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The Role of Soluble Epoxide Hydrolase Enzyme on Daunorubicin-Mediated Cardiotoxicity
Zaid H Maayah1, Ghada Abdelhamid1, Osama H Elshenawy1
1Faculty of Pharmacy and Pharmaceutical Sciences, 2142 J Katz Group-Rexall Centre for Pharmacy and Health Research, University of Alberta, Edmonton, AB, T6G 2E1, Canada.
Abstract:
Several studies have demonstrated the role of cytochrome P450 (CYP) and its associated arachidonic acid (AA) metabolites in the anthracyclines-induced cardiac toxicity. However, the ability of daunorubicin (DNR) to induce cardiotoxicity through the modulation of CYP and its associated AA metabolites has not been investigated yet. Therefore, we hypothesized that DNR-induced cardiotoxicity is mediated through the induction of cardiotoxic hydroxyeicosatetraenoic acids and/or the inhibition of cardioprotctive epoxyeicosatrienoic acids (EETs). To test our hypothesis, Sprague-Dawley rats were treated with DNR (5 mg/kg i.p.) for 24 h, whereas human ventricular cardiomyocytes RL-14 cells were exposed to DNR in the presence and absence of 4-[[trans-4-[[(tricyclo[3.3.1.13,7]dec-1-ylamino)carbonyl]amino]cyclohexyl]oxy]-benzoic acid (tAUCB), a soluble epoxide hydrolase (sEH) inhibitor. Thereafter, real-time PCR, Western blot analysis and liquid chromatography-electron spray ionization mass spectroscopy were used to determine the level of gene expression, protein expression and AA metabolites, respectively. Our results showed that DNR-induced cardiotoxicity in vivo and in vitro as evidenced by the induction of hypertrophic and fibrotic markers. Moreover, the DNR-induced cardiotoxicity was associated with a dramatic increase in the formation of cardiac DHET/EET metabolites both in vivo and in RL-14 cells suggesting a sEH enzyme dependent mechanism. Interestingly, inhibition of sEH using tAUCB, a selective sEH inhibitor, significantly protects against DNR-induced cardiotoxicity. Mechanistically, the protective effect tAUCB was mediated through the induction of P50 nuclear factor-κB and the inhibition of phosphorylated p38. In conclusion, our study provides the first evidence that DNR induces cardiotoxicity through a sEH-mediated EETs degradation-dependent mechanism.
Insights
Daunorubicin (DNR) causes heart damage by altering arachidonic acid (AA) metabolites via soluble epoxide hydrolase (sEH). Inhibiting sEH protects against this cardiotoxicity, offering a potential therapeutic strategy.
Area of Science:
- Cardiovascular Pharmacology
- Drug-Induced Cardiotoxicity
- Metabolomics
Background:
- Anthracyclines are known to cause cardiac toxicity.
- Cytochrome P450 (CYP) and arachidonic acid (AA) metabolites are implicated in this toxicity.
- The specific role of daunorubicin (DNR) in modulating CYP and AA metabolites in cardiotoxicity remains unclear.
Purpose of the Study:
- To investigate if DNR induces cardiotoxicity by affecting CYP and AA metabolites.
- To test the hypothesis that DNR-induced cardiotoxicity involves increased cardiotoxic hydroxyeicosatetraenoic acids (DHETs) and/or decreased cardioprotective epoxyeicosatrienoic acids (EETs).
- To explore the potential protective role of soluble epoxide hydrolase (sEH) inhibition.
Main Methods:
- In vivo study: Sprague-Dawley rats treated with DNR (5 mg/kg i.p.).
- In vitro study: Human ventricular cardiomyocytes (RL-14 cells) exposed to DNR with/without tAUCB (sEH inhibitor).
- Analysis techniques: Real-time PCR, Western blot, and liquid chromatography-mass spectrometry for gene expression, protein levels, and AA metabolites.
Main Results:
- DNR induced cardiotoxicity in vivo and in vitro, indicated by increased hypertrophic and fibrotic markers.
- DNR treatment significantly increased cardiac DHET/EET metabolite ratios, suggesting a role for sEH.
- Inhibition of sEH with tAUCB provided significant protection against DNR-induced cardiotoxicity.
Conclusions:
- This study provides the first evidence that DNR-induced cardiotoxicity is mediated by a mechanism involving soluble epoxide hydrolase (sEH).
- The mechanism involves the degradation of protective epoxyeicosatrienoic acids (EETs).
- Inhibition of sEH represents a potential therapeutic strategy to mitigate DNR-induced cardiotoxicity.
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