A REVIEW ON THE CHEMICAL-INDUCED EXPERIMENTAL MODEL OF CARDIOTOXICITY

Monishaa Rai, Akshit Sinha, Supriya Roy
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Abstract

Drug-induced cardiotoxicity is a major concern during drug development, prompting the need for reliable experimental models to thoroughly assess potential cardioprotective drugs. The review delves into the intricacies of various models for drug-induced cardiotoxicity in experimental animals, with a specific focus on streptozotocin, isoprenaline, and antineoplastic drugs like cisplatin, doxorubicin, and 5-fluorouracil in rats and mice. Streptozotocin-induced cardiotoxicity is characterized by oxidative stress, inflammation, and mitochondrial dysfunction, resulting in myocardial damage and impaired cardiac function. Preclinical studies employing streptozotocin-induced cardiotoxicity models have revealed crucial pathways related to diabetic cardiomyopathy, aiding the evaluation of potential cardioprotective interventions. Isoprenaline, a beta-adrenergic agonist, is known for inducing acute myocardial injury resembling cardiac ischemia and heart failure in animals. Its mechanism involves overstimulation of beta-adrenergic receptors, calcium overload, oxidative stress, and apoptosis. Isoprenaline-induced models have offered insights into acute myocardial injury pathophysiology and facilitated the screening of cardioprotective agents against Myocardial Infarction (MI) and injury. Antineoplastic drugs, such as cisplatin, doxorubicin, and 5-fluorouracil, are linked to significant cardiotoxic effects, including cardiomyopathy and heart failure. Animal models have revealed dose-dependent cardiomyopathy, shedding light on underlying mechanisms like oxidative stress, Deoxyribonucleic Acid (DNA) damage, and mitochondrial dysfunction. The article aims to consolidate the current understanding of the pathophysiology and mechanisms behind drug-induced cardiac damage. Additionally, it underscores the importance of using animal models in preclinical evaluations to assess drug safety and efficacy and to develop potential cardioprotective therapies.
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化学物质诱导的心脏毒性实验模型综述
药物诱导的心脏毒性是药物开发过程中的一个主要问题,因此需要可靠的实验模型来全面评估潜在的心脏保护药物。这篇综述深入探讨了各种实验动物药物诱导心脏毒性模型的复杂性,特别关注链脲佐菌素、异丙肾上腺素以及顺铂、多柔比星和 5-氟尿嘧啶等抗肿瘤药物在大鼠和小鼠中的应用。链脲佐菌素诱导的心脏毒性以氧化应激、炎症和线粒体功能障碍为特征,导致心肌损伤和心脏功能受损。采用链脲佐菌素诱导的心脏毒性模型进行的临床前研究揭示了与糖尿病心肌病相关的关键通路,有助于评估潜在的心脏保护干预措施。异丙肾上腺素是一种β肾上腺素能激动剂,可诱发急性心肌损伤,类似于动物的心肌缺血和心力衰竭。其机制包括过度刺激肾上腺素能受体、钙超载、氧化应激和细胞凋亡。异丙肾上腺素诱导的模型使人们对急性心肌损伤的病理生理学有了更深入的了解,并促进了针对心肌梗塞(MI)和损伤的心脏保护药物的筛选。顺铂、多柔比星和 5-氟尿嘧啶等抗肿瘤药物具有明显的心脏毒性作用,包括心肌病和心力衰竭。动物模型揭示了心肌病的剂量依赖性,揭示了氧化应激、脱氧核糖核酸(DNA)损伤和线粒体功能障碍等潜在机制。文章旨在巩固目前对药物诱发心肌损伤背后的病理生理学和机制的认识。此外,文章还强调了在临床前评估中使用动物模型来评估药物安全性和有效性以及开发潜在心脏保护疗法的重要性。
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