Doxorubicin‐induced cardiotoxicity involves IFNγ‐mediated metabolic reprogramming in cardiomyocytes

Immune responses contribute to a large extent to heart diseases. However, it is still not clear how the key inflammatory mediator interferon‐γ (IFNγ) plays a role in doxorubicin (DOX)‐induced cardiomyopathy. We report here that DOX‐induced heart dysfunction involves IFNγ signaling in mice. The IFNγ...

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Veröffentlicht in:The Journal of pathology 2019-03, Vol.247 (3), p.320-332
Hauptverfasser: Ni, Chen, Ma, Pan, Wang, Ruirui, Lou, Xiaohan, Liu, Xiaomeng, Qin, Yue, Xue, Rui, Blasig, Ingolf, Erben, Ulrike, Qin, Zhihai
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container_issue 3
container_start_page 320
container_title The Journal of pathology
container_volume 247
creator Ni, Chen
Ma, Pan
Wang, Ruirui
Lou, Xiaohan
Liu, Xiaomeng
Qin, Yue
Xue, Rui
Blasig, Ingolf
Erben, Ulrike
Qin, Zhihai
description Immune responses contribute to a large extent to heart diseases. However, it is still not clear how the key inflammatory mediator interferon‐γ (IFNγ) plays a role in doxorubicin (DOX)‐induced cardiomyopathy. We report here that DOX‐induced heart dysfunction involves IFNγ signaling in mice. The IFNγ receptor was found to be highly expressed on cardiomyocytes, and its downstream signaling was activated in heart tissues upon DOX treatment. In vitro, IFNγ strongly aggravated the injury of cardiomyocytes exposed to DOX. Although not affecting DOX‐induced cell death, IFNγ disrupted mitochondrial respiration and fatty acid oxidation in DOX‐exposed cardiomyocytes. IFNγ extended the suppression of the AMP‐activated protein kinase (AMPK)/acetyl‐CoA carboxylase (ACC) axis by DOX to a p38‐dependent branch. Activation of AMPK or inhibition of p38 inhibited the enhancing effect of IFNγ on the DOX‐induced cardiotoxicity and prolonged the survival time in DOX‐treated mice. Taken together, our results indicate that reprogramming of cardiac metabolism by IFNγ represents a previously unidentified key step for DOX‐induced cardiomyopathy. This unavoidable impact of IFNγ on cardiomyocyte metabolism during chemotherapy redirects our attention to the balance between beneficial immunosurveillance of cancer cells and unwanted toxic side‐effects. Copyright © 2018 Pathological Society of Great Britain and Ireland. Published by John Wiley & Sons, Ltd.
doi_str_mv 10.1002/path.5192
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However, it is still not clear how the key inflammatory mediator interferon‐γ (IFNγ) plays a role in doxorubicin (DOX)‐induced cardiomyopathy. We report here that DOX‐induced heart dysfunction involves IFNγ signaling in mice. The IFNγ receptor was found to be highly expressed on cardiomyocytes, and its downstream signaling was activated in heart tissues upon DOX treatment. In vitro, IFNγ strongly aggravated the injury of cardiomyocytes exposed to DOX. Although not affecting DOX‐induced cell death, IFNγ disrupted mitochondrial respiration and fatty acid oxidation in DOX‐exposed cardiomyocytes. IFNγ extended the suppression of the AMP‐activated protein kinase (AMPK)/acetyl‐CoA carboxylase (ACC) axis by DOX to a p38‐dependent branch. Activation of AMPK or inhibition of p38 inhibited the enhancing effect of IFNγ on the DOX‐induced cardiotoxicity and prolonged the survival time in DOX‐treated mice. Taken together, our results indicate that reprogramming of cardiac metabolism by IFNγ represents a previously unidentified key step for DOX‐induced cardiomyopathy. This unavoidable impact of IFNγ on cardiomyocyte metabolism during chemotherapy redirects our attention to the balance between beneficial immunosurveillance of cancer cells and unwanted toxic side‐effects. Copyright © 2018 Pathological Society of Great Britain and Ireland. 