The decrease of NAD(P)H:quinone oxidoreductase 1 activity and increase of ROS production by NADPH oxidases are early

Ricardo Lagoa1, Carlos Gañán, Carmen López-Sánchez

  • 1ESTG-Polytechnic Institute of Leiria , Leiria , Portugal .

Abstract

Insights

Early changes in doxorubicin cardiotoxicity involve increased lipid oxidation and hydrogen peroxide production, preceding mitochondrial dysfunction. These oxidative stress markers signal the onset of heart damage.

Area of Science:

  • Biochemistry
  • Cardiology
  • Toxicology

Background:

  • Doxorubicin-induced cardiotoxicity is a complex condition with multifactorial progression.
  • Understanding early biochemical events is crucial for mitigating cardiac damage.

Purpose of the Study:

  • To identify early biochemical mechanisms driving sustained cellular bioenergetic imbalance in doxorubicin cardiotoxicity.
  • To establish early diagnostic biomarkers for doxorubicin-induced heart damage.

Main Methods:

  • Rats were treated with doxorubicin (20 mg/kg).
  • Temporal evolution of selected biochemical markers was measured.
  • Key markers included oxidative stress indicators and bioenergetic parameters.

Main Results:

  • Doxorubicin increased lipid oxidation, catalase activity, and hydrogen peroxide (H₂O₂) production via Nox-NADPH oxidases.
  • Quinone oxidoreductase-1 (NQO1) was downregulated early.
  • Changes in reduced glutathione, protein carbonyls, and protein nitrotyrosines followed.
  • Mitochondrial and myofibrillar bioenergetic alterations were detected only after oxidative imbalance was established.

Conclusions:

  • Downregulation of quinone oxidoreductase-1 activity and increased hydrogen peroxide production by NADPH oxidases are early biomarkers.
  • These oxidative stress markers precede detectable changes in mitochondrial and myofibrillar bioenergetics.
  • Identifying these early events may allow for timely intervention against doxorubicin cardiotoxicity.