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Protection of H9c2 Myocardial Cells from Oxidative Stress by Crocetin via PINK1/Parkin Pathway-Mediated Mitophagy
Published on: May 26, 2023
Phloretin ameliorates arsenic trioxide induced mitochondrial dysfunction in H9c2 cardiomyoblasts mediated via
Vadavanath Prabhakaran Vineetha1, Rema Sreenivasan Soumya1, Kozhiparambil Gopalan Raghu1
1Agroprocessing and Natural Products Division, Council for Scientific and Industrial Research - National Institute for Interdisciplinary Science and Technology (CSIR - NIIST), Thiruvananthapuram, Kerala 695019, India.
Abstract:
Arsenic trioxide (ATO), though a very effective drug for the treatment of acute promyelocytic leukemia, leads to cardiotoxicity. As mitochondria are the center of attention of cardiac cell׳s general metabolic status, it is primarily important to see the interaction of ATO with mitochondria. Studies related exclusively to the alterations in mitochondria and its associated functions caused by ATO are very limited. The present investigation aims to explore the effect of ATO on various components of electron transport chain, oxygen consumption, ATP production, mitochondrial superoxide generation, transmembrane potential, permeability pore opening, calcium homeostasis and apoptosis. Attempts were also made to see the efficacy of phloretin, a potent antioxidant flavonoid found majorly in apple peel on cardiotoxicity. The H9c2 cells exposed to ATO (5µM) exhibited increased oxidative stress with reduced innate antioxidant status, mitochondrial dysfunctions and apoptosis. It increased the intracellular calcium content, caused alterations in the activity of transcription factor Nrf2, xanthine oxidase, aconitase and caspase 3 compared to the control group. Phloretin at 2.5 and 5µM concentrations were able to protect the cells from ATO toxicity via protecting mitochondria through its antioxidant potential. The present investigation based on mitochondria reveals the probability of cardioprotective potential of phloretin for the cancer patients on ATO chemotherapy.
Insights
Arsenic trioxide (ATO) causes cardiotoxicity by damaging mitochondria. The antioxidant phloretin protects heart cells from ATO-induced mitochondrial dysfunction and apoptosis, suggesting its cardioprotective potential.
Area of Science:
- Cardiology
- Mitochondrial Biology
- Pharmacology
Background:
- Arsenic trioxide (ATO) is effective for acute promyelocytic leukemia but causes cardiotoxicity.
- Mitochondrial dysfunction is a key factor in ATO-induced cardiotoxicity.
- Research on ATO's specific effects on mitochondrial function is limited.
Purpose of the Study:
- To investigate the impact of ATO on mitochondrial components and functions.
- To assess ATO's effects on oxidative stress, ATP production, and apoptosis in cardiac cells.
- To evaluate the cardioprotective efficacy of phloretin against ATO toxicity.
Main Methods:
- H9c2 cells were exposed to ATO (5µM).
- Mitochondrial functions, oxidative stress markers, calcium homeostasis, and apoptosis were analyzed.
- The effects of phloretin (2.5 and 5µM) on ATO-treated cells were assessed.
Main Results:
- ATO exposure increased oxidative stress, reduced antioxidant status, impaired mitochondrial function, and induced apoptosis.
- ATO altered intracellular calcium levels and affected key enzymes and transcription factors (Nrf2, xanthine oxidase, aconitase, caspase 3).
- Phloretin demonstrated significant protection against ATO-induced cardiotoxicity by preserving mitochondrial integrity.
Conclusions:
- ATO induces cardiotoxicity through mitochondrial damage and oxidative stress.
- Phloretin exhibits cardioprotective effects by mitigating ATO-induced mitochondrial dysfunction.
- Phloretin holds promise as a cardioprotective agent for cancer patients undergoing ATO chemotherapy.
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