Downregulation of stanniocalcin 1 is responsible for sorafenib-induced cardiotoxicity

Miko Kawabata1, Noriko Umemoto1, Yasuhito Shimada2

  • 1*Department of Molecular and Cellular Pharmacology, Pharmacogenomics and Pharmacoinformatics, Department of Clinical Anesthesiology, Department of Systems Pharmacology, Mie University Graduate School of Medicine, Mie 514-8507, Japan, Mie University Medical Zebrafish Research Center, Mie 514-8507, Japan, Department of Bioinformatics, Mie University Life Science Research Center, Mie 514-8507, Japan and Department of Omics Medicine, Mie University Industrial Technology Innovation, Mie 514-8507, Japan *Department of Molecular and Cellular Pharmacology, Pharmacogenomics and Pharmacoinformatics, Department of Clinical Anesthesiology, Department of Systems Pharmacology, Mie University Graduate School of Medicine, Mie 514-8507, Japan, Mie University Medical Zebrafish Research Center, Mie 514-8507, Japan, Department of Bioinformatics, Mie University Life Science Research Center, Mie 514-8507, Japan and Department of Omics Medicine, Mie University Industrial Technology Innovation, Mie 514-8507, Japan.

Insights

Sorafenib causes heart dysfunction by downregulating stanniocalcin 1 (STC1). Reduced STC1 increases reactive oxygen species (ROS), leading to ventricular impairment. Restoring STC1 protects against this sorafenib-induced cardiotoxicity.

Area of Science:

  • Cardiovascular toxicology
  • Molecular biology
  • Genetics

Background:

  • Sorafenib treatment can lead to adverse cardiac effects, notably left ventricular dysfunction.
  • The exact molecular mechanisms underlying sorafenib-induced cardiotoxicity are not fully understood.

Purpose of the Study:

  • To identify the specific genes involved in sorafenib-induced cardiotoxicity.
  • To elucidate the role of stanniocalcin 1 (STC1) in this process using zebrafish and human cardiomyocytes.

Main Methods:

  • Utilized fluorescent cardiac imaging in pigmentless zebrafish with green fluorescent protein hearts to assess ventricular dimensions.
  • Performed transcriptome analysis to identify gene expression changes in response to sorafenib.
  • Investigated the effects of STC1 knockdown and forced expression on cardiac function and reactive oxygen species (ROS) production.
  • Examined STC1 levels and cytotoxicity in human cardiomyocytes exposed to sorafenib.

Main Results:

  • Sorafenib treatment significantly reduced longitudinal ventricular dimensions in zebrafish.
  • Transcriptome analysis revealed sorafenib-induced downregulation of stanniocalcin 1 (STC1).
  • STC1 knockdown mimicked sorafenib's effect on ventricular dimensions and increased ROS production in both zebrafish and human cardiomyocytes.
  • Forced expression of STC1 ameliorated sorafenib-induced ventricular dysfunction and ROS overproduction.

Conclusions:

  • STC1 plays a crucial protective role against sorafenib-induced cardiotoxicity.
  • Downregulation of STC1 contributes to ventricular dysfunction and increased ROS generation.
  • This study identifies STC1 downregulation as a key mechanism in sorafenib-induced cardiotoxicity.

Related Concept Videos

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
1.5K
Receptor Downregulation in MVBs01:15

Receptor Downregulation in MVBs

Multivesicular bodies (MVBs) are mature endosomes that sort ubiquitinated proteins and then fuse with lysosomes to degrade the sorted proteins. Epidermal growth factor (EGF) and its receptor (EGFR) form a complex that can be internalized through endocytosis, sorted into an MVB, and later degraded.
The EGFR can initiate signaling pathways that  lead to cell proliferation, migration, and differentiation. Overexpression of EGFR  stimulates cells to proliferate. Excessive  EGFR...
2.0K
Heart Failure Drugs: Diuretics01:22

Heart Failure Drugs: Diuretics

Heart failure and kidney perfusion are interconnected in a complex way. Reduced renal perfusion and venous congestion are two significant factors that contribute to renal dysfunction in heart failure. The kidneys, primarily responsible for fluid balance in the body, are adversely affected due to compromised cardiac output and increased venous pressure. In response to reduced renal perfusion, the kidneys activate neurohumoral mechanisms to restore balance. However, these mechanisms can be...
1.3K