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Updated: Jan 5, 2026

A Doxorubicin-induced Cardiomyopathy Model in Adult Zebrafish
Published on: June 7, 2018
DiOHF Protects Against Doxorubicin-Induced Cardiotoxicity Through ERK1 Signaling Pathway
Danqi Chang1, Hang Li1, Cheng Qian1
1Department of Cardiology, Zhongnan Hospital of Wuhan University, Wuhan University, Wuhan, China.
Abstract:
Doxorubicin (DOX) is an effective anticancer agent. Its clinical use is, however, limited due to its detrimental side effects, especially the cardiotoxicity caused by ROS, mitochondrial dysfunction and apoptosis. 3',4'-dihydroxyflavonol (DiOHF) is a recently developed potent synthetic flavonoid which has been reported to exert anti-oxidative activity in myocardial ischemia-reperfusion injury and maintain the normal mitochondrial function. The aim of this study was to explore the protective effects of DiOHF on the DOX-induced cardiotoxicity. We established DOX-induced cardiotoxicity in H9C2 cells by incubation with 1 μM DOX and in BALB/c mice by DOX injection. DiOHF effectively prevented and reversed the DOX-induced cardiotoxicity, including ROS production, mitochondrial dysfunction, and apoptosis. The DOX-induced cardiotoxicity was accompanied by ERK1/2 activation and abolished by the silence of ERK1, rather than ERK2. Furthermore, DOX treatment in mice induced an increase in serum CK-MB level and myocardial fibrosis with a reduction in left ventricular (LV) function. These detrimental effects were blunted by DiOHF administration. Conclusion: DiOHF suppresses and reverses the DOX-induced cardiotoxicity by inhibiting ROS release, stabilizing mitochondrial function and reducing apoptosis through activation of the ERK1 signaling.
Insights
3
Area of Science:
- Cardiovascular Pharmacology
- Molecular Toxicology
Background:
- Doxorubicin (DOX) is a potent chemotherapy drug with dose-limiting cardiotoxicity.
- Cardiotoxicity involves reactive oxygen species (ROS), mitochondrial dysfunction, and apoptosis.
- Synthetic flavonoid 3',4'-dihydroxyflavonol (DiOHF) shows antioxidant and mitochondrial protective properties.
Purpose of the Study:
- To investigate the protective effects of DiOHF against DOX-induced cardiotoxicity.
- To elucidate the underlying mechanisms of DiOHF's cardioprotection.
Main Methods:
- DOX-induced cardiotoxicity models were established in H9C2 cells and BALB/c mice.
- Effects of DiOHF on ROS production, mitochondrial function, apoptosis, and ERK signaling were assessed.
- Cardiac function, serum CK-MB levels, and myocardial fibrosis were evaluated in vivo.
Main Results:
- DiOHF prevented and reversed DOX-induced cardiotoxicity in vitro and in vivo.
- DiOHF attenuated ROS generation, mitochondrial dysfunction, and apoptosis.
- DOX-induced cardiotoxicity involved ERK1 activation, which was crucial for the observed effects.
Conclusions:
- DiOHF effectively protects against and reverses doxorubicin-induced cardiotoxicity.
- Cardioprotection is mediated by inhibiting ROS, stabilizing mitochondria, and reducing apoptosis via ERK1 activation.
- DiOHF represents a potential therapeutic strategy to mitigate chemotherapy-induced heart damage.
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