Protection from doxorubicin-induced cardiac toxicity in mice with a null allele of carbonyl reductase 1

Doxorubicin is a highly effective antineoplastic agent, but it can produce the serious side effects of acute cardiac injury and chronic congestive heart failure. Carbonyl reductase (CBR) has been implicated in the development of doxorubicin-induced cardiotoxicity. To test whether a decrease in CBR l...

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Veröffentlicht in:Cancer research (Chicago, Ill.) Ill.), 2003-10, Vol.63 (20), p.6602-6606
Hauptverfasser: OLSON, Lisa E, BEDJA, Djahida, ALVEY, Sara J, CARDOUNEL, A. J, GABRIELSON, Kathleen L, REEVES, Roger H
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container_end_page 6606
container_issue 20
container_start_page 6602
container_title Cancer research (Chicago, Ill.)
container_volume 63
creator OLSON, Lisa E
BEDJA, Djahida
ALVEY, Sara J
CARDOUNEL, A. J
GABRIELSON, Kathleen L
REEVES, Roger H
description Doxorubicin is a highly effective antineoplastic agent, but it can produce the serious side effects of acute cardiac injury and chronic congestive heart failure. Carbonyl reductase (CBR) has been implicated in the development of doxorubicin-induced cardiotoxicity. To test whether a decrease in CBR levels was protective against doxorubicin toxicity, we created a null allele of the Cbr1 gene. Mice with one functional copy of the gene (Cbr1 +/-) were healthy and grossly normal despite having decreased levels of Cbr1 transcript and protein. Control and Cbr1 +/- mice were administered doxorubicin at 20 mg/kg i.p. Cbr1 +/- mice showed decreased circulating levels of the cardiotoxic metabolite, doxorubicinol, after administration. Within 2 weeks, 91% of wild-type mice were severely affected (n = 11) compared with 18% of Cbr1 +/- mice (n = 11). Echocardiography and histological analysis showed that Cbr1 +/- mice were protected from gross and cellular level pathologies associated with doxorubicin treatment. Demonstration that inhibition of carbonyl reductase blocks the toxic effects on the heart has important implications for improving the use of doxorubicin in chemotherapy.
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Within 2 weeks, 91% of wild-type mice were severely affected (n = 11) compared with 18% of Cbr1 +/- mice (n = 11). Echocardiography and histological analysis showed that Cbr1 +/- mice were protected from gross and cellular level pathologies associated with doxorubicin treatment. Demonstration that inhibition of carbonyl reductase blocks the toxic effects on the heart has important implications for improving the use of doxorubicin in chemotherapy.</description><identifier>ISSN: 0008-5472</identifier><identifier>EISSN: 1538-7445</identifier><identifier>PMID: 14583452</identifier><identifier>CODEN: CNREA8</identifier><language>eng</language><publisher>Philadelphia, PA: American Association for Cancer Research</publisher><subject>Alcohol Oxidoreductases - deficiency ; Alcohol Oxidoreductases - genetics ; Alleles ; Animals ; Antibiotics, Antineoplastic - pharmacokinetics ; Antibiotics, Antineoplastic - toxicity ; Antineoplastic agents ; Biological and medical sciences ; Doxorubicin - analogs &amp; derivatives ; Doxorubicin - pharmacokinetics ; Doxorubicin - toxicity ; Electrocardiography - drug effects ; Female ; Heart - drug effects ; Heart Diseases - chemically induced ; Heart Diseases - enzymology ; Heart Diseases - prevention &amp; control ; Medical sciences ; Mice ; Mice, Inbred C57BL ; Mice, Inbred ICR ; Myocardium - enzymology ; Myocardium - pathology ; Pharmacology. 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Cbr1 +/- mice showed decreased circulating levels of the cardiotoxic metabolite, doxorubicinol, after administration. Within 2 weeks, 91% of wild-type mice were severely affected (n = 11) compared with 18% of Cbr1 +/- mice (n = 11). Echocardiography and histological analysis showed that Cbr1 +/- mice were protected from gross and cellular level pathologies associated with doxorubicin treatment. Demonstration that inhibition of carbonyl reductase blocks the toxic effects on the heart has important implications for improving the use of doxorubicin in chemotherapy.