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Overexpression of thioredoxin-1 in transgenic mice attenuates adriamycin-induced cardiotoxicity
Keisuke Shioji1, Chiharu Kishimoto, Hajime Nakamura
1Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Japan.
Background:
Adriamycin (ADR) is an anticancer drug known to cause severe cardiac toxicity by generating free radicals. We investigated the role of a redox-regulating molecule, thioredoxin-1 (TRX1), in ADR-induced cardiotoxicity.
Methods And Results:
The in vitro study showed that TRX1 was dose-dependently increased concomitant with the formation of hydroxyl radicals in ADR-treated neonatal rat cardiomyocytes. Lactate dehydrogenase-releasing assay showed that treatment with recombinant human TRX1 suppressed cardiomyocyte injury in ADR-treated cardiomyocytes. To examine the biological significance of TRX1 in vivo, we used transgenic mice expressing increased levels of human TRX1 (TRX1-TG mice). Electron microscopy revealed that mitochondria, myofibrils, and other cellular details were much better maintained in ADR-treated TRX1-TG mice than in ADR-treated nontransgenic (WT) mice. The increase in the protein carbonyl content, a marker of cellular protein oxidation, was suppressed in ADR-treated TRX1-TG mice compared with ADR-treated WT mice. The formation of hydroxyl radicals in ADR-treated heart homogenates of TRX1-TG mice was decreased compared with WT mice. For the survival study, all WT mice treated with ADR died within 6 weeks, but 5 of 6 TRX1-TG mice treated with ADR survived >8 weeks.
Conclusions:
TRX1 is upregulated by intracellular oxidative stress generated by ADR. TRX1 has a protective role against ADR-induced cardiotoxicity by reducing oxidative stress.
Insights
Thioredoxin-1 (TRX1) combats Adriamycin (ADR)-induced heart damage by reducing oxidative stress. This redox-regulating molecule shows protective effects against ADR cardiotoxicity in both cell cultures and animal models.
Area of Science:
- Biochemistry
- Cardiology
- Molecular Biology
Background:
- Adriamycin (ADR) is an effective anticancer drug.
- ADR treatment can lead to severe cardiotoxicity due to free radical generation.
- Thioredoxin-1 (TRX1) is a key redox-regulating molecule.
Purpose of the Study:
- To investigate the role of thioredoxin-1 (TRX1) in Adriamycin (ADR)-induced cardiotoxicity.
- To determine if TRX1 can mitigate ADR-induced cardiac damage.
Main Methods:
- In vitro studies using neonatal rat cardiomyocytes treated with ADR and recombinant human TRX1.
- In vivo studies using transgenic mice overexpressing TRX1 (TRX1-TG) and wild-type (WT) mice treated with ADR.
- Assessment of cardiomyocyte injury, cellular structure via electron microscopy, protein oxidation markers, hydroxyl radical formation, and survival rates.
Main Results:
- TRX1 expression increased with hydroxyl radical formation in ADR-treated cardiomyocytes.
- Recombinant TRX1 protected cardiomyocytes from ADR-induced injury in vitro.
- TRX1-TG mice showed better preservation of cellular structures and reduced protein oxidation compared to WT mice after ADR treatment.
- TRX1-TG mice exhibited decreased hydroxyl radical formation and significantly improved survival rates following ADR administration.
Conclusions:
- Adriamycin induces intracellular oxidative stress, leading to upregulation of TRX1.
- TRX1 plays a significant protective role against Adriamycin-induced cardiotoxicity by mitigating oxidative stress.
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