[HTML][HTML] Nrf2 deficiency exaggerates doxorubicin-induced cardiotoxicity and cardiac dysfunction

S Li, W Wang, T Niu, H Wang, B Li, L Shao… - … medicine and cellular …, 2014 - hindawi.com
S Li, W Wang, T Niu, H Wang, B Li, L Shao, Y Lai, H Li, JS Janicki, XL Wang, D Tang, T Cui
Oxidative medicine and cellular longevity, 2014hindawi.com
The anticancer therapy of doxorubicin (Dox) has been limited by its acute and chronic
cardiotoxicity. In addition to a causative role of oxidative stress, autophagy appears to play
an important role in the regulation of Dox-induced cardiotoxicity. However, the underlying
mechanisms remain unclear. Accordingly, we explored a role of nuclear factor erythroid-2
related factor 2 (Nrf2) in Dox-induced cardiomyopathy with a focus on myocardial oxidative
stress and autophagic activity. In wild type (WT) mice, a single intraperitoneal injection of 25 …
The anticancer therapy of doxorubicin (Dox) has been limited by its acute and chronic cardiotoxicity. In addition to a causative role of oxidative stress, autophagy appears to play an important role in the regulation of Dox-induced cardiotoxicity. However, the underlying mechanisms remain unclear. Accordingly, we explored a role of nuclear factor erythroid-2 related factor 2 (Nrf2) in Dox-induced cardiomyopathy with a focus on myocardial oxidative stress and autophagic activity. In wild type (WT) mice, a single intraperitoneal injection of 25 mg/kg Dox rapidly induced cardiomyocyte necrosis and cardiac dysfunction, which were associated with oxidative stress, impaired autophagy, and accumulated polyubiquitinated protein aggregates. However, these Dox-induced adverse effects were exaggerated in Nrf2 knockout (Nrf2−/−) mice. In cultured cardiomyocytes, overexpression of Nrf2 increased the steady levels of LC3-II, ameliorated Dox-induced impairment of autophagic flux and accumulation of ubiquitinated protein aggregates, and suppressed Dox-induced cytotoxicity, whereas knockdown of Nrf2 exerted opposite effects. Moreover, the exaggerated adverse effects in Dox-intoxicated Nrf2 depleted cardiomyocytes were dramatically attenuated by forced activation of autophagy via overexpression of autophagy related gene 5 (Atg5). Thus, these results suggest that Nrf2 is likely an endogenous suppressor of Dox-induced cardiotoxicity by controlling both oxidative stress and autophagy in the heart.
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