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新型甘丙肽受体激动剂对阿霉素诱导大鼠心肌毒性的保护作用。

Protective Effects of a Novel Agonist of Galanin Receptors Against Doxorubicin-Induced Cardiotoxicity in Rats.

机构信息

Laboratory for Myocardial Metabolism, National Medical Research Center for Cardiology, 3rd Cherepkovskaya Str., 15A, Moscow, Russian Federation, 121552.

出版信息

Cardiovasc Toxicol. 2019 Apr;19(2):136-146. doi: 10.1007/s12012-018-9483-x.

Abstract

The clinical use of antineoplastic agent doxorubicin (DOX) is limited due to its cardiotoxic action. [βAla14, His15]-galanine (2-15) (G) is a novel synthetic agonist of galanin receptors GalR1-3 having cardioprotective properties in animal models in vivo. The aim of the present study was to explore effects of G on DOX-induced cardiotoxicity. Wistar rats were divided into four groups and treated with DOX (D group), DOX and G (D + G group), G (G group), and saline (control). Before treatment and at the end of the study, concentration of thiobarbituric acid reactive substances (TBARS) and activity of creatine kinase-MB (CK-MB) were determined in blood plasma, the animals were weighed, and cardiac function was evaluated by echocardiography. At the end of experiments, the hearts were used to determine energy metabolites and mitochondrial respiration in permeabilized fibers. After an 8-week study, D group exhibited a pronounced cardiac failure, the absence of weight gain, an increased plasma TBARS concentration, and CK-MB activity. These disorders were accompanied by a reduced myocardial content of high-energy phosphates and mitochondrial respiratory parameters. Co-administration of G with DOX significantly decreased plasma TBARS level and prevented an increase in plasma CK-MB activity. In D + G group, myocardial contents of ATP, PCr, total adenine nucleotides, and total creatine as well as myocardial PCr/ATP ratio and the respiratory control index were higher than in D group at the end of the experiments. Peptide G significantly improved parameters of left ventricular (LV) function and caused weight gain in animals of D + G group. These results suggest that peptide G may be a potential pharmacological agent that attenuates the cardiotoxic effects of DOX.

摘要

抗肿瘤药物阿霉素(DOX)的临床应用受到其心脏毒性作用的限制。[βAla14,His15]-甘丙肽(2-15)(G)是一种新型甘丙肽受体 GalR1-3 的合成激动剂,在体内动物模型中具有心脏保护作用。本研究旨在探讨 G 对 DOX 诱导的心脏毒性的影响。Wistar 大鼠分为四组,分别用 DOX(D 组)、DOX 和 G(D+G 组)、G(G 组)和生理盐水(对照组)处理。在治疗前和研究结束时,测定血浆中硫代巴比妥酸反应物质(TBARS)浓度和肌酸激酶同工酶-MB(CK-MB)活性,称重,超声心动图评估心功能。实验结束时,用心脏测定心肌通透性纤维中能量代谢物和线粒体呼吸。经过 8 周的研究,D 组出现明显的心力衰竭,体重不增加,血浆 TBARS 浓度和 CK-MB 活性增加。这些紊乱伴随着心肌高能磷酸化合物和线粒体呼吸参数的减少。G 与 DOX 联合应用可显著降低血浆 TBARS 水平,防止血浆 CK-MB 活性升高。在 D+G 组,实验结束时心肌中 ATP、PCr、总腺嘌呤核苷酸和总肌酸含量以及心肌 PCr/ATP 比值和呼吸控制指数均高于 D 组。肽 G 显著改善左心室(LV)功能参数,并使 D+G 组动物体重增加。这些结果表明,肽 G 可能是一种潜在的药理学药物,可减轻 DOX 的心脏毒性作用。

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