Li T, Danelisen I, Belló-Klein A, Singal P K
Institute of Cardiovascular Sciences, St. Boniface General Hospital Research Centre, Winnipeg, Manitoba, Canada.
Cardiovasc Res. 2000 Jun;46(3):523-30. doi: 10.1016/s0008-6363(00)00039-0.
The clinical usefulness of doxorubicin (adriamycin, ADR) is restricted by the risk of developing congestive heart failure. Probucol has been reported to completely prevent ADR cardiomyopathy without interfering with its antitumor effects. The current study investigated the effects of ADR and probucol on antioxidant enzyme gene expression during adriamycin-induced cardiomyopathy in a rat model.
The mRNA abundance by Northern and immunoreactive protein levels by Western blotting of myocardial antioxidant enzymes, glutathione peroxidase (GSHPx), manganese superoxide dismutase (MnSOD) and catalase (CAT) were examined in relation to the enzyme activities in hemodynamically assessed control and treated animals.
At 3 weeks post-treatment duration, ADR caused heart failure which was prevented by probucol. MnSOD mRNA abundance as well as protein levels were depressed by ADR treatment by 45% and 20%, respectively, and this change was prevented by probucol. However, the mRNA and protein levels of GSHPx and CAT were not significantly changed by ADR or probucol. ADR had no effect on SOD activity but this enzyme activity was increased by probucol and probucol plus ADR. GSHPx enzyme activity was decreased and oxidative stress as indicated by TBARS was increased by ADR and these changes were also modulated by probucol.
An increase in oxidative stress, GSHPx inactivation and MnSOD downregulation during ADR cardiomyopathy were prevented by probucol treatment.
阿霉素(多柔比星,ADR)的临床应用因发生充血性心力衰竭的风险而受到限制。据报道,普罗布考可完全预防ADR心肌病,且不干扰其抗肿瘤作用。本研究调查了ADR和普罗布考对阿霉素诱导的大鼠心肌病模型中抗氧化酶基因表达的影响。
通过Northern印迹法检测心肌抗氧化酶谷胱甘肽过氧化物酶(GSHPx)、锰超氧化物歧化酶(MnSOD)和过氧化氢酶(CAT)的mRNA丰度,并通过蛋白质印迹法检测免疫反应性蛋白水平,同时检测血流动力学评估的对照动物和治疗动物中的酶活性。
治疗3周后,ADR导致心力衰竭,而普罗布考可预防。ADR治疗使MnSOD的mRNA丰度和蛋白水平分别降低45%和20%,而普罗布考可预防这种变化。然而,GSHPx和CAT的mRNA和蛋白水平未因ADR或普罗布考而发生显著变化。ADR对SOD活性无影响,但普罗布考及普罗布考加ADR可增加该酶活性。ADR使GSHPx酶活性降低,丙二醛(TBARS)所示的氧化应激增加,而这些变化也受普罗布考调节。
普罗布考治疗可预防ADR心肌病期间氧化应激增加、GSHPx失活和MnSOD下调。