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Effects by doxorubicin on the myocardium are mediated by oxygen free radicals

M F Xu1, P L Tang, Z M Qian

  • 1Department of Pathology and Laboratory Medicine, University of Cincinnati, OH 45267-0529, USA.

Life Sciences
|February 24, 2001
PubMed

Insights

Doxorubicin (DOX) causes heart damage by generating oxygen radicals, affecting cell membranes and structures. The antioxidant melatonin (MLT) effectively protects against this cardiotoxicity.

Area of Science:

  • Cardiology
  • Toxicology
  • Cell Biology

Background:

  • Doxorubicin (DOX) is a widely used chemotherapy agent with known cardiotoxicity.
  • The precise mechanisms underlying DOX-induced cardiotoxicity, particularly concerning membrane alterations, require further elucidation.
  • Oxygen radicals are implicated in various forms of cellular damage, including cardiac tissue injury.

Purpose of the Study:

  • To investigate the role of oxygen radicals in doxorubicin-induced cardiotoxicity.
  • To examine the specific membrane alterations caused by DOX in cardiac cells.
  • To evaluate the protective effects of the antioxidant melatonin (MLT) against DOX-induced damage.

Main Methods:

  • Experiments were conducted using adult rats and cultured neonatal rat myocytes.
  • Doxorubicin (DOX) was administered to induce cardiotoxicity.
  • Measurements included beta-adrenoceptor (BAR) density, cell membrane permeability, and ultrastructural analysis.
  • Exogenous hydrogen peroxide was used to mimic DOX-induced effects.
  • The antioxidant melatonin (MLT) was tested for its protective capabilities.

Main Results:

  • DOX significantly decreased beta-adrenoceptor (BAR) density in cardiac cell membranes.
  • DOX increased the membrane permeability of cultured neonatal rat myocytes.
  • Ultrastructural changes were observed in myofibrils and subplasmalemmal actin networks following DOX treatment.
  • These DOX-induced effects were reproducible by exogenous hydrogen peroxide.
  • Melatonin (MLT) demonstrated a concentration-dependent inhibition of enzyme leakage and lipid peroxidation.

Conclusions:

  • Doxorubicin (DOX) induces cardiotoxicity primarily through the generation of oxygen radicals and subsequent lipid peroxidation.
  • DOX-induced membrane alterations include decreased BAR density and increased permeability.
  • Melatonin (MLT) is an effective antioxidant, mitigating DOX-induced cardiotoxicity by scavenging reactive oxygen intermediates.

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