Cicek Betul, Hacimuftuoglu Ahmet, Yeni Yesim, Danisman Betul, Ozkaraca Mustafa, Mokhtare Behzad, Kantarci Mecit, Spanakis Marios, Nikitovic Dragana, Lazopoulos Georgios, Tsarouhas Konstantinos, Tsatsakis Aristidis, Taghizadehghalehjoughi Ali
Department of Physiology, Faculty of Medicine, Erzincan Binali Yildirim University, 24100 Erzincan, Turkey.
Department of Medical Pharmacology, Faculty of Medicine, Ataturk University, 25240 Erzurum, Turkey.
J Pers Med. 2023 Apr 10;13(4):649. doi: 10.3390/jpm13040649.
(1) Background: Doxorubicin (DOX) is extensively used for cancer treatments; however, its clinical application is limited because of its cardiotoxic adverse effects. A combination of DOX and agents with cardioprotective properties is an effective strategy to ameliorate DOX-related cardiotoxicity. Polyphenolic compounds are ideal for the investigation of novel cardioprotective agents. Chlorogenic acid (CGA), an essential dietary polyphenol found in plants, has been previously reported to exert antioxidant, cardioprotective, and antiapoptotic properties. The current research evaluated CGA's in vivo cardioprotective properties in DOX-induced cardiotoxicity and the probable mechanisms underlying this protection. (2) Methods: CGA's cardioprotective properties were investigated in rats that were treated with CGA (100 mg/kg, p.o.) for fourteen days. The experimental model of cardiotoxicity was induced with a single intraperitoneal (15 mg/kg i.p.) injection of DOX on the 10th day. (3) Results: Treatment with CGA significantly improved the DOX-caused altered cardiac damage markers (LDH, CK-MB, and cTn-T), and a marked improvement in cardiac histopathological features accompanied this. DOX downregulated the expression of Nrf2/HO-1 signaling pathways, and the CGA reversed this effect. Consistently, caspase-3, an apoptotic-related marker, and dityrosine expression were suppressed, while Nrf2 and HO-1 expressions were elevated in the cardiac tissues of DOX-treated rats after treatment with the CGA. Furthermore, the recovery was confirmed by the downregulation of 8-OHdG and dityrosine (DT) expressions in immunohistochemical findings. (4) Conclusions: CGA demonstrated a considerable cardioprotective effect against DOX-induced cardiotoxicity. One of the possible mechanisms for these protective properties was the upregulation of the Nrf2/HO-1-dependent pathway and the downregulation of DT, which may ameliorate oxidative stress and cardiomyocyte apoptosis. These findings suggest that CGA may be cardioprotective, particularly in patients receiving DOX-based chemotherapy.
(1) 背景:阿霉素(DOX)广泛用于癌症治疗;然而,由于其心脏毒性不良反应,其临床应用受到限制。将DOX与具有心脏保护特性的药物联合使用是减轻DOX相关心脏毒性的有效策略。多酚类化合物是研究新型心脏保护剂的理想选择。绿原酸(CGA)是植物中一种必需的膳食多酚,此前已有报道称其具有抗氧化、心脏保护和抗凋亡特性。当前研究评估了CGA在DOX诱导的心脏毒性中的体内心脏保护特性以及这种保护作用的潜在机制。(2) 方法:在经CGA(100 mg/kg,口服)处理14天的大鼠中研究CGA的心脏保护特性。在第10天通过单次腹腔注射(15 mg/kg腹腔注射)DOX诱导心脏毒性实验模型。(3) 结果:CGA处理显著改善了DOX引起的心脏损伤标志物(乳酸脱氢酶、肌酸激酶同工酶和心肌肌钙蛋白T)的改变,同时心脏组织病理学特征也有显著改善。DOX下调了Nrf2/HO-1信号通路的表达,而CGA逆转了这种作用。同样,在用CGA处理后,DOX处理大鼠的心脏组织中凋亡相关标志物caspase-3和二酪氨酸表达受到抑制,而Nrf2和HO-1表达升高。此外,免疫组化结果中8-羟基脱氧鸟苷和二酪氨酸(DT)表达的下调证实了恢复情况。(4) 结论:CGA对DOX诱导的心脏毒性表现出相当大的心脏保护作用。这些保护特性的可能机制之一是上调Nrf2/HO-1依赖性途径和下调DT,这可能减轻氧化应激和心肌细胞凋亡。这些发现表明CGA可能具有心脏保护作用,特别是在接受基于DOX化疗的患者中。