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A Doxorubicin-Induced Murine Model of Dilated Cardiomyopathy In Vivo
Published on: May 16, 2020
Davallialactone protects against adriamycin-induced cardiotoxicity in vitro and in vivo
Sankarganesh Arunachalam1, Sun Young Kim, Sun Hwa Lee
1Department of Pediatrics, Chonbuk National University Hospital, 634-18 Keumam-dong, Jeonju 561-712, Republic of Korea.
Abstract:
Adriamycin (ADR) is a potent anticancer drug. Its clinical applications are limited due to its cardiotoxicity. Oxidative stress is responsible for cardiomyopathy induced by ADR. Previous studies have demonstrated that davallialactone (DAVA), extracted from mushroom Inonotus xeranticus, has potential antiplatelet aggregation activity and free radical scavenging properties. In this study, we investigated whether DAVA has protective effects against ADR-induced free radical accumulation and apoptosis in cardiac muscle cells and compared the effects of DAVA with N-acetylcysteine, a potent antioxidant. We evaluated the effect of DAVA on ADR-induced cytotoxicity by MTT (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide) assay and crystal violet staining, the reactive oxygen species (ROS) production by flow cytometry, and the expression of stress-related proteins like Cu/Zn superoxide dismutase (SOD), Mn-SOD, and the involvement of mitogen-activated protein kinase pathway by Western blot analysis. Apoptosis was assessed by nuclear condensation and the expression levels of pro-apoptotic proteins, such as caspase-3 and polyadenosine diphosphate-ribose polymerase (PARP). The cardio-protective effects of DAVA were also evaluated in an in vivo study in an animal model of ADR-induced acute cardiomyopathy. Our results showed that DAVA significantly increased the viability of doxorubicin-injured H9c2 cells and inhibited ADR-induced ROS production, apoptosis, and the expression of Cu/Zn SOD and Mn-SOD. DAVA also inhibited the expression of extracellular signal-regulated kinase (ERK) and c-Jun N-terminal kinase (JNK), which was activated by ADR. In the in vivo animal model, treatment involving DAVA significantly reduced cardiomyocyte lesions. These results suggest that DAVA is a potentially protective agent for ADR-induced cardiotoxicity in cardiomyocytes and can be a potential candidate to protect against cardiotoxicity in ADR-treated cancer patients.
Insights
Davallialactone (DAVA) protects heart cells from Adriamycin (ADR)-induced damage. This mushroom extract reduces oxidative stress and apoptosis, offering potential for cancer patients undergoing ADR treatment.
Area of Science:
- Cardiovascular Pharmacology
- Natural Product Chemistry
- Oncology Supportive Care
Background:
- Adriamycin (ADR) is a vital chemotherapy agent, but its clinical use is limited by cardiotoxicity.
- Oxidative stress and apoptosis in cardiac cells are key mechanisms underlying ADR-induced cardiomyopathy.
- Davallialactone (DAVA), a mushroom-derived compound, exhibits antioxidant and free radical scavenging properties.
Purpose of the Study:
- To investigate the cardioprotective effects of DAVA against ADR-induced oxidative stress and apoptosis in cardiac cells.
- To compare DAVA's efficacy with N-acetylcysteine, a known antioxidant.
- To evaluate DAVA's protective potential in an in vivo model of ADR-induced cardiotoxicity.
Main Methods:
- Assessed cytotoxicity using MTT assay and crystal violet staining.
- Measured reactive oxygen species (ROS) production via flow cytometry.
- Analyzed protein expression (SOD, ERK, JNK, caspase-3, PARP) using Western blot.
- Evaluated apoptosis through nuclear condensation and protein markers.
- Conducted an in vivo study using an animal model of ADR-induced cardiomyopathy.
Main Results:
- DAVA significantly enhanced the viability of doxorubicin-injured H9c2 cells.
- DAVA inhibited ADR-induced ROS production, apoptosis, and the expression of Cu/Zn SOD and Mn-SOD.
- DAVA suppressed the ADR-induced activation of the ERK and JNK signaling pathways.
- In vivo studies showed DAVA significantly reduced cardiomyocyte lesions.
Conclusions:
- Davallialactone demonstrates significant cardioprotective effects against Adriamycin-induced cardiotoxicity.
- DAVA mitigates oxidative stress and apoptosis in cardiac cells, potentially via MAPK pathway modulation.
- DAVA represents a promising therapeutic candidate for preventing cardiotoxicity in cancer patients treated with ADR.
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