</description><subject>Alcohol Oxidoreductases - deficiency</subject><subject>Alcohol Oxidoreductases - genetics</subject><subject>Alleles</subject><subject>Animals</subject><subject>Antibiotics, Antineoplastic - pharmacokinetics</subject><subject>Antibiotics, Antineoplastic - toxicity</subject><subject>Antineoplastic agents</subject><subject>Biological and medical sciences</subject><subject>Doxorubicin - analogs &amp; derivatives</subject><subject>Doxorubicin - pharmacokinetics</subject><subject>Doxorubicin - toxicity</subject><subject>Electrocardiography - drug effects</subject><subject>Female</subject><subject>Heart - drug effects</subject><subject>Heart Diseases - chemically induced</subject><subject>Heart Diseases - enzymology</subject><subject>Heart Diseases - prevention &amp; control</subject><subject>Medical sciences</subject><subject>Mice</subject><subject>Mice, Inbred C57BL</subject><subject>Mice, Inbred ICR</subject><subject>Myocardium - enzymology</subject><subject>Myocardium - pathology</subject><subject>Pharmacology. 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Drug treatments</topic><topic>Pregnancy</topic><topic>Tumors</topic><topic>Weight Loss - drug effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>OLSON, Lisa E</creatorcontrib><creatorcontrib>BEDJA, Djahida</creatorcontrib><creatorcontrib>ALVEY, Sara J</creatorcontrib><creatorcontrib>CARDOUNEL, A. J</creatorcontrib><creatorcontrib>GABRIELSON, Kathleen L</creatorcontrib><creatorcontrib>REEVES, Roger H</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><jtitle>Cancer research (Chicago, Ill.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>OLSON, Lisa E</au><au>BEDJA, Djahida</au><au>ALVEY, Sara J</au><au>CARDOUNEL, A. 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Mice with one functional copy of the gene (Cbr1 +/-) were healthy and grossly normal despite having decreased levels of Cbr1 transcript and protein. Control and Cbr1 +/- mice were administered doxorubicin at 20 mg/kg i.p. Cbr1 +/- mice showed decreased circulating levels of the cardiotoxic metabolite, doxorubicinol, after administration. Within 2 weeks, 91% of wild-type mice were severely affected (n = 11) compared with 18% of Cbr1 +/- mice (n = 11). Echocardiography and histological analysis showed that Cbr1 +/- mice were protected from gross and cellular level pathologies associated with doxorubicin treatment. Demonstration that inhibition of carbonyl reductase blocks the toxic effects on the heart has important implications for improving the use of doxorubicin in chemotherapy.</abstract><cop>Philadelphia, PA</cop><pub>American Association for Cancer Research</pub><pmid>14583452</pmid><tpages>5</tpages></addata></record>
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subjects Alcohol Oxidoreductases - deficiency
Alcohol Oxidoreductases - genetics
Alleles
Animals
Antibiotics, Antineoplastic - pharmacokinetics
Antibiotics, Antineoplastic - toxicity
Antineoplastic agents
Biological and medical sciences
Doxorubicin - analogs & derivatives
Doxorubicin - pharmacokinetics
Doxorubicin - toxicity
Electrocardiography - drug effects
Female
Heart - drug effects
Heart Diseases - chemically induced
Heart Diseases - enzymology
Heart Diseases - prevention & control
Medical sciences
Mice
Mice, Inbred C57BL
Mice, Inbred ICR
Myocardium - enzymology
Myocardium - pathology
Pharmacology. Drug treatments
Pregnancy
Tumors
Weight Loss - drug effects
title Protection from doxorubicin-induced cardiac toxicity in mice with a null allele of carbonyl reductase 1
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