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.

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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