Early Cardiac Mitochondrial Molecular and Functional Responses to Acute Anthracycline Treatment in Wistar Rats

Gonçalo C Pereira1,2, Susana P Pereira1,3, Francisco B Pereira4,5

  • 1CNC - Center for Neuroscience and Cell Biology, University of Coimbra, UC-Biotech, Cantanhede, Portugal.

Insights

Doxorubicin (DOX) chemotherapy causes heart damage. This study identified early molecular markers in rat hearts, not functional tests, that may predict DOX cardiotoxicity, aiding in patient risk assessment.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Cardiology

Background:

  • Doxorubicin (DOX) is a vital anticancer agent, but its clinical use is limited by dose-dependent cardiotoxicity.
  • The precise mechanisms underlying DOX-induced acute and delayed cardiac toxicity, particularly its mitochondrial component, remain incompletely understood.
  • Identifying early predictive biomarkers for DOX cardiotoxicity is crucial for patient stratification and risk management.

Purpose of the Study:

  • To investigate early molecular changes in mitochondria following acute Doxorubicin administration in a rat model.
  • To identify potential early biomarkers of cardiac-specific mitochondrial toxicity induced by Doxorubicin.
  • To differentiate cardiac-specific DOX effects from those in other organs like the liver and kidney.

Main Methods:

  • Wistar rats received a single intraperitoneal dose of Doxorubicin (20 mg/kg).
  • Cardiac, liver, and kidney tissues were analyzed 24 hours post-treatment for mRNA and protein levels of mitochondrial components.
  • Mitochondrial functional assays (H2O2 production, calcium-loading capacity) and advanced statistical analyses (PCA, feature correlation) were employed.

Main Results:

  • Doxorubicin treatment induced cardiac-specific alterations in mitochondrial complexes I, III, and IV at the transcript and protein levels.
  • Mitochondrial complex II alterations were observed in the liver and kidney, distinct from cardiac effects.
  • Early functional markers like H2O2 production and calcium-loading capacity did not reliably predict acute cardiotoxicity in this model.

Conclusions:

  • Sets of transcript and protein alterations, rather than functional measurements, may serve as early acute markers for cardiac-specific mitochondrial toxicity.
  • These findings provide novel insights into the early trajectory of Doxorubicin cardiac toxicity.
  • The identified molecular signatures could facilitate the development of strategies to mitigate Doxorubicin-induced cardiac liabilities.

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