Ginsenoside F1 attenuates pirarubicin-induced cardiotoxicity by modulating Nrf2 and AKT/Bcl-2 signaling pathways

Yang Zhang1,2, Jiulong Ma1, Shan Liu1

  • 1Department of Experimental Pharmacology and Toxicology, School of Pharmacy, Jilin University, Jilin, China.

Abstract

Insights

Ginsenoside F1 (GF1) protects against pirarubicin (THP)-induced cardiotoxicity by reducing oxidative stress and apoptosis. GF1 modulates Nrf2 and AKT/Bcl-2 signaling pathways, offering a potential therapeutic strategy against chemotherapy-induced heart damage.

Area of Science:

  • Cardiology
  • Pharmacology
  • Biochemistry

Background:

  • Pirarubicin (THP) is an anthracycline antibiotic used in cancer treatment.
  • THP's clinical utility is limited by dose-dependent cardiotoxicity.
  • Ginsenoside F1 (GF1), a ginsenoside metabolite, has potential protective effects against THP-induced cardiotoxicity, but its mechanisms are unclear.

Purpose of the Study:

  • To investigate the protective effects of GF1 against THP-induced cardiotoxicity.
  • To elucidate the underlying mechanisms of GF1's cardioprotective action, focusing on oxidative stress and apoptosis.
  • To evaluate GF1's efficacy in both in vitro and in vivo models.

Main Methods:

  • In vitro studies used H9c2 cells exposed to THP, with or without GF1, trigonelline, or AKT inhibitor IMQ.
  • In vivo studies utilized a rat model of THP-induced cardiotoxicity.
  • Biochemical markers (MDA, BNP, CK-MB, c-TnT, LDH, SOD, GSH) and protein expression (Nrf2, HO-1, Gst, GCLM, AKT, Bcl-2) were analyzed.

Main Results:

  • GF1 treatment attenuated THP-induced myocardial histopathological damage, ECG abnormalities, and cardiac dysfunction in vivo.
  • GF1 reduced serum levels of MDA, BNP, CK-MB, c-TnT, and LDH, while increasing SOD and GSH.
  • GF1 promoted Nrf2 nuclear translocation and target gene expression, activated AKT/Bcl-2 signaling, and inhibited apoptosis. Nrf2 and AKT inhibition abolished GF1's effects.

Conclusions:

  • GF1 alleviates THP-induced cardiotoxicity by mitigating myocardial oxidative stress and apoptosis.
  • The protective mechanisms involve the modulation of Nrf2 and AKT/Bcl-2 signaling pathways.
  • GF1 demonstrates potential as a therapeutic agent to prevent or treat chemotherapy-induced cardiotoxicity.

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