Doxorubicin induced myocardial injury is exacerbated following ischaemic stress via opening of the mitochondrial permeability transition pore

Chemotherapeutic agents such as doxorubicin are known to cause or exacerbate cardiovascular cell death when an underlying heart condition is present. However, the mechanism of doxorubicin-induced cardiotoxicity is unclear. Here we assess the cardiotoxic effects of doxorubicin in conditions of myocar...

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Veröffentlicht in:Toxicology and applied pharmacology 2013-04, Vol.268 (2), p.149-156
Hauptverfasser: Gharanei, M., Hussain, A., Janneh, O., Maddock, H.L.
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Hussain, A.
Janneh, O.
Maddock, H.L.
description Chemotherapeutic agents such as doxorubicin are known to cause or exacerbate cardiovascular cell death when an underlying heart condition is present. However, the mechanism of doxorubicin-induced cardiotoxicity is unclear. Here we assess the cardiotoxic effects of doxorubicin in conditions of myocardial ischaemia reperfusion and the mechanistic basis of protection, in particular the role of the mitochondrial permeability transition pore (mPTP) in such protection. The effects of doxorubicin (1μM)±cyclosporine A (CsA, 0.2μM; inhibits mPTP) were investigated in isolated male Sprague–Dawley rats using Langendorff heart and papillary muscle contraction models subjected to simulated ischaemia and reperfusion injury. Isolated rat cardiac myocytes were used in an oxidative stress model to study the effects of drug treatment on mPTP by confocal microscopy. Western blot analysis evaluated the effects of drug treatment on p-Akt and p-Erk 1/2 levels. Langendorff and the isometric contraction models showed a detrimental effect of doxorubicin throughout reperfusion/reoxygenation as well as increased p-Akt and p-Erk levels. Interestingly, CsA not only reversed the detrimental effects of doxorubicin, but also reduced p-Akt and p-Erk levels. In the sustained oxidative stress assay to study mPTP opening, doxorubicin decreased the time taken to depolarization and hypercontracture, but these effects were delayed in the presence of CsA. Collectively, our data suggest for the first that doxorubicin exacerbates myocardial injury in an ischaemia reperfusion model. If the inhibition of mPTP ameliorates the cardiotoxic effects of doxorubicin, then more selective inhibitors of mPTP should be further investigated for their utility in patients receiving doxorubicin. ► Doxorubicin exacerbates myocardial ischaemia reperfusion injury. ► Co-treatment with CsA protects against doxorubicin induced myocardial injury. ► CsA delays doxorubicin induced mPTP opening in laser induced stress model. ► Doxorubicin causes increase in p-Akt and p-Erk levels during reperfusion injury. ► CsA or other mPTP inhibitors may be useful against drug-induced cardiotoxicity.
doi_str_mv 10.1016/j.taap.2012.12.003
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However, the mechanism of doxorubicin-induced cardiotoxicity is unclear. Here we assess the cardiotoxic effects of doxorubicin in conditions of myocardial ischaemia reperfusion and the mechanistic basis of protection, in particular the role of the mitochondrial permeability transition pore (mPTP) in such protection. The effects of doxorubicin (1μM)±cyclosporine A (CsA, 0.2μM; inhibits mPTP) were investigated in isolated male Sprague–Dawley rats using Langendorff heart and papillary muscle contraction models subjected to simulated ischaemia and reperfusion injury. Isolated rat cardiac myocytes were used in an oxidative stress model to study the effects of drug treatment on mPTP by confocal microscopy. Western blot analysis evaluated the effects of drug treatment on p-Akt and p-Erk 1/2 levels. Langendorff and the isometric contraction models showed a detrimental effect of doxorubicin throughout reperfusion/reoxygenation as well as increased p-Akt and p-Erk levels. 