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Updated: May 17, 2026

A Doxorubicin-induced Cardiomyopathy Model in Adult Zebrafish
Published on: June 7, 2018
Small molecule kinase inhibitors block the ZAK-dependent inflammatory effects of doxorubicin
John Wong1, Logan B Smith, Eli A Magun
1School of Nursing, Oregon Health & Science University, Portland, OR, USA.
Abstract:
The adverse side effects of doxorubicin, including cardiotoxicity and cancer treatment-related fatigue, have been associated with inflammatory cytokines, many of which are regulated by mitogen-activated protein kinases (MAPKs). ZAK is an upstream kinase of the MAPK cascade. Using mouse primary macrophages cultured from ZAK-deficient mice, we demonstrated that ZAK is required for the activation of JNK and p38 MAPK by doxorubicin. Nilotinib, ponatinib and sorafenib strongly suppressed doxorubicin-mediated phosphorylation of JNK and p38 MAPK. In addition, these small molecule kinase inhibitors blocked the expression of IL-1β, IL-6 and CXCL1 RNA and the production of these proteins. Co-administration of nilotinib and doxorubicin to mice decreased the expression of IL-1β RNA in the liver and suppressed the level of IL-6 protein in the serum compared with mice that were injected with doxorubicin alone. Therefore, by reducing the production of inflammatory mediators, the inhibitors identified in the current study may be useful in minimizing the side effects of doxorubicin and potentially other chemotherapeutic drugs.
Insights
This study shows ZAK kinase is crucial for doxorubicin-induced inflammation. Kinase inhibitors like nilotinib reduce these harmful inflammatory responses, potentially mitigating chemotherapy side effects.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- Doxorubicin chemotherapy can cause severe side effects like cardiotoxicity and fatigue.
- These adverse effects are linked to inflammatory cytokines regulated by mitogen-activated protein kinases (MAPKs).
Purpose of the Study:
- To investigate the role of ZAK kinase in doxorubicin-induced MAPK activation and inflammatory responses.
- To evaluate the efficacy of small molecule kinase inhibitors in suppressing these pathways.
Main Methods:
- Utilized mouse primary macrophages from ZAK-deficient mice.
- Assessed JNK and p38 MAPK phosphorylation and inflammatory gene/protein expression.
- Administered kinase inhibitors (nilotinib, ponatinib, sorafenib) in vitro and in vivo.
Main Results:
- ZAK deficiency prevented doxorubicin-mediated JNK and p38 MAPK activation.
- Nilotinib, ponatinib, and sorafenib inhibited doxorubicin-induced MAPK phosphorylation.
- These inhibitors reduced the expression and production of inflammatory mediators IL-1β, IL-6, and CXCL1.
- Nilotinib co-administration decreased IL-1β and IL-6 levels in mice.
Conclusions:
- ZAK is essential for doxorubicin's inflammatory signaling.
- Targeting ZAK or downstream MAPKs with inhibitors may reduce doxorubicin-induced inflammation.
- Identified kinase inhibitors show potential for minimizing chemotherapy-related side effects.
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