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Updated: Jan 18, 2026

A Doxorubicin-induced Cardiomyopathy Model in Adult Zebrafish
Published on: June 7, 2018
NEDD4L-Mediated Ubiquitination of GPX4 Exacerbates Doxorubicin-Induced Cardiotoxicity
Jiaxing Ke1, Lingjia Li1, Shuling Chen1
1The Higher Educational Key Laboratory for Cardiovascular Disease of Fujian Province, Clinical Research Center for Metabolic Heart Disease of Fujian Province, Cardiovascular Department, The First Affiliated Hospital, Fujian Medical University, Fuzhou 350005, China.
Abstract:
Doxorubicin (DOX) is an anthracycline chemotherapeutic agent that is clinically limited by doxorubicin-induced cardiotoxicity (DIC), with ferroptosis and apoptosis identified as key mechanisms. As an antioxidant enzyme, GPX4 undergoes ubiquitin-mediated degradation during myocardial ischemia-reperfusion injury; however, the role of its ubiquitination in DIC remains unclear. This study revealed that GPX4 undergoes ubiquitinated degradation during DIC, exacerbating ferroptosis and apoptosis in cardiomyocytes. NEDD4L was found to interact with GPX4, and its expression was upregulated in DOX-treated mouse myocardial tissues and cardiomyocytes. NEDD4L knockdown alleviated DIC, as well as ferroptosis and apoptosis in cardiomyocytes. Mechanistically, NEDD4L recognizes GPX4 through its WW domain and mediates K48-linked ubiquitination and degradation of GPX4 under DOX stimulation via its HECT domain. Knockdown of NEDD4L reduced DOX-induced GPX4 ubiquitination levels and subsequent degradation. Notably, while NEDD4L knockdown mitigated DOX-induced cell death, concurrent GPX4 knockdown attenuated this protective effect, indicating that GPX4 is a key downstream target of NEDD4L in regulating cardiomyocyte death. These findings identify NEDD4L as a potential therapeutic target for preventing and treating DIC.
Insights
Doxorubicin treatment causes heart damage via ferroptosis and apoptosis. This study shows NEDD4L targets GPX4 for degradation, worsening this damage, and identifies NEDD4L as a potential therapeutic target for cardiotoxicity.
Area of Science:
- Cardiology
- Molecular Biology
- Biochemistry
Background:
- Doxorubicin (DOX) is a vital chemotherapy drug, but its use is limited by doxorubicin-induced cardiotoxicity (DIC).
- Ferroptosis and apoptosis are key mechanisms driving DIC.
- The role of GPX4 ubiquitination in DIC is not well understood.
Purpose of the Study:
- To investigate the role of GPX4 ubiquitination in doxorubicin-induced cardiotoxicity.
- To identify the E3 ubiquitin ligase responsible for GPX4 ubiquitination in DIC.
- To explore NEDD4L as a potential therapeutic target for DIC.
Main Methods:
- Western blotting to detect protein ubiquitination and expression.
- Immunoprecipitation to assess protein-protein interactions.
- Cell viability assays and TUNEL staining to evaluate cardiomyocyte death.
- Gene knockdown using siRNA to investigate gene function.
Main Results:
- GPX4 undergoes ubiquitinated degradation during DIC, exacerbating ferroptosis and apoptosis in cardiomyocytes.
- NEDD4L interacts with GPX4 and its expression is upregulated by DOX.
- NEDD4L knockdown alleviates DIC, ferroptosis, and apoptosis by reducing GPX4 ubiquitination and degradation.
- GPX4 is a key downstream target of NEDD4L in DOX-induced cardiomyocyte death.
Conclusions:
- NEDD4L-mediated GPX4 ubiquitination and degradation is a critical mechanism in doxorubicin-induced cardiotoxicity.
- Targeting NEDD4L may offer a novel therapeutic strategy for preventing and treating DIC.
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