Silymarin protects against doxorubicin induced cardiotoxicity by down-regulating topoisomerase IIβ expression in mice

Emrah İpek, Recai Tunca1

  • 1Department of Pathology, Faculty of Veterinary Medicine, Adnan Menderes University, Aydın, Turkey.

Insights

Silymarin (SLY) protects against doxorubicin (DOX)-induced heart damage by reducing DNA breaks and preserving cardiac function. This study shows SLY as a potential therapeutic agent against chemotherapy-related cardiotoxicity.

Area of Science:

  • Pharmacology
  • Cardiovascular Research
  • Toxicology

Background:

  • Doxorubicin (DOX) is a potent chemotherapy agent with significant cardiotoxicity.
  • Chronic cardiotoxicity induced by DOX poses a major clinical challenge.
  • Silymarin (SLY), a natural flavonoid, has shown potential antioxidant and anti-inflammatory properties.

Purpose of the Study:

  • To investigate the cardioprotective effects of silymarin (SLY) against doxorubicin (DOX)-induced chronic cardiotoxicity in a mouse model.
  • To elucidate the molecular mechanisms underlying SLY's protective effects against DOX-induced cardiac damage.

Main Methods:

  • Male BALB/c mice were divided into four groups: control, SLY, DOX, and DOX + SLY.
  • DOX was administered intraperitoneally (i.p.) twice weekly during specific periods.
  • SLY was administered orally daily for 6 weeks.
  • Heart tissues were analyzed using qPCR, immunostaining, immunohistochemistry, and western blot.

Main Results:

  • DOX administration induced significant cardiomyopathy, which was ameliorated by SLY treatment.
  • SLY treatment reduced topoisomerase IIβ (TopIIβ) expression and decreased phosphorylated histone-2AX (γH2Ax) levels in DOX-treated mice.
  • SLY administration increased cardiac troponin T (cTnT) and I (cTnI) expression, preserving cardiac contractility.

Conclusions:

  • Silymarin exhibits significant cardioprotective effects against doxorubicin-induced cardiotoxicity.
  • SLY functions by reducing double-strand DNA breaks through the downregulation of TopIIβ and protecting cardiac troponin expression.
  • SLY represents a promising therapeutic strategy to mitigate chemotherapy-induced heart damage.

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