Internal Medicine Department, Botucatu Medical School, São Paulo State University (UNESP), Botucatu, Brazil.
Internal Medicine Department, Botucatu Medical School, São Paulo State University (UNESP), Botucatu, Brazil.
Nutrition. 2021 Nov-Dec;91-92:111350. doi: 10.1016/j.nut.2021.111350. Epub 2021 Jun 2.
OBJECTIVES: Doxorubicin is a highly effective chemotherapeutic agent for treating several types of cancer; however, it can induce cardiotoxicity. We evaluated the influence of Pera and Moro orange juices on cardiac remodeling induced by acute administration of doxorubicin in rats. METHODS: We allocated 120 male Wistar rats into six groups: control (C), Pera orange juice (PO), Moro orange juice (MO), doxorubicin (D), doxorubicin + Pera orange juice (DPO), and doxorubicin + Moro orange juice (DMO). Groups PO and DPO received Pera orange juice, MO and DMO received Moro orange juice, and C and D received water with maltodextrin (100 g/L) for 4 wk. Subsequently, groups D, DPO, and DMO received 20 mg/kg doxorubicin and C, PO, and MO received saline. Echocardiogram and euthanasia were performed 48 h after doxorubicin injection. Juice and animal-serum flavonoid identification and quantification were evaluated by liquid chromatography/electrospray ionization multistage mass spectrometry. Oxidative stress and myocardial metabolism were evaluated by spectrophotometry. RESULTS: Systolic and diastolic left ventricular dysfunction increased oxidative stress and pathologic changes in myocardial energy metabolism of rats treated with doxorubicin. Intake of both orange juices improved left ventricular function, decreased oxidative stress, and attenuated the myocardial energy metabolism changes. Moro orange juice had a more pronounced effect than Pera orange juice in glutathione peroxidase activity, citrate synthase, and β-hydroxyacyl-CoA dehydrogenase activity. CONCLUSIONS: Pera and Moro orange juices attenuated cardiac remodeling induced by doxorubicin, improved myocardial energy metabolism, and attenuated oxidative stress. However, Moro orange juice was more effective than Pera orange juice in modifying energy metabolism.
目的:多柔比星是治疗多种癌症的高效化疗药物;然而,它会引起心脏毒性。我们评估了佩拉和莫罗橙汁对急性多柔比星给药诱导的大鼠心脏重构的影响。
方法:我们将 120 只雄性 Wistar 大鼠随机分为六组:对照组(C)、佩拉橙汁(PO)、莫罗橙汁(MO)、多柔比星(D)、多柔比星+佩拉橙汁(DPO)和多柔比星+莫罗橙汁(DMO)。PO 和 DPO 组给予佩拉橙汁,MO 和 DMO 组给予莫罗橙汁,C 和 D 组给予含麦芽糖糊精(100 g/L)的水 4 周。随后,D、DPO 和 DMO 组给予 20 mg/kg 多柔比星,C、PO 和 MO 组给予生理盐水。多柔比星注射后 48 小时进行超声心动图检查和安乐死。通过液相色谱/电喷雾电离多级质谱法评估果汁和动物血清类黄酮的鉴定和定量。通过分光光度法评估氧化应激和心肌代谢。
结果:多柔比星治疗的大鼠左心室收缩和舒张功能障碍增加了氧化应激和心肌能量代谢的病理变化。两种橙汁的摄入均改善了左心室功能,降低了氧化应激,并减轻了心肌能量代谢变化。与佩拉橙汁相比,莫罗橙汁在谷胱甘肽过氧化物酶活性、柠檬酸合酶和β-羟酰基辅酶 A 脱氢酶活性方面的作用更为明显。
结论:佩拉和莫罗橙汁减轻了多柔比星引起的心脏重构,改善了心肌能量代谢,减轻了氧化应激。然而,与佩拉橙汁相比,莫罗橙汁在调节能量代谢方面更为有效。
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