Systemic study of selected histone deacetylase inhibitors in cardiac complications associated with cancer cachexia

Vivek Bora1, Dhwani Patel1, Kaid Johar2

  • 1Department of Pharmacology, Institute of Pharmacy, Nirma University, Sarkhej-Gandhinagar Highway, Ahmedabad, Gujarat 382481, India.

Insights

Histone deacetylase inhibitors (HDACi) show differential effects on cancer cachexia cardiac complications. Entinostat attenuated cardiac issues, while MC1568 worsened them, indicating potential therapeutic strategies.

Area of Science:

  • Oncology
  • Cardiology
  • Pharmacology

Background:

  • Cancer cachexia leads to significant weight loss and organ dysfunction, particularly affecting the heart.
  • Cardiac complications in cancer cachexia can diminish major organ performance.

Purpose of the Study:

  • To investigate the differential effects of histone deacetylase inhibitors (HDACi) on cardiac complications in cancer cachexia models.
  • To evaluate the therapeutic potential of specific HDAC inhibitors in mitigating cancer-related cardiac dysfunction.

Main Methods:

  • Utilized two cancer cachexia models: B16F1 metastatic and Lewis lung carcinoma.
  • Assessed cardiac hypertrophy, hemodynamic, and cardiac markers, alongside histopathological and immunohistochemical analyses (Periodic acid-Schiff, Masson's trichrome, Picro-sirius red, H&E, vimentin, caspase 3).
  • Tested Class I HDACi (entinostat), Class II HDACi (MC1568), and a non-specific HDACi (sodium butyrate).

Main Results:

  • Entinostat (Class I HDACi) demonstrated promising results in attenuating cardiac complications.
  • MC1568 (Class II HDACi) treatment exacerbated cardiac complications.
  • Sodium butyrate (non-specific HDACi) showed non-conclusive effects on cardiac complications.

Conclusions:

  • Entinostat exhibits potential as a therapeutic agent for cardiac complications in cancer cachexia.
  • Targeting specific HDAC classes may offer distinct outcomes in managing cancer cachexia-related cardiac dysfunction.
  • Further evaluation of HDAC inhibitors is warranted for their role in cancer cachexia cardiac complications.

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