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非洲蔬菜(叶和籽提取物)有效减轻曲妥珠单抗诱导的Wistar大鼠心脏毒性。

African Vegetables ( Leaf and Seed Extracts) Effectively Mitigate Trastuzumab-Induced Cardiotoxicity in Wistar Rats.

作者信息

Olorundare Olufunke, Adeneye Adejuwon, Akinsola Akinyele, Soyemi Sunday, Mgbehoma Alban, Okoye Ikechukwu, Ntambi James M, Mukhtar Hasan

机构信息

Department of Pharmacology and Therapeutics, Faculty of Basic Medical Sciences, College of Health Sciences, University of Ilorin, Ilorin, Kwara State, Nigeria.

Department of Pharmacology, Therapeutics and Toxicology, Faculty of Basic Clinical Sciences, Lagos State University College of Medicine, 1-5 Oba Akinjobi Way, G.R.A., Ikeja, Lagos State, Nigeria.

出版信息

Oxid Med Cell Longev. 2020 Oct 15;2020:9535426. doi: 10.1155/2020/9535426. eCollection 2020.

Abstract

Trastuzumab () is a humanized monoclonal antibody that has been approved for the clinical management of HER2-positive metastatic breast and gastric cancers but its use is limited by its cumulative dose and off-target cardiotoxicity. Unfortunately, till date, there is no approved antidote to this off-target toxicity. Therefore, an acute study was designed at investigating the protective potential and mechanism(s) of and in -induced cardiotoxicity utilizing cardiac enzyme and oxidative stress markers and histopathological endpoints. 400 mg/kg/day and dissolved in 5% DMSO in sterile water were investigated in Wistar rats injected with 2.25 mg/kg/day/ route of for 7 days, using serum and LDH, complete lipid profile, cardiac tissue oxidative stress markers assays, and histopathological examination of -intoxicated heart tissue. Results showed that 400 mg/kg/day and profoundly attenuated increases in the serum and LDH levels but caused no significant alterations in the serum lipids and weight gain pattern in the treated rats. and profoundly attenuated alterations in the cardiac tissue oxidative stress markers' activities while improving -associated cardiac histological lesions. These results suggest that and could be mediating its cardioprotection via antioxidant, free radical scavenging, and antithrombotic mechanisms, thus, highlighting the therapeutic potentials of and in the management of -mediated cardiotoxicity.

摘要

曲妥珠单抗()是一种人源化单克隆抗体,已被批准用于HER2阳性转移性乳腺癌和胃癌的临床治疗,但其使用受到累积剂量和脱靶心脏毒性的限制。不幸的是,迄今为止,尚无针对这种脱靶毒性的批准解毒剂。因此,设计了一项急性研究,利用心脏酶和氧化应激标志物以及组织病理学终点来研究和在诱导的心脏毒性中的保护潜力和机制。在以2.25 mg/kg/天/途径注射7天的Wistar大鼠中,研究溶解于无菌水中5%二甲基亚砜的400 mg/kg/天的和,采用血清和乳酸脱氢酶、完整血脂谱、心脏组织氧化应激标志物测定以及中毒心脏组织的组织病理学检查。结果表明,400 mg/kg/天的和显著减弱了血清和乳酸脱氢酶水平的升高,但对治疗大鼠的血脂和体重增加模式没有显著改变。和显著减弱了心脏组织氧化应激标志物活性的改变,同时改善了相关的心脏组织学病变。这些结果表明,和可能通过抗氧化、自由基清除和抗血栓形成机制介导其心脏保护作用,因此,突出了和在介导的心脏毒性管理中的治疗潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a4c/7644299/7af57bf84c51/OMCL2020-9535426.001.jpg

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