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Updated: Jun 26, 2026

A Doxorubicin-Induced Murine Model of Dilated Cardiomyopathy In Vivo
Published on: May 16, 2020
Doxorubicin-induced mitochondrial dysfunction is secondary to nuclear p53 activation in H9c2 cardiomyoblasts
Vilma A Sardão1, Paulo J Oliveira, Jon Holy
1Department of Zoology, Center for Neurosciences and Cellular Biology, University of Coimbra, Coimbra, Portugal. vimarisa@ci.uc.pt
Purpose:
Doxorubicin (DOX) is a widely prescribed chemotherapeutic. The hypothesis for the present study is that DOX-induced myocyte apoptosis involves mitochondrial dysfunction that is a consequence of nuclear DOX effects.
Methods:
H9c2 myoblasts were incubated with 0, 0.5 and 1 muM DOX and nuclear and mitochondrial alterations were determined.
Results:
Doxorubicin accumulation in the nucleus was detected after 3 h treatment, followed by an increase in p53 and a decrease in mitochondrial membrane potential. Apoptotic markers, such as caspase activation and chromatin condensation were detected after 24 h of DOX treatment. Bax and p53 translocation to mitochondria as well as the formation of Bax clusters in the cytosol were observed. Importantly, pifithrin-alpha, a p53 inhibitor, protected against DOX-induced mitochondrial depolarization, caspase activation and cell death.
Conclusion:
Mitochondrial dysfunction in H9c2 myoblasts treated with DOX is a consequence of nuclear p53 activation rather than a direct effect of the drug on mitochondria.
Insights
Doxorubicin causes heart cell death by first damaging the nucleus, leading to mitochondrial dysfunction. Inhibiting p53 protects against this chemotherapy side effect.
Area of Science:
- Cardiology
- Molecular Biology
- Pharmacology
Background:
- Doxorubicin (DOX) is a vital chemotherapeutic agent.
- DOX can induce cardiotoxicity, leading to myocyte apoptosis.
- The precise mechanism of DOX-induced cardiotoxicity requires further elucidation.
Purpose of the Study:
- To investigate the role of nuclear effects in Doxorubicin-induced myocyte apoptosis.
- To determine if mitochondrial dysfunction is a primary or secondary event in DOX cardiotoxicity.
Main Methods:
- H9c2 myoblasts were treated with varying concentrations of Doxorubicin (0, 0.5, 1 muM).
- Nuclear and mitochondrial alterations were assessed.
- Key proteins (p53, Bax, caspases) and mitochondrial potential were measured.
- The effect of a p53 inhibitor (pifithrin-alpha) was evaluated.
Main Results:
- Doxorubicin accumulated in the nucleus, followed by p53 activation.
- Mitochondrial membrane potential decreased, and apoptotic markers (caspase activation, chromatin condensation) increased.
- Bax and p53 translocated to mitochondria.
- Pifithrin-alpha mitigated DOX-induced mitochondrial depolarization, caspase activation, and cell death.
Conclusions:
- Doxorubicin-induced mitochondrial dysfunction in H9c2 myoblasts is mediated by nuclear p53 activation.
- The cardiotoxic effects of Doxorubicin are secondary to its nuclear actions, not direct mitochondrial damage.
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