Synthetic Antioxidant TS-13 Reduces the Cardiotoxicity of Doxorubicin

Q4 Biochemistry, Genetics and Molecular Biology Cell and Tissue Biology Pub Date : 2024-08-12 DOI:10.1134/s1990519x24700445
E. B. Menshchikova, R. A. Knyazev, N. V. Trifonova, N. A. Deeva, A. R. Kolpakov, L.P. Romakh, N. V. Kandalintseva
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Abstract

The antitumor antibiotic doxorubicin, a member of a large group of anthracyclines, is widely and quite effectively used to treat patients with malignant neoplasms. However, a serious side effect of this drug is cardiotoxicity, largely due to the anthracycline’s ability to induce oxidative stress. The purpose of this study was to study the effect of TS-13, a synthetic phenolic antioxidant and activator of the redox-sensitive signaling system of the antioxidant-responsive element Keap1/Nrf2/ARE, on the functional parameters of the isolated rat heart after a course of doxorubicin administration. Male Wistar rats (n = 24) were divided into three groups: control (n = 10); a “doxorubin” group (n = 7), which received three weekly intraperitoneal injections of doxorubicin solution at a cumulative dose of 15 mg/kg; and a “doxorubicin + TS-13” group (n = 7) (doxorubicin was administered according to a similar scheme; TS-13 solution, with drinking water). On the 21st day after the start of the experiment, the presence of a cardioprotective effect of TS-13 was assessed ex vivo using a Langendorff model of the isolated heart. As parameters of myocardial functional activity, coronary flow, heart rate, and pressure in the left ventricle (myocardial contractility) were recorded; the integral indicator of myocardial contractility (performance) was calculated as the product of heart rate and pressure in the left ventricle. The general toxic effect of doxorubicin manifested itself in the form of a significant decrease in the body weight of animals (by 21%), the administration of TS-13 reduced the cachectic effect of the cytostatic. Doxorubicin worsened cardiac function in all the studied parameters (coronary flow, heart rate, myocardial contractility and integral contractility index); the effect persisted throughout the entire period of perfusion (40 min). Animals that received TS-13 per os along with intraperitoneal injections of doxorubicin lost less weight, and the functional activity of isolated hearts significantly improved: coronary flow, pressure in the left ventricle, and performance increased. We have previously shown that the administration of TS-13 not only does not cancel, but even potentiates, the antitumor activity of doxorubicin. The results obtained indicate the prospects of using TS-13 as an adjuvant therapy for malignant neoplasms, enhancing the antineoplastic effect of the cytostatic and neutralizing its side effects, including cardiotoxicity.

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合成抗氧化剂 TS-13 可降低多柔比星对心脏的毒性
摘要 抗肿瘤抗生素多柔比星是一大类蒽环类药物中的一种,被广泛而有效地用于治疗恶性肿瘤患者。然而,这种药物的一个严重副作用是心脏毒性,这主要是由于蒽环类药物能够诱发氧化应激。本研究的目的是研究 TS-13(一种合成酚类抗氧化剂和抗氧化反应元件 Keap1/Nrf2/ARE 的氧化还原敏感信号系统激活剂)对大鼠服用多柔比星后离体心脏功能参数的影响。雄性 Wistar 大鼠(n = 24)分为三组:对照组(n = 10);"多柔比星 "组(n = 7),每周腹腔注射三次多柔比星溶液,累积剂量为 15 毫克/千克;"多柔比星 + TS-13 "组(n = 7)(多柔比星按照类似方案给药;TS-13 溶液与饮用水一起给药)。实验开始后的第 21 天,使用离体心脏的 Langendorff 模型对 TS-13 的心脏保护作用进行了体内外评估。作为心肌功能活动的参数,冠状动脉流量、心率和左心室压力(心肌收缩力)都被记录下来;心肌收缩力的综合指标(性能)被计算为心率和左心室压力的乘积。多柔比星的一般毒性作用表现为动物体重的显著下降(21%),而服用 TS-13 则减轻了细胞抑制剂的慢性疲劳作用。在所有研究参数(冠状动脉流量、心率、心肌收缩力和积分收缩力指数)中,多柔比星都会恶化心脏功能;这种影响在整个灌注期间(40 分钟)持续存在。在腹腔注射多柔比星的同时接受 TS-13 的动物体重减轻,离体心脏的功能活动明显改善:冠状动脉流量、左心室压力和性能均有所提高。我们之前已经证明,服用 TS-13 不仅不会抵消,甚至会增强多柔比星的抗肿瘤活性。研究结果表明,TS-13 可作为恶性肿瘤的辅助疗法,增强细胞抑制剂的抗肿瘤作用,中和其副作用,包括心脏毒性。
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来源期刊
Cell and Tissue Biology
Cell and Tissue Biology Biochemistry, Genetics and Molecular Biology-Cell Biology
CiteScore
0.80
自引率
0.00%
发文量
51
期刊介绍: The journal publishes papers on vast aspects of cell research, including morphology, biochemistry, biophysics, genetics, molecular biology, immunology. The journal accepts original experimental studies, theoretical articles suggesting novel principles and approaches, presentations of new hypotheses, reviews highlighting major developments in cell biology, discussions. The main objective of the journal is to provide a competent representation and integration of research made on cells (animal and plant cells, both in vivo and in cell culture) offering insight into the structure and functions of live cells as a whole. Characteristically, the journal publishes articles on biology of free-living and parasitic protists, which, unlike Metazoa, are eukaryotic organisms at the cellular level of organization.
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