Anti-interleukin-5-neutralizing antibody attenuates caradiac injury and cadiac dysfunction by aggravating the

Dan Xian1, Yingying Zhan1, Zicong Yang2

  • 1Xishu County People's Hospital affiliated to Hubei Univerisity of Science and Technology, Nanning, 530021, China.

Insights

Interleukin-5 (IL-5) deficiency exacerbates doxorubicin-induced heart injury by promoting inflammation and cardiomyocyte apoptosis. Neutralizing IL-5 worsens cardiac dysfunction and myocardial damage in mice.

Area of Science:

  • Cardiology
  • Immunology
  • Molecular Biology

Background:

  • Interleukins (ILs) are implicated in doxorubicin (DOX)-induced cardiac injury.
  • Interleukin-5 (IL-5) is a key IL family member, but its specific role in DOX cardiotoxicity is unclear.

Purpose of the Study:

  • To investigate the effect of IL-5 on doxorubicin-induced cardiac injury.
  • To elucidate the underlying mechanisms of IL-5's action in cardiac injury.

Main Methods:

  • Assessed cardiac IL-5 expression in DOX-treated mice.
  • Administered anti-IL-5-neutralizing antibody (nAb) to DOX-treated mice.
  • Evaluated myocardial injury markers, cardiac function, macrophage differentiation (M1/M2), and apoptosis in vivo and in vitro.

Main Results:

  • Cardiac IL-5 levels were significantly reduced in DOX-treated mice, with IL-5 primarily sourced from cardiac macrophages.
  • Anti-IL-5 nAb treatment aggravated DOX-induced cardiac injury, dysfunction, M1 macrophage polarization, and apoptosis.
  • In vitro, anti-IL-5 nAb promoted M1 and inhibited M2 macrophage differentiation, while alleviating cardiomyocyte apoptosis.

Conclusions:

  • IL-5 plays a protective role against DOX-induced cardiac injury.
  • IL-5 deficiency or neutralization exacerbates cardiotoxicity by increasing inflammation and cardiomyocyte apoptosis.