SiRNA-mediated knockdown of TOP2B protects hiPSC-derived cardiomyocytes from doxorubicin-induced toxicity

Neha Saroj1, Pankaj Singh Dholaniya1, Syed Baseeruddin Alvi2

  • 1Division of Basic and Translational Research, Department of Emergency Medicine, The Ohio State University, Columbus, OH, USA; Davis Heart and Lung Research Institute, The Ohio State University, Columbus, OH, USA; Department of Biotechnology & Bioinformatics, School of Life Sciences, University of Hyderabad, Hyderabad, India.

Life Sciences
|March 30, 2025
PubMed
Abstract

Insights

Targeted silencing of Topoisomerase-2 beta (TOP2B) using siRNA protects heart cells from chemotherapy drug Doxorubicin (Dox) damage. This approach shows improved cell viability and function compared to current treatments, offering a safer strategy against Dox-induced cardiotoxicity.

Area of Science:

  • Cardiology
  • Molecular Biology
  • Pharmacology

Background:

  • Doxorubicin (Dox) is a vital chemotherapy drug, but its clinical use is restricted by dose-limiting cardiotoxicity.
  • Doxorubicin-induced cardiotoxicity is primarily mediated by the disruption of Topoisomerase-2 beta (TOP2B) activity in cardiomyocytes.
  • Dexrazoxane (Dex) is an FDA-approved cardioprotective agent but lacks tissue-specific targeting, limiting its efficacy and potentially causing side effects.

Purpose of the Study:

  • To investigate the potential of siRNA-mediated TOP2B knockdown as a targeted strategy to prevent Doxorubicin-induced cardiotoxicity.
  • To compare the cardioprotective efficacy of TOP2B silencing with the established cardioprotective drug Dexrazoxane (Dex).

Main Methods:

  • Human induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) were utilized for in vitro studies.
  • TOP2B was silenced in hiPSC-CMs using small interfering RNA (siRNA).
  • Treated and untreated hiPSC-CMs were subsequently exposed to Doxorubicin (Dox).
  • Cardioprotective effects were assessed via cell viability assays, cell toxicity assays, and electrophysiological evaluations using a multielectrode array (MEA).
  • Ultrastructural changes were examined using transmission electron microscopy (TEM).

Main Results:

  • TOP2B silencing significantly reduced apoptosis and enhanced cell viability in hiPSC-CMs compared to Dex treatment.
  • Electrophysiological assessments via MEA indicated improved cardiac contractility and conductivity in siRNA-treated cells.
  • TEM analysis revealed that TOP2B knockdown preserved mitochondrial morphology and sarcomere structure, unlike Dox or Dex treatments.

Conclusions:

  • siRNA-mediated TOP2B inhibition presents a promising, targeted approach to mitigate Doxorubicin-induced cardiotoxicity.
  • This strategy offers a potentially safer and more specific alternative to current cardioprotective methods, preserving cardiomyocyte function and integrity.