Autophagy protects against dasatinib-induced hepatotoxicity via p38 signaling
Xiaochun Yang1, Jincheng Wang1, Jiabin Dai1
1Institute of Pharmacology & Toxicology, College of Pharmaceutical Sciences, Zhejiang University, Hangzhou, China.
Abstract:
Liver dysfunction is a common side effect associated with the treatment of dasatinib and its mechanism is poorly understood. Autophagy has been thought to be a potent survival or death factor for liver dysfunction, which may shed the light on a novel strategy for the intervention of hepatotoxicity caused by dasatinib. In this study, we show for the first time that autophagy is induced, which is consistent with the formation of liver damage. Autophagy inhibition exacerbated dasatinib-induced liver failure, suggesting that autophagy acted as a self-defense mechanism to promote survival. Oxidative stress has been shown to be an important stimulus for autophagy and hepatotoxicity. Interestingly, dasatinib increased the activity of p38, which is a critical modulator of the oxidative stress related to liver injury and autophagy. p38 silencing significantly blocked LC3-II induction and p62 reduction by dasatinib, which was accompanied by increased caspase-3 and PARP cleavage, indicating that autophagy alleviated dasatinib-induced hepatotoxicity via p38 signaling. Finally, the p38 agonist isoproterenol hydrochloride (ISO) alleviated dasatinib-induced liver failure by enhancing autophagy without affecting the anticancer activity of dasatinib. Thus, this study revealed that p38-activated autophagy promoted survival during liver injury, which may provide novel approaches for managing the clinical applications of dasatinib.
Insights
Dasatinib treatment can cause liver damage, but autophagy acts as a protective mechanism. Activating p38 signaling enhances this protective autophagy, mitigating dasatinib-induced liver injury without impacting its anti-cancer effects.
Area of Science:
- Hepatology
- Molecular Biology
- Pharmacology
Background:
- Dasatinib, a tyrosine kinase inhibitor, can cause liver dysfunction, with the underlying mechanisms poorly understood.
- Autophagy plays a dual role in liver injury, acting as either a survival or death pathway.
- Oxidative stress is implicated in both autophagy and drug-induced hepatotoxicity.
Purpose of the Study:
- To investigate the role of autophagy in dasatinib-induced liver injury.
- To elucidate the signaling pathways involved in dasatinib-induced hepatotoxicity.
- To explore therapeutic strategies for preventing dasatinib-associated liver damage.
Main Methods:
- Induction of autophagy in response to dasatinib treatment.
- Assessment of liver damage markers and autophagy markers (LC3-II, p62).
- Investigation of the p38 signaling pathway and its role in autophagy and hepatotoxicity.
- Evaluation of a p38 agonist (isoproterenol hydrochloride) in mitigating liver injury.
Main Results:
- Autophagy is induced during dasatinib-induced liver damage, suggesting a protective role.
- Inhibition of autophagy worsened dasatinib-induced liver failure.
- Dasatinib activates the p38 signaling pathway, which mediates the protective effects of autophagy.
- p38 activation alleviated liver injury by enhancing autophagy, without compromising dasatinib's anti-cancer efficacy.
Conclusions:
- Autophagy acts as a survival mechanism against dasatinib-induced hepatotoxicity.
- The p38 signaling pathway is crucial for activating protective autophagy in liver injury.
- Targeting p38-mediated autophagy presents a potential therapeutic strategy to manage dasatinib-induced liver damage.
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