通过激活 Nrf2/ARE 信号通路和抑制细胞凋亡,基于吲哚的天然化合物 3,3'-二吲哚甲烷(DIM)对阿霉素诱导的心脏毒性和遗传毒性的衰减。
Attenuation of doxorubicin-induced cardiotoxicity and genotoxicity by an indole-based natural compound 3,3'-diindolylmethane (DIM) through activation of Nrf2/ARE signaling pathways and inhibiting apoptosis.
机构信息
a Department of Cancer Chemoprevention , Chittaranjan National Cancer Institute , Kolkata , India.
b Centre of Biomedical Research, SGPGIMS Campus , Lucknow , India.
出版信息
Free Radic Res. 2017 Oct;51(9-10):812-827. doi: 10.1080/10715762.2017.1381694. Epub 2017 Oct 12.
The most crucial complication related to doxorubicin (DOX) therapy is nonspecific cytotoxic effect on healthy normal cells. The clinical use of this broad-spectrum chemotherapeutic agent is restricted due to development of severe form of cardiotoxicity, myelosuppression, and genotoxicity which interfere with therapeutic schedule, compromise treatment outcome and may lead to secondary malignancy. 3,3'-diindolylmethane (DIM) is a naturally occurring plant alkaloid formed by the hydrolysis of indolylmethyl glucosinolate (glucobrassicin). Therefore, the present study was undertaken to investigate the protective role of DIM against DOX-induced toxicity in mice. DOX was administered (5 mg/kg b.w., i.p.) and DIM was administered (25 mg/kg b.w., p.o.) in concomitant and 15 days pretreatment schedule. Results showed that DIM significantly attenuated DOX-induced oxidative stress in the cardiac tissues by reducing the levels of free radicals and lipid peroxidation, and by enhancing the level of glutathione (reduced) and the activity of antioxidant enzymes. The chemoprotective potential of DIM was confirmed by histopathological evaluation of heart and bone marrow niche. Moreover, DIM considerably mitigated DOX-induced clastogenicity, DNA damage, apoptosis, and myeloid hyperplasia in bone marrow niche. In addition, oral administration of DIM significantly (p < .05) stimulated the Nrf2-mediated activation of antioxidant response element (ARE) pathway and promoted expression of ARE-driven cytoprotective proteins, HO-1, NQO1, and glutathione-S-transferase (GST). In connection with that, DIM significantly attenuated DOX-induced apoptosis by upregulation of Bcl-2 expression and downregulation of Bax and caspase-3 expression. Thus, this study suggests that DIM has promising chemoprotective efficacy against DOX-induced toxicity and indicates its future use as an adjuvant in chemotherapy.
阿霉素(DOX)治疗相关的最关键的并发症是对健康正常细胞的非特异性细胞毒性作用。由于发展为严重形式的心脏毒性、骨髓抑制和遗传毒性,这种广谱化疗药物的临床应用受到限制,这些毒性会干扰治疗计划,影响治疗效果,并可能导致继发性恶性肿瘤。3,3'-二吲哚基甲烷(DIM)是一种天然存在的植物生物碱,由吲哚甲基葡萄糖异硫氰酸盐(葡萄糖异硫氰酸盐)水解形成。因此,本研究旨在探讨 DIM 对 DOX 诱导的小鼠毒性的保护作用。DOX (5mg/kg b.w.,腹腔注射)和 DIM (25mg/kg b.w.,口服)同时给药和 15 天预处理方案。结果表明,DIM 通过降低自由基和脂质过氧化水平,增强谷胱甘肽(还原)水平和抗氧化酶活性,显著减轻 DOX 诱导的心脏组织氧化应激。通过对心脏和骨髓龛的组织病理学评价证实了 DIM 的化学保护作用。此外,DIM 可显著减轻 DOX 诱导的骨髓龛中的断裂、DNA 损伤、细胞凋亡和骨髓增生。此外,DIM 的口服给药可显著(p<.05)刺激 Nrf2 介导的抗氧化反应元件(ARE)途径的激活,并促进 ARE 驱动的细胞保护蛋白的表达,HO-1、NQO1 和谷胱甘肽-S-转移酶(GST)。与之相关的是,DIM 通过上调 Bcl-2 的表达和下调 Bax 和 caspase-3 的表达,显著减轻 DOX 诱导的细胞凋亡。因此,本研究表明 DIM 对 DOX 诱导的毒性具有有希望的化学保护作用,并表明其未来可作为化疗的辅助剂使用。