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.

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.