Inhibition, But Not Depletion, of Erk Signaling Ameliorates Anthracycline-Induced Cardiotoxicity in Zebrafish

Maryam Moossavi1, Ping Zhu1, Yonghe Ding1

  • 1Department of Biochemistry and Molecular Biology, Mayo Clinic, Rochester, Minnesota, USA; Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.

JACC. Cardiooncology
|October 3, 2025
PubMed
Abstract

Insights

Aberrant extracellular signal-regulated kinase (ERK) activation contributes to anthracycline-induced cardiotoxicity (AIC). Controlled ERK inhibition may offer therapeutic benefits, but excessive inhibition can be cardiotoxic, highlighting the need for careful optimization.

Area of Science:

  • Cardiology
  • Genetics
  • Pharmacology

Background:

  • Anthracycline-induced cardiotoxicity (AIC) is a significant limitation in cancer therapy.
  • Extracellular signal-regulated kinase (ERK) signaling is implicated in cardiomyopathy, but its specific role in AIC is unclear.

Purpose of the Study:

  • Investigate the role of ERK signaling in AIC using zebrafish genetics.
  • Evaluate the therapeutic potential of ERK inhibition in AIC.

Main Methods:

  • Utilized a zebrafish model of AIC.
  • Screened genes in ERK signaling pathways and evaluated mutant effects.
  • Conducted pharmacologic studies with ERK inhibitors.

Main Results:

  • Mek1 and Erk1 heterozygous mutants showed protective effects against AIC.
  • Elevated ERK phosphorylation was observed in AIC hearts.
  • Homozygous erk1 mutants and excessive ERK inhibition worsened cardiotoxicity, while low doses were therapeutic.
  • AIC models exhibited accelerated cardiac senescence, which ERK inhibition attenuated.

Conclusions:

  • Aberrant ERK activation contributes to AIC.
  • Controlled ERK inhibition may offer therapeutic benefits through antiaging mechanisms.
  • Optimization of ERK inhibition is crucial to avoid dose-dependent cardiotoxicity.

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