplementation for 12 weeks markedly reduced plasma TNF-α levels in patients with chronic kidney disease undergoing hemodialysis [20].Furthermore, urinary concentrations of MCP-1 and TGF-β were significantly reduced upon treatment with Tur extract, suggesting its antagonistic action against doxorubicin-induced kidney tissue inflammation [15].Moreover, the anti-inflammatory potential of SeNPs has been previously recorded [52,55,64].The treatment with SeNPs coated with lycopene markedly halted the rise in the levels of TNF-α, IL-1β, IL-6, and gene expression of nitric oxide synthase in acute kidney injury-mediated renal inflammation [26].Our study suggests that this mitigating effect of Tur-SeNPs on renal inflammation has been accredited to the involvement of NF-κB pathway.Xu et al. [67] have demonstrated that curcumin noticeably reversed the phosphorylation of NF-κB in kidney tissue of arsenic-exposed mice that subsequently inhibited the excess secretion of inflammatory cytokines.Likewise, curcumin NPs down-regulated the protein expression levels of NF-κB-p65 and inflammatory cytokines in a rat model of cerebral ischemia [72].Zaghloul et al. [73] found that SeNPs decreased the diabetic nephropathy-associated rise in IL-6, TNF-α, and NF-κB levels in rat kidney.
Furthermore, both inflammatory and oxidative pathways are responsible for the mitochondrial damage, which triggers the apoptotic pathway in CDDP-evoked renal injury [8].This study, in consistence with previous studies [3,6,8], showed marked increased renal Bax levels while diminished Bcl-2 levels in CDDP-injected group.Through the induction of excess ROS, CDDP can activate proapoptotic proteins, which change the permeability of the mitochondrial membrane and stimulate the release of cytochrome c.Next, the cytoplasmic translocation of cytochrome c results in activation of caspases and cellular apoptosis [74].On the other hand, this apoptotic damage was notably reversed by Tur-SeNPs administration.This is in harmony with earlier studies that declared the anti-apoptotic potential of Tur and SeNPs [26,30,60].Curcumin treatment effectively reduced the apoptotic index in the proximal renal tubules in zinc oxide nanoparticles-exposed rats [16].In addition, biogenic SeNPs synthesized using Moringa oleifera leaf extract antagonized renal apoptosis in melamine-exposed rats via down-regulation of the mRNA expressions of Bax, caspase-3, Bcl2, Fas, and FasL [34].Similar anti-apoptotic effect was reported by another study using starch-stabilized Se-NPs [75].This activity may endorse for scavenging of free radicals efficiently and impeding the apoptotic mitochondrial pathways.

Conclusions
In brief, our study sheds light on the reno-protective impact of Tur extract alone or conjugated with SeNPs against CDDP-induced nephrotoxicity in a mouse model.Tur-SeNPs effectively restored CDDP-mediated increases in serum levels of kidney function indices (urea, creatinine, KIM-1, and NGAL).Moreover, Tur-SeNPs exerted its renal protection via the interplay of oxidative damage, inflammatory reaction, and apoptotic cell death.The nanoformulated particles enhanced the renal antioxidant defense as demonstrated by decreases in MDA and NO besides increases in GSH levels and antioxidant enzymatic activity.The molecular results revealed that Tur-SeNPs down-regulated the expression of NF-κB and up-regulated the expression of HO-1that supported their antioxidative and anti-inflammatory capacities.Tur-SeNPs also decreased noticeably the renal inflammatory cytokines and apoptotic markers together with restoring of the healthy renal histoarchitecture.The existing findings developed SeNPs synthetized with Tur extract as a new therapeutic possibility to guard against CDDP-induced devastating kidney damage.

Figure 4 .
Figure 4. Effects of orally administered turmeric (Tur), turmeric-loaded selenium nanoparticles (Tur-SeNPs), or N-acetyl cysteine (NAC) on the mRNA gene expression of hemeoxygenase (HO-1) in the kidney of cisplatin (CDDP)-injected mice Data are expressed as mean + − SD (n=3 in duplicate).The mRNA levels were quantified with GAPDH as an internal control.a and b denote significant differences (P<0.05)compared with the untreated control and CDDP-treated groups, respectively.

Figure 7 .
Figure 7. Effects of orally administered turmeric (Tur), turmeric-loaded selenium nanoparticles (Tur-SeNPs), or N-acetyl cysteine (NAC) on the renal histomorphological features of cisplatin (CDDP)-injected mice (A) Photomicrograph of the renal tissue of the control group showing healthy kidney structure.(B) Photomicrograph of the renal tissue of mice treated with cisplatin (CDDP) showing shrunken glomeruli (yellow stars), cellular degeneration (white arrows), necrotic tubules (white stars), apoptosis (green arrows), and dilated tubules (blue arrows).(C) Photomicrograph of the renal tissue of CDDP-injected mice treated with turmeric (Tur) showing normal kidney structure.(D) Photomicrograph of the renal tissue of CD-DP-injected mice treated with Tur-SeNPs showing damaged glomeruli (red stars) and hemorrhage (blue stars).(E) Photomicrograph of the renal tissue of CDDP-injected mice treated with NAC showing shrunken glomeruli (yellow stars), cellular degeneration (white arrows), apoptosis (green arrows), and inflammatory cell infiltration (orange arrows).Sections were stained with hematoxylin and eosin (× 400; scale bar = 100 μm).