Cryptotanshinone Ameliorates Doxorubicin-Induced Cardiotoxicity by Targeting Akt-GSK-3β-mPTP Pathway In Vitro

Xiaoping Wang1,2,3, Qianbin Sun2,3,4, Qianqian Jiang2,3

  • 1School of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing 100029, China.

Insights

Cryptotanshinone (Cts) protects heart cells from doxorubicin (Dox) damage by reducing oxidative stress and apoptosis. It works by activating the Akt-GSK-3β pathway, which prevents mitochondrial dysfunction and cell death.

Area of Science:

  • Biochemistry
  • Cardiology
  • Pharmacology

Background:

  • Doxorubicin (Dox) treatment can cause cardiotoxicity, a major side effect.
  • Dox-induced cardiotoxicity involves oxidative stress, mitochondrial permeability transition pore (mPTP) opening, and apoptosis in cardiomyocytes.
  • The cardioprotective potential of Cryptotanshinone (Cts) against Dox-induced cardiotoxicity (DIC) is not well understood.

Purpose of the Study:

  • To investigate the protective effects of Cts against Dox-induced cardiotoxicity in a cellular model.
  • To elucidate the underlying molecular mechanisms, focusing on the Akt-GSK-3β pathway and mPTP regulation.

Main Methods:

  • Established a Dox-stimulated H9C2 cell model to evaluate Cts effects.
  • Assessed cell viability, reactive oxygen species (ROS), apoptosis, and mitochondrial membrane potential (MMP).
  • Utilized Western blot to analyze Akt-GSK-3β pathway protein expression and immunoprecipitation assays to study protein interactions.

Main Results:

  • Cts significantly improved cell viability, reduced ROS levels, inhibited apoptosis, and preserved MMP.
  • Cts treatment increased phosphorylated levels of Akt and GSK-3β.
  • Cts enhanced GSK-3β-ANT interaction and reduced ANT-CypD complex formation, thereby inhibiting mPTP opening.

Conclusions:

  • Cts demonstrates significant cardioprotective effects against Dox-induced cardiotoxicity.
  • These protective effects are mediated through the Akt-GSK-3β pathway, which regulates mPTP opening and subsequent apoptosis.
  • Cts ameliorates oxidative stress and apoptosis by modulating the Akt-GSK-3β-mPTP signaling axis.

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