Department of Internal Medicine, Botucatu Medical School, São Paulo State University (UNESP), Botucatu 18618-687, SP, Brazil.
Department of Kinesiology and Sport Management, Texas A&M University, College Station, TX 77843, USA.
Int J Mol Sci. 2024 May 27;25(11):5833. doi: 10.3390/ijms25115833.
Doxorubicin is an effective drug for cancer treatment; however, cardiotoxicity limits its use. Cardiotoxicity pathophysiology is multifactorial. GLP-1 analogues have been shown to reduce oxidative stress and inflammation. In this study, we evaluated the effect of pretreatment with liraglutide on doxorubicin-induced acute cardiotoxicity. A total of 60 male Wistar rats were allocated into four groups: Control (C), Doxorubicin (D), Liraglutide (L), and Doxorubicin + Liraglutide (DL). L and DL received subcutaneous injection of liraglutide 0.6 mg/kg daily, while C and D received saline for 2 weeks. Afterwards, D and DL received a single intraperitoneal injection of doxorubicin 20 mg/kg; C and L received an injection of saline. Forty-eight hours after doxorubicin administration, the rats were subjected to echocardiogram, isolated heart functional study, and euthanasia. Liraglutide-treated rats ingested significantly less food and gained less body weight than animals that did not receive the drug. Rats lost weight after doxorubicin injection. At echocardiogram and isolated heart study, doxorubicin-treated rats had systolic and diastolic function impairment. Myocardial catalase activity was statistically higher in doxorubicin-treated rats. Myocardial protein expression of tumor necrosis factor alpha (TNF-α), phosphorylated nuclear factor-κB (p-NFκB), troponin T, and B-cell lymphoma 2 (Bcl-2) was significantly lower, and the total NFκB/p-NFκB ratio and TLR-4 higher in doxorubicin-treated rats. Myocardial expression of OPA-1, MFN-2, DRP-1, and topoisomerase 2β did not differ between groups ( > 0.05). In conclusion, doxorubicin-induced cardiotoxicity is accompanied by decreased Bcl-2 and phosphorylated NFκB and increased catalase activity and TLR-4 expression. Liraglutide failed to improve acute doxorubicin-induced cardiotoxicity in rats.
多柔比星是一种有效的癌症治疗药物;然而,其心脏毒性限制了它的使用。心脏毒性的发病机制是多因素的。GLP-1 类似物已被证明可减少氧化应激和炎症。在这项研究中,我们评估了预先给予利拉鲁肽对多柔比星引起的急性心脏毒性的影响。将 60 只雄性 Wistar 大鼠随机分为四组:对照组(C)、多柔比星组(D)、利拉鲁肽组(L)和多柔比星+利拉鲁肽组(DL)。L 和 DL 每天接受皮下注射利拉鲁肽 0.6mg/kg,而 C 和 D 则接受生理盐水 2 周。之后,D 和 DL 接受单次腹腔注射多柔比星 20mg/kg;C 和 L 接受生理盐水注射。多柔比星给药 48 小时后,对大鼠进行超声心动图、离体心脏功能研究和安乐死。接受利拉鲁肽治疗的大鼠摄入的食物明显减少,体重增加也低于未接受药物治疗的动物。多柔比星注射后大鼠体重减轻。在超声心动图和离体心脏研究中,多柔比星处理的大鼠出现收缩和舒张功能障碍。多柔比星处理的大鼠心肌过氧化氢酶活性统计学升高。多柔比星处理的大鼠心肌肿瘤坏死因子 alpha(TNF-α)、磷酸化核因子-κB(p-NFκB)、肌钙蛋白 T 和 B 细胞淋巴瘤 2(Bcl-2)的蛋白表达明显降低,而总 NFκB/p-NFκB 比值和 TLR-4 升高多柔比星处理的大鼠。各组大鼠心肌 OPA-1、MFN-2、DRP-1 和拓扑异构酶 2β 的表达无差异(>0.05)。总之,多柔比星诱导的心脏毒性伴随着 Bcl-2 和磷酸化 NFκB 的减少,以及过氧化氢酶活性和 TLR-4 表达的增加。利拉鲁肽未能改善大鼠急性多柔比星诱导的心脏毒性。
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