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Updated: Dec 28, 2025

Preparation and Characterization of Lipophilic Doxorubicin Pro-drug Micelles
Published on: August 2, 2016
Doxorubicin Inhibits Phosphatidylserine Decarboxylase and Modifies Mitochondrial Membrane Composition in HeLa Cells
Nadège Bellance1,2, Fabienne Furt2,3, Su Melser2
1INSERM U1211, Rare Diseases: Genetic and Metabolism, F-33076 Bordeaux, France.
Abstract:
Doxorubicin (DXR) is a drug widely used in chemotherapy. Its mode of action is based on its intercalation properties, involving the inhibition of topoisomerase II. However, few studies have reported the mitochondrial effects of DXR while investigating cardiac toxicity induced by the treatment, mostly in pediatric cases. Here, we demonstrate that DXR alters the mitochondrial membrane composition associated with bioenergetic impairment and cell death in human cancer cells. The remodeling of the mitochondrial membrane was explained by phosphatidylserine decarboxylase (PSD) inhibition by DXR. PSD catalyzes phosphatidylethanolamine (PE) synthesis from phosphatidylserine (PS), and DXR altered the PS/PE ratio in the mitochondrial membrane. Moreover, we observed that DXR localized to the mitochondrial compartment and drug uptake was rapid. Evaluation of other topoisomerase II inhibitors did not show any impact on the mitochondrial membrane composition, indicating that the DXR effect was specific. Therefore, our findings revealed a side molecular target for DXR and PSD, potentially involved in DXR anti-cancer properties and the associated toxicity.
Insights
Doxorubicin (DXR) chemotherapy drug alters mitochondrial membranes by inhibiting phosphatidylserine decarboxylase (PSD), impacting cancer cell energy and survival. This specific mitochondrial effect may influence DXR
Area of Science:
- Biochemistry
- Cell Biology
- Pharmacology
Background:
- Doxorubicin (DXR) is a cornerstone chemotherapy agent.
- Its primary mechanism involves DNA intercalation and topoisomerase II inhibition.
- Limited research exists on DXR's mitochondrial effects, particularly concerning cardiac toxicity.
Purpose of the Study:
- To investigate the impact of DXR on mitochondrial membrane composition in human cancer cells.
- To elucidate the specific molecular targets and mechanisms underlying DXR's mitochondrial effects.
- To determine if DXR's mitochondrial alterations are specific compared to other topoisomerase II inhibitors.
Main Methods:
- Analysis of mitochondrial membrane composition in DXR-treated human cancer cells.
- Investigated the role of phosphatidylserine decarboxylase (PSD) in DXR-induced membrane changes.
- Assessed DXR localization within mitochondria and its uptake kinetics.
- Compared DXR's effects with other topoisomerase II inhibitors.
Main Results:
- DXR significantly altered mitochondrial membrane composition, specifically the phosphatidylserine (PS)/phosphatidylethanolamine (PE) ratio.
- DXR was found to inhibit phosphatidylserine decarboxylase (PSD) activity.
- DXR rapidly localized to mitochondria, leading to bioenergetic impairment and cell death.
- Other topoisomerase II inhibitors did not induce similar mitochondrial membrane alterations.
Conclusions:
- DXR specifically targets and inhibits PSD, leading to mitochondrial membrane remodeling.
- This PSD inhibition contributes to DXR's bioenergetic impairment and cell death in cancer cells.
- PSD represents a novel molecular target for DXR, potentially influencing its anti-cancer efficacy and toxicity profile.
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