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However, it is still not clear how the key inflammatory mediator interferon‐γ (IFNγ) plays a role in doxorubicin (DOX)‐induced cardiomyopathy. We report here that DOX‐induced heart dysfunction involves IFNγ signaling in mice. The IFNγ receptor was found to be highly expressed on cardiomyocytes, and its downstream signaling was activated in heart tissues upon DOX treatment. In vitro, IFNγ strongly aggravated the injury of cardiomyocytes exposed to DOX. Although not affecting DOX‐induced cell death, IFNγ disrupted mitochondrial respiration and fatty acid oxidation in DOX‐exposed cardiomyocytes. IFNγ extended the suppression of the AMP‐activated protein kinase (AMPK)/acetyl‐CoA carboxylase (ACC) axis by DOX to a p38‐dependent branch. Activation of AMPK or inhibition of p38 inhibited the enhancing effect of IFNγ on the DOX‐induced cardiotoxicity and prolonged the survival time in DOX‐treated mice. Taken together, our results indicate that reprogramming of cardiac metabolism by IFNγ represents a previously unidentified key step for DOX‐induced cardiomyopathy. This unavoidable impact of IFNγ on cardiomyocyte metabolism during chemotherapy redirects our attention to the balance between beneficial immunosurveillance of cancer cells and unwanted toxic side‐effects. Copyright © 2018 Pathological Society of Great Britain and Ireland. 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However, it is still not clear how the key inflammatory mediator interferon‐γ (IFNγ) plays a role in doxorubicin (DOX)‐induced cardiomyopathy. We report here that DOX‐induced heart dysfunction involves IFNγ signaling in mice. The IFNγ receptor was found to be highly expressed on cardiomyocytes, and its downstream signaling was activated in heart tissues upon DOX treatment. In vitro, IFNγ strongly aggravated the injury of cardiomyocytes exposed to DOX. Although not affecting DOX‐induced cell death, IFNγ disrupted mitochondrial respiration and fatty acid oxidation in DOX‐exposed cardiomyocytes. IFNγ extended the suppression of the AMP‐activated protein kinase (AMPK)/acetyl‐CoA carboxylase (ACC) axis by DOX to a p38‐dependent branch. Activation of AMPK or inhibition of p38 inhibited the enhancing effect of IFNγ on the DOX‐induced cardiotoxicity and prolonged the survival time in DOX‐treated mice. Taken together, our results indicate that reprogramming of cardiac metabolism by IFNγ represents a previously unidentified key step for DOX‐induced cardiomyopathy. This unavoidable impact of IFNγ on cardiomyocyte metabolism during chemotherapy redirects our attention to the balance between beneficial immunosurveillance of cancer cells and unwanted toxic side‐effects. Copyright © 2018 Pathological Society of Great Britain and Ireland. Published by John Wiley &amp; Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley &amp; Sons, Ltd</pub><pmid>30426505</pmid><doi>10.1002/path.5192</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0001-9793-7964</orcidid><orcidid>https://orcid.org/0000-0002-7993-8055</orcidid></addata></record>
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subjects AMP
Animals
Antibiotics, Antineoplastic - pharmacology
Antibiotics, Antineoplastic - toxicity
Cancer
Cardiomyocytes
Cardiomyopathy
Cardiotoxicity
Cardiotoxicity - etiology
Cardiotoxicity - immunology
Cardiotoxicity - pathology
Cardiovascular diseases
Cell death
Cell Respiration - physiology
Cells, Cultured
Cellular Reprogramming - drug effects
Cellular Reprogramming - immunology
Chemotherapy
Coronary artery disease
Doxorubicin
Doxorubicin - pharmacology
Doxorubicin - toxicity
Electron transport
fatty acid metabolism
Fatty Acids - metabolism
Female
Heart diseases
IFNγ
Immune response
Immunosurveillance
Inflammation
Interferon
Interferon-gamma - immunology
Kinases
Metabolism
Mice
Mice, Inbred C57BL
Mitochondria
Mitochondria, Heart - metabolism
Myocytes, Cardiac - drug effects
Myocytes, Cardiac - immunology
Oxidation
Oxidation-Reduction
Protein kinase
Receptor, Interferon alpha-beta - metabolism
Signal Transduction - immunology
γ-Interferon
title Doxorubicin‐induced cardiotoxicity involves IFNγ‐mediated metabolic reprogramming in cardiomyocytes
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