Neferine modulates IGF-1R/Nrf2 signaling in doxorubicin treated H9c2 cardiomyoblasts

Lohanathan Bharathi Priya1, Rathinasamy Baskaran2, Chih-Yang Huang3,4,5

  • 1Translational Research Laboratory, Department of Biotechnology, School of Biotechnology and Genetic Engineering, Bharathiar University, Coimbatore, Tamil Nadu, India.

Insights

Neferine protects against Doxorubicin (DOX)-induced cardiotoxicity by activating IGF-1R signaling and enhancing antioxidant status. This natural compound mitigates DOX-induced mitochondrial damage and autophagy in heart cells.

Area of Science:

  • Cardiovascular Pharmacology
  • Molecular Toxicology
  • Natural Product Chemistry

Background:

  • Doxorubicin (DOX) chemotherapy can cause cardiotoxicity, a significant clinical challenge.
  • DOX-induced cardiac dysfunction is linked to suppressed type 1 IGF receptor (IGF-1R) signaling.
  • Neferine, a natural alkaloid from Nelumbo nucifera, has shown diverse pharmacological effects.

Purpose of the Study:

  • To investigate the protective effects of neferine against DOX-induced cardiotoxicity.
  • To elucidate the molecular mechanisms underlying neferine's cardioprotective action in a cellular model.

Main Methods:

  • Utilized H9c2 rat cardiomyoblast cells as a model system.
  • Assessed mitochondrial superoxide generation, cellular antioxidant status, and IGF-1R signaling pathway activation (PI3K/Akt/mTOR).
  • Evaluated autophagy markers (ULK1, Beclin1, Atg7, LC3B) and Nrf2 pathway activation (Nrf2, HO1, SOD1).

Main Results:

  • DOX treatment increased mitochondrial superoxide and autophagy while suppressing IGF-1R signaling.
  • Neferine pre-treatment reversed DOX-induced effects by activating IGF-1R, enhancing antioxidants, and inhibiting mitochondrial damage and autophagy.
  • Neferine promoted Nrf2 translocation and expression of antioxidant enzymes HO1 and SOD1.

Conclusions:

  • Neferine demonstrates significant cardioprotective effects against Doxorubicin-induced toxicity.
  • Neferine acts by restoring IGF-1R signaling, bolstering antioxidant defenses, and modulating autophagy.
  • Neferine holds potential as a therapeutic agent to mitigate chemotherapy-induced cardiotoxicity.