Leonurine alleviates doxorubicin-induced myocarditis in mice via MAPK/ERK pathway inhibition

Dachao Tang1, Hu Jin1, Meise Lin1

  • 1Department of Cardiovascular Medicine, Wenzhou Hospital of Traditional Chinese Medicine Wenzhou 325000, Zhejiang, China.

Abstract

Insights

Naturally derived leonurine (Leo) protects against doxorubicin (Dox)-induced myocarditis by reducing inflammation and apoptosis. Leo shows potential as a cardioprotective agent by inhibiting key inflammatory pathways.

Area of Science:

  • Cardiovascular Research
  • Pharmacology
  • Molecular Biology

Background:

  • Doxorubicin (Dox) is a widely used chemotherapy agent with known cardiotoxicity.
  • Myocarditis, or inflammation of the heart muscle, is a serious side effect of Dox treatment.
  • Identifying protective agents against Dox-induced cardiotoxicity is crucial for improving patient outcomes.

Purpose of the Study:

  • To investigate the cardioprotective effects of leonurine (Leo) against Dox-induced myocarditis.
  • To elucidate the underlying mechanisms of Leo's protective action.
  • To assess Leo's impact on inflammatory and apoptotic pathways in the heart.

Main Methods:

  • A mouse model of Dox-induced myocarditis was established.
  • Levels of inflammatory cytokines were measured using ELISA.
  • Histopathological changes and apoptosis were assessed via HE and TUNEL staining.
  • Protein expression was analyzed by Western blot.
  • In vitro studies on H9c2 cells evaluated cell viability, inflammatory markers, and oxidative stress.

Main Results:

  • Leo significantly reduced inflammatory cytokine levels in serum, cardiac tissue, and cell culture supernatants.
  • Leo suppressed Dox-induced myocardial cell apoptosis by modulating the BCL2 signaling pathway.
  • In vitro, Leo decreased inflammatory cytokines and oxidative stress markers in H9c2 cells.
  • Leo treatment inhibited the activation of MAPK/ERK pathways.

Conclusions:

  • Leonurine (Leo) demonstrates significant cardioprotective effects against doxorubicin (Dox)-induced myocarditis.
  • These effects are mediated through anti-inflammatory mechanisms and the inhibition of apoptosis.
  • Leo's ability to inhibit MAPK/ERK pathways suggests its therapeutic potential as a cardioprotective agent.