Review Article

Molecular Mechanisms of Renal Cellular Nephrotoxicity due to Radiocontrast Media

Table 2

Summary of some in vitro cell culture studies using different types of RCM.

Authors/year of publicationRadiocontrast media used; cell type usedCell functional/structural changes observed

Laerum 1983 [11]HOCM and LOCM; human endothelial cellsChromium-51 release as measure of cell toxicity; HOCM more toxic than LOCM

Andersen et al. 1994 [12]Ionic monomeric/dimeric, nonionic LOCM; MDCK and LLC-PK1 cellsRCM caused formation of large cytoplasmic vacuoles; increase in brush border and lysosomal marker enzyme activity

Dascalu and Peer 1994 [13]Ionic/nonionic RCM; endothelial and renal cellsAcidification of internal pH; decrease in cell viability

Andersen et al. 1995 [14]Nonionic LOCM and IOCM; MDCK and LLC-PK1 cellsRCM caused concentration-dependent formation of large cytoplasmic vacuoles; cell death/decrease in cell viability; increase in brush border and lysosomal marker enzyme activity. These effects were more pronounced with LOCM than with IOCM

Potier et al. 1997 [15]Ionic/nonionic LOCM and HOCM; mesangial cellsDye uptake as measure of cell viability
HOCM more toxic than LOCM

Haller et al. 1997 [16]HOCM and LOCM; MDCK and LLC-PK1 cellsHOCM more toxic. LLC-PK1 cells more susceptible to RCM cytotoxicity

Hizóh et al. 1998 [17]MDCK; HOCMDNA fragmentation caused by RCM

Hardiek et al. 2001 [18]LLC-PK1 cells and human renal proximal tubule cells; HOCM, LOCM, and IOCMCell viability was affected by all RCM with HOCM having a greater affect than IOCM which in turn had a greater effect than LOCM

Fanning et al. 2002 [19]Human neutrophils; HOCM, LOCM, and IOCMAll types of RCM induced neutrophil apoptosis, with HOCM having greater effect

Hizoh and Haller 2002 [20]MDCK cells; HOCMHOCM induced DNA fragmentation

Yano et al. 2003 [21]LLC-PK1 cells; HOCM and LOCMHOCM caused a greater decrease in cell viability

Ribeiro et al. 2004 [22]Renal artery smooth muscle cells; HOCM and LOCMHOCM caused a greater decrease in cell viability

Heinrich et al. 2005 [23] LLC-PK1 cells; HOCM, LOCM, and IOCMAll types of RCM cause a decrease in cell viability with HOCM showing greatest effect

Andreucci et al. 2006, 2011, 2014 [2426]HK-2 cells; HOCM, LOCM, and IOCMAll RCM caused a decrease in cell viability in the order HOCM > LOCM > IOCM

Heinrich et al. 2007 [27]LLC-PK1 cells; LOCM and IOCMCell viability measured; no difference in toxicity between the 2 types of RCM

Yang et al. 2013 [28]LOCM (ioversol); rat renal proximal tubular cell line (NRK-52E)Decrease in cell viability and increase in intracellular Ca2+ ion concentration