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Vascular system</subject><subject>cardiomyocytes</subject><subject>Cell death</subject><subject>Chemotherapy</subject><subject>Confocal microscopy</subject><subject>Cyclophilin D</subject><subject>Cyclosporin A</subject><subject>CYCLOSPORINE</subject><subject>Data processing</subject><subject>DEPOLARIZATION</subject><subject>DOXORUBICIN</subject><subject>Doxorubicin - toxicity</subject><subject>Drugs</subject><subject>Extracellular Signal-Regulated MAP Kinases - metabolism</subject><subject>HEART</subject><subject>Hemodynamics - drug effects</subject><subject>Injuries</subject><subject>Ischaemia</subject><subject>Ischemia</subject><subject>Male</subject><subject>Medical sciences</subject><subject>MITOCHONDRIA</subject><subject>Mitochondrial Membrane Transport Proteins - drug effects</subject><subject>Mitochondrial permeability transition pore</subject><subject>MPTP</subject><subject>Multiple tumors. Solid tumors. Tumors in childhood (general aspects)</subject><subject>Muscle contraction</subject><subject>Myocardial Contraction - drug effects</subject><subject>Myocardial Reperfusion Injury - complications</subject><subject>Myocarditis. Cardiomyopathies</subject><subject>Myocytes, Cardiac - drug effects</subject><subject>Myocytes, Cardiac - metabolism</subject><subject>Oxidative stress</subject><subject>Oxidative Stress - drug effects</subject><subject>OXYGEN</subject><subject>PERMEABILITY</subject><subject>Proto-Oncogene Proteins c-akt - metabolism</subject><subject>RATS</subject><subject>Rats, Sprague-Dawley</subject><subject>Reperfusion</subject><subject>Reperfusion injury</subject><subject>Toxicology</subject><subject>Tumors</subject><subject>Western blotting</subject><issn>0041-008X</issn><issn>1096-0333</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcuqFDEQhoMonnH0BVxIQAQ3PVaSnr6AGzle4YAbBXchnVScDN1Jm6SPZx7CdzbNjLqTFASqvvqpqp-Qpwx2DFjz6rjLSs07DozvSgCIe2TDoG8qEELcJxuAmlUA3bcr8iilIwD0dc0ekisueMNZ12zIr7fhLsRlcNp56rxZNBo6nYJW0Tg1ltRxiSfqEsU7pTEOKhfAhnEMP53_Xgr6oHBymqYcMSV66xQNM_q1GCzNB6STy0EfgjdxVZwxTqgGN7p8ojkqn1x2wdM5RHxMHlg1Jnxy-bfk6_t3X64_VjefP3y6fnNT6bpuc9W0tWkNK28_dLrpB932_VBjawcGliETpoVBm30rOHY9GMOt7cCq3taN4p3Ykudn3ZCyk0m7jPqgg_eos-Scd3veQqFenqk5hh8Lpiynsi6Oo_IYliSZ4KJjXEBfUH5GdQwpRbRyjm5S8SQZyNUseZSrWXI1S5YoZpWmZxf9ZZjQ_G35404BXlwAlbQabTmWdukf1_KO92WALXl95rDc7NZhXFdCX6x0cd3IBPe_OX4DIUO2VA</recordid><startdate>20130415</startdate><enddate>20130415</enddate><creator>Gharanei, M.</creator><creator>Hussain, A.</creator><creator>Janneh, O.</creator><creator>Maddock, H.L.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U7</scope><scope>C1K</scope><scope>OTOTI</scope></search><sort><creationdate>20130415</creationdate><title>Doxorubicin induced myocardial injury is exacerbated following ischaemic stress via opening of the mitochondrial permeability transition pore</title><author>Gharanei, M. ; Hussain, A. ; Janneh, O. ; Maddock, H.L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c447t-674d7d1d1d5b8c69bc799b4e7fb10f1e13d70bcd5732e890dd2ff80fa9f46a283</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>60 APPLIED LIFE SCIENCES</topic><topic>ADENINES</topic><topic>Animals</topic><topic>ANOXIA</topic><topic>Anthracycline</topic><topic>Antibiotics, Antineoplastic - toxicity</topic><topic>APOPTOSIS</topic><topic>ATP</topic><topic>Biological and medical sciences</topic><topic>Cancer</topic><topic>Cardiac muscle</topic><topic>Cardiology. Vascular system</topic><topic>cardiomyocytes</topic><topic>Cell death</topic><topic>Chemotherapy</topic><topic>Confocal microscopy</topic><topic>Cyclophilin D</topic><topic>Cyclosporin A</topic><topic>CYCLOSPORINE</topic><topic>Data processing</topic><topic>DEPOLARIZATION</topic><topic>DOXORUBICIN</topic><topic>Doxorubicin - toxicity</topic><topic>Drugs</topic><topic>Extracellular Signal-Regulated MAP Kinases - metabolism</topic><topic>HEART</topic><topic>Hemodynamics - drug effects</topic><topic>Injuries</topic><topic>Ischaemia</topic><topic>Ischemia</topic><topic>Male</topic><topic>Medical sciences</topic><topic>MITOCHONDRIA</topic><topic>Mitochondrial Membrane Transport Proteins - drug effects</topic><topic>Mitochondrial permeability transition pore</topic><topic>MPTP</topic><topic>Multiple tumors. Solid tumors. Tumors in childhood (general aspects)</topic><topic>Muscle contraction</topic><topic>Myocardial Contraction - drug effects</topic><topic>Myocardial Reperfusion Injury - complications</topic><topic>Myocarditis. Cardiomyopathies</topic><topic>Myocytes, Cardiac - drug effects</topic><topic>Myocytes, Cardiac - metabolism</topic><topic>Oxidative stress</topic><topic>Oxidative Stress - drug effects</topic><topic>OXYGEN</topic><topic>PERMEABILITY</topic><topic>Proto-Oncogene Proteins c-akt - metabolism</topic><topic>RATS</topic><topic>Rats, Sprague-Dawley</topic><topic>Reperfusion</topic><topic>Reperfusion injury</topic><topic>Toxicology</topic><topic>Tumors</topic><topic>Western blotting</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gharanei, M.</creatorcontrib><creatorcontrib>Hussain, A.