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Updated: Mar 22, 2026

A Doxorubicin-induced Cardiomyopathy Model in Adult Zebrafish
Published on: June 7, 2018
H2S-Donating Doxorubicins May Overcome Cardiotoxicity and Multidrug Resistance
Konstantin Chegaev1, Barbara Rolando1, Daniela Cortese1
1Department of Science and Drug Technology, University of Torino , via Pietro Giuria 9, 10125 Torino, Italy.
Abstract:
Doxorubicin (DOXO) is one of the most effective antineoplastic agents in clinical practice. Its use is limited by acute and chronic side effects, in particular by its cardiotoxicity and by the rapid development of resistance to it. As part of a program aimed at developing new DOXO derivatives endowed with reduced cardiotoxicity, and active against DOXO-resistant tumor cells, a series of H2S-releasing DOXOs (H2S-DOXOs) were obtained by combining DOXO with appropriate H2S donor substructures. The resulting compounds were studied on H9c2 cardiomyocytes and in DOXO-sensitive U-2OS osteosarcoma cells, as well as in related cell variants with increasing degrees of DOXO-resistance. Differently from DOXO, most of the products were not toxic at 5 μM concentration on H9c2 cells. A few of them triggered high activity on the cancer cells. H2S-DOXOs 10 and 11 emerged as the most interesting members of the series. The capacity of 10 to impair Pgp transporter is also discussed.
Insights
New hydrogen sulfide-releasing doxorubicin (DOXO) derivatives show reduced cardiotoxicity and activity against resistant cancer cells. Compounds H2S-DOXOs 10 and 11 are particularly promising for improved chemotherapy.
Area of Science:
- Oncology
- Medicinal Chemistry
- Cardiology
Background:
- Doxorubicin (DOXO) is a potent antineoplastic agent but faces limitations due to cardiotoxicity and drug resistance.
- Developing DOXO derivatives with reduced side effects and efficacy against resistant tumors is crucial for advancing cancer therapy.
Purpose of the Study:
- To synthesize and evaluate novel hydrogen sulfide-releasing DOXO derivatives (H2S-DOXOs).
- To assess the cardiotoxicity and anticancer activity of H2S-DOXOs against sensitive and resistant cancer cell lines.
Main Methods:
- Synthesis of H2S-DOXO compounds by conjugating DOXO with H2S donor moieties.
- In vitro evaluation of cytotoxicity on H9c2 cardiomyocytes and U-2OS osteosarcoma cells (sensitive and resistant variants).
Main Results:
- Most synthesized H2S-DOXOs exhibited significantly lower toxicity on H9c2 cardiomyocytes compared to DOXO.
- Several H2S-DOXO compounds demonstrated potent anticancer activity against DOXO-resistant cells.
- H2S-DOXOs 10 and 11 were identified as lead compounds with promising therapeutic potential.
Conclusions:
- H2S-DOXO derivatives represent a promising strategy to overcome DOXO-induced cardiotoxicity and drug resistance.
- Compounds 10 and 11 warrant further investigation for their potential as next-generation anticancer agents.
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