C57BL/6 小鼠中阿霉素延迟性心脏功能障碍的性别相关差异。

Sex-related differences in delayed doxorubicin-induced cardiac dysfunction in C57BL/6 mice.

机构信息

Department of Experimental and Clinical Pharmacology, University of Minnesota College of Pharmacy, Minneapolis, MN, 55455, USA.

出版信息

Arch Toxicol. 2024 Apr;98(4):1191-1208. doi: 10.1007/s00204-023-03678-y. Epub 2024 Jan 20.

Abstract

Cancer survivors may experience long-term cardiovascular complications due to chemotherapeutic drugs such as doxorubicin (DOX). The exact mechanism of delayed DOX-induced cardiotoxicity has not been fully elucidated. Sex is an important risk factor for DOX-induced cardiotoxicity. In the current study, we identified sex differences in delayed DOX-induced cardiotoxicity and determined the underlying molecular determinants of the observed sexual dimorphism. Five-week-old male and female mice were administered intraperitoneal injections of DOX (4 mg/kg/week) or saline for 6 weeks. Echocardiography was performed 5 weeks after the last dose of DOX to evaluate cardiac function. Thereafter, mice were sacrificed and gene expression of markers of apoptosis, senescence, and inflammation was measured by PCR in hearts and livers. Proteomic profiling of the heart from both sexes was conducted to determine differentially expressed proteins (DEPs). Only DOX-treated male, but not female, mice demonstrated cardiac dysfunction, cardiac atrophy, and upregulated cardiac expression of Nppb and Myh7. No sex-related differences were observed in DOX-induced expression of most apoptotic, senescence, and pro-inflammatory markers. However, the gene expression of Trp53 was significantly reduced in hearts of DOX-treated female mice only. The anti-inflammatory marker Il-10 was significantly reduced in hearts of DOX-treated male mice only, while the pro-inflammatory marker Il-1α was significantly reduced in livers of DOX-treated female mice only. Gene expression of Tnf-α was reduced in hearts of both DOX-treated male and female mice. Proteomic analysis identified several DEPs after DOX treatment in a sex-specific manner, including anti-inflammatory acute phase proteins. This is the first study to assess sex-specific proteomic changes in a mouse model of delayed DOX-induced cardiotoxicity. Our proteomic analysis identified several sexually dimorphic DEPs, many of which are associated with the anti-inflammatory marker Il-10.

摘要

癌症幸存者可能会因化疗药物如多柔比星 (DOX) 而出现长期心血管并发症。确切的迟发性 DOX 诱导性心脏毒性的机制尚未完全阐明。性别是 DOX 诱导性心脏毒性的一个重要危险因素。在本研究中,我们确定了迟发性 DOX 诱导性心脏毒性的性别差异,并确定了观察到的性别二态性的潜在分子决定因素。5 周龄雄性和雌性小鼠接受腹腔注射 DOX(4mg/kg/周)或生理盐水 6 周。在 DOX 最后一次给药后 5 周进行超声心动图检查,以评估心功能。之后,处死小鼠并通过 PCR 测量心脏和肝脏中凋亡、衰老和炎症标志物的基因表达。对来自两性的心脏进行蛋白质组学分析以确定差异表达的蛋白质 (DEPs)。只有 DOX 处理的雄性小鼠,而不是雌性小鼠,表现出心脏功能障碍、心脏萎缩以及 Nppb 和 Myh7 的心脏表达上调。在 DOX 诱导的大多数凋亡、衰老和促炎标志物的表达中未观察到性别相关差异。然而,仅在 DOX 处理的雌性小鼠的心脏中 Trp53 的基因表达显著降低。仅在 DOX 处理的雄性小鼠的心脏中,抗炎标记物 Il-10 显著降低,而仅在 DOX 处理的雌性小鼠的肝脏中,促炎标记物 Il-1α 显著降低。TNF-α 的基因表达在 DOX 处理的雄性和雌性小鼠的心脏中均降低。蛋白质组学分析以性别特异性方式鉴定了 DOX 处理后的几个 DEPs,包括抗炎急性期蛋白。这是评估迟发性 DOX 诱导性心脏毒性的小鼠模型中性别特异性蛋白质组变化的第一项研究。我们的蛋白质组学分析鉴定了几个性别二态性的 DEPs,其中许多与抗炎标记物 Il-10 相关。

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