</creatorcontrib><creatorcontrib>Janneh, O.</creatorcontrib><creatorcontrib>Maddock, H.L.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>OSTI.GOV</collection><jtitle>Toxicology and applied pharmacology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gharanei, M.</au><au>Hussain, A.</au><au>Janneh, O.</au><au>Maddock, H.L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Doxorubicin induced myocardial injury is exacerbated following ischaemic stress via opening of the mitochondrial permeability transition pore</atitle><jtitle>Toxicology and applied pharmacology</jtitle><addtitle>Toxicol Appl Pharmacol</addtitle><date>2013-04-15</date><risdate>2013</risdate><volume>268</volume><issue>2</issue><spage>149</spage><epage>156</epage><pages>149-156</pages><issn>0041-008X</issn><eissn>1096-0333</eissn><coden>TXAPA9</coden><abstract>Chemotherapeutic agents such as doxorubicin are known to cause or exacerbate cardiovascular cell death when an underlying heart condition is present. However, the mechanism of doxorubicin-induced cardiotoxicity is unclear. Here we assess the cardiotoxic effects of doxorubicin in conditions of myocardial ischaemia reperfusion and the mechanistic basis of protection, in particular the role of the mitochondrial permeability transition pore (mPTP) in such protection. The effects of doxorubicin (1μM)±cyclosporine A (CsA, 0.2μM; inhibits mPTP) were investigated in isolated male Sprague–Dawley rats using Langendorff heart and papillary muscle contraction models subjected to simulated ischaemia and reperfusion injury. Isolated rat cardiac myocytes were used in an oxidative stress model to study the effects of drug treatment on mPTP by confocal microscopy. Western blot analysis evaluated the effects of drug treatment on p-Akt and p-Erk 1/2 levels. Langendorff and the isometric contraction models showed a detrimental effect of doxorubicin throughout reperfusion/reoxygenation as well as increased p-Akt and p-Erk levels. Interestingly, CsA not only reversed the detrimental effects of doxorubicin, but also reduced p-Akt and p-Erk levels. In the sustained oxidative stress assay to study mPTP opening, doxorubicin decreased the time taken to depolarization and hypercontracture, but these effects were delayed in the presence of CsA. Collectively, our data suggest for the first that doxorubicin exacerbates myocardial injury in an ischaemia reperfusion model. If the inhibition of mPTP ameliorates the cardiotoxic effects of doxorubicin, then more selective inhibitors of mPTP should be further investigated for their utility in patients receiving doxorubicin. ► Doxorubicin exacerbates myocardial ischaemia reperfusion injury. ► Co-treatment with CsA protects against doxorubicin induced myocardial injury. ► CsA delays doxorubicin induced mPTP opening in laser induced stress model. ► Doxorubicin causes increase in p-Akt and p-Erk levels during reperfusion injury. ► CsA or other mPTP inhibitors may be useful against drug-induced cardiotoxicity.</abstract><cop>Amsterdam</cop><pub>Elsevier Inc</pub><pmid>23262186</pmid><doi>10.1016/j.taap.2012.12.003</doi><tpages>8</tpages></addata></record>
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source MEDLINE; Elsevier ScienceDirect Journals
subjects 60 APPLIED LIFE SCIENCES
ADENINES
Animals
ANOXIA
Anthracycline
Antibiotics, Antineoplastic - toxicity
APOPTOSIS
ATP
Biological and medical sciences
Cancer
Cardiac muscle
Cardiology. Vascular system
cardiomyocytes
Cell death
Chemotherapy
Confocal microscopy
Cyclophilin D
Cyclosporin A
CYCLOSPORINE
Data processing
DEPOLARIZATION
DOXORUBICIN
Doxorubicin - toxicity
Drugs
Extracellular Signal-Regulated MAP Kinases - metabolism
HEART
Hemodynamics - drug effects
Injuries
Ischaemia
Ischemia
Male
Medical sciences
MITOCHONDRIA
Mitochondrial Membrane Transport Proteins - drug effects
Mitochondrial permeability transition pore
MPTP
Multiple tumors. Solid tumors. Tumors in childhood (general aspects)
Muscle contraction
Myocardial Contraction - drug effects
Myocardial Reperfusion Injury - complications
Myocarditis. Cardiomyopathies
Myocytes, Cardiac - drug effects
Myocytes, Cardiac - metabolism
Oxidative stress
Oxidative Stress - drug effects
OXYGEN
PERMEABILITY
Proto-Oncogene Proteins c-akt - metabolism
RATS
Rats, Sprague-Dawley
Reperfusion
Reperfusion injury
Toxicology
Tumors
Western blotting
title Doxorubicin induced myocardial injury is exacerbated following ischaemic stress via opening of the mitochondrial permeability transition pore
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