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A Doxorubicin-induced Cardiomyopathy Model in Adult Zebrafish
Published on: June 7, 2018
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.
Background:
Anthracycline-induced cardiotoxicity (AIC) is a unique type of cardiomyopathy that limits the clinical use of anthracyclines in cancer therapy. Although several cardiomyopathy-related pathways have been identified, including extracellular signal-regulated kinase (ERK) signaling, pathway-specific interventions for AIC remain unclear.
Objectives:
The aim of this study was to investigate the role of Erk signaling in AIC using zebrafish genetics.
Methods:
A zebrafish model of AIC was used to screen genes in known cardiomyopathy pathways, including Erk signaling. Heterozygous and homozygous mutants were evaluated for their modifying effects on AIC. In parallel, pharmacologic studies with ERK inhibitors were conducted to assess dose-dependent therapeutic effects of Erk inhibition.
Results:
mek1+/- and erk1+/- mutants conferred protective effects in adult zebrafish with AIC. Consistent with this, Erk phosphorylation was aberrantly elevated in AIC hearts. Although heterozygous mutants mitigated AIC phenotypes, homozygous erk1-/- mutants caused cardiac dysfunction and worsened AIC. Similarly, pharmacologic inhibition of Erk with temuterkib was therapeutic at low doses but induced dose-dependent cardiotoxicity. Mechanistically, the AIC model exhibited accelerated cardiac senescence, which can be attenuated by Erk inhibition.
Conclusions:
Aberrant Erk activation contributes to AIC, and controlled Erk inhibition may offer therapeutic benefit, potentially via antiaging mechanisms. However, optimization is essential, as excessive inhibition can be cardiotoxic.
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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