Gene expression profiling identifies the novel role of immunoproteasome in doxorubicin-induced cardiotoxicity
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Updated: Apr 14, 2026

A Doxorubicin-induced Cardiomyopathy Model in Adult Zebrafish
Published on: June 7, 2018
Wen-Jie Zhao1, Sheng-Nan Wei1, Xiang-Jun Zeng2
1Department of Physiology and Pathophysiology, Beijing Anzhen Hospital the Key Laboratory of Remodeling-Related Cardiovascular Diseases, School of Basic Medical Sciences, Capital Medical University, Beijing 100069, China; Department of Cardiology, Chaoyang Hospital, Capital Medical University, Beijing 100069, China; Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing 100029, China.
Abstract:
The most well-known cause of chemotherapy-induced cardiotoxicity is doxorubicin (DOX). The ubiquitin-proteasome system (UPS) is the main cellular machinery for protein degradation in eukaryotic cells. However, the expression pattern of the UPS in DOX-induced cardiotoxicity remains unclear. C57BL/6 mice were intraperitoneally injected with a single dose of DOX (15mg/kg). After 1, 3 and 5 days, cardiac function and apoptosis were detected with echocardiography and TUNEL assay. Microarray assay and qPCR analysis were also performed at day 5. We found that DOX caused a significant decrease in cardiac function at day 5 and increase in cardiomyocyte apoptosis at days 3 and 5. Microarray data revealed that totally 1185 genes were significantly regulated in DOX-treated heart, and genes involved in apoptosis and the UPS were mostly altered. Among them, the expression of 3 immunoproteasome catalytic subunits (β1i, β2i and β5i) was markedly down-regulated. Moreover, DOX significantly decreased proteasome activities and enhanced polyubiquitinated proteins in the heart. Importantly, overexpression of immunoproteasome catalytic subunits (β1i, β2i or β5i) significantly attenuated DOX-induced cardiomyocyte apoptosis and other UPS gene expression while knockdown of them significantly increased DOX-induced cardiomyocyte apoptosis. These effects were partially associated with increased degradation of multiple pro-apoptotic proteins. In conclusion, our studies suggest that immunoproteasome plays an important role in DOX-induced cardiomyocyte apoptosis, and may be a novel therapeutic target for prevention of DOX-induced cardiotoxicity.
Insights
Doxorubicin (DOX) chemotherapy damages the heart by affecting the ubiquitin-proteasome system (UPS). This study reveals immunoproteasome down-regulation contributes to DOX cardiotoxicity, suggesting it as a potential therapeutic target.
Area of Science:
- Cardiology
- Molecular Biology
- Biochemistry
Background:
- Doxorubicin (DOX) is a common chemotherapy drug known to cause cardiotoxicity.
- The ubiquitin-proteasome system (UPS) is crucial for protein degradation, but its role in DOX-induced cardiotoxicity is not fully understood.
Purpose of the Study:
- To investigate the expression and function of the UPS, particularly the immunoproteasome, in the context of DOX-induced cardiotoxicity.
- To explore the potential of the immunoproteasome as a therapeutic target for preventing DOX cardiotoxicity.
Main Methods:
- C57BL/6 mice were treated with DOX, followed by assessments of cardiac function (echocardiography) and cardiomyocyte apoptosis (TUNEL assay).
- Gene expression was analyzed using microarray and qPCR. Proteasome activity and protein ubiquitination levels were measured.
- The effects of manipulating immunoproteasome subunit expression on DOX-induced apoptosis were examined.
Main Results:
- DOX treatment significantly impaired cardiac function and increased cardiomyocyte apoptosis.
- Microarray analysis showed significant alterations in genes related to apoptosis and the UPS, with down-regulation of immunoproteasome catalytic subunits (β1i, β2i, β5i).
- DOX decreased proteasome activity and increased polyubiquitinated proteins. Overexpression of immunoproteasome subunits attenuated DOX-induced apoptosis, while knockdown exacerbated it.
Conclusions:
- The immunoproteasome plays a critical role in regulating cardiomyocyte apoptosis during DOX treatment.
- Down-regulation of the immunoproteasome contributes to DOX-induced cardiotoxicity.
- Targeting the immunoproteasome may offer a novel strategy for preventing chemotherapy-induced heart damage.
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