Choline Protects the Heart from Doxorubicin-Induced Cardiotoxicity through Vagal Activation and Nrf2/HO-1 Pathway

被引:16
作者
Guo, Fuding [1 ,2 ,3 ,4 ]
Wang, Yueyi [1 ,2 ,3 ,4 ]
Wang, Jun [1 ,2 ,3 ,4 ]
Liu, Zhihao [1 ,2 ,3 ,4 ]
Lai, Yanqiu [1 ,2 ,3 ,4 ]
Zhou, Zhen [1 ,2 ,3 ,4 ]
Liu, Zihan [1 ,2 ,3 ,4 ]
Zhou, Yuyang [1 ,2 ,3 ,4 ]
Xu, Xiao [1 ,2 ,3 ,4 ]
Li, Zeyan [1 ,2 ,3 ,4 ]
Wang, Meng [1 ,2 ,3 ,4 ]
Yu, Fu [1 ,2 ,3 ,4 ]
Hu, Ruijie [1 ,2 ,3 ,4 ]
Zhou, Liping [1 ,2 ,3 ,4 ]
Jiang, Hong [1 ,2 ,3 ,4 ]
机构
[1] Wuhan Univ, Dept Cardiol, Renmin Hosp, Wuhan, Peoples R China
[2] Wuhan Univ, Cardiac Auton Nervous Syst Res Ctr, Wuhan, Peoples R China
[3] Wuhan Univ, Cardiovasc Res Inst, Wuhan, Peoples R China
[4] Hubei Key Lab Cardiol, Wuhan, Peoples R China
基金
中国国家自然科学基金;
关键词
OXIDATIVE STRESS; MYOCARDIAL-INFARCTION; REPERFUSION INJURY; STIMULATION; MECHANISMS; IMPROVEMENT; PREVENTION; APOPTOSIS; FAILURE;
D O I
10.1155/2022/4740931
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
Choline is a precursor of the major neurotransmitter acetylcholine and has been demonstrated beneficial in diverse models of cardiovascular disease. Here, we sought to verify that choline protects the heart from DOX-induced cardiotoxicity and the underlying mechanisms. The results showed that DOX treatment decreased left ventricular ejection fraction and fractional shortening and increased serum cardiac markers and myocardial fibrosis, which were alleviated by cotreatment with choline. DOX-induced cardiotoxicity was accompanied by increases in oxidative stress, inflammation, and apoptosis, which were rectified by choline cotreatment. Levels of nuclear factor erythroid 2-related factor 2 (Nrf2) and heme-oxygenase-1 (HO-1), which are antioxidant markers, were lowered by DOX and upregulated by choline. Moreover, DOX significantly decreased serum acetylcholine levels and the high-frequency component of heart rate variability and increased serum norepinephrine levels and the low-frequency component; these effects were rescued by choline administration. Interestingly, the protective effects of choline could be partially reversed by administration of the muscarinic receptor antagonist atropine. This suggests that choline might be a promising adjunct therapeutic agent to alleviate DOX-induced cardiotoxicity.
引用
收藏
页数:22
相关论文
共 54 条
[1]   Cardiovascular Disease in Survivors of Childhood Cancer: Insights Into Epidemiology, Pathophysiology, and Prevention [J].
Armenian, Saro H. ;
Armstrong, Gregory T. ;
Aune, Gregory ;
Chow, Eric J. ;
Ehrhardt, Matthew J. ;
Ky, Bonnie ;
Moslehi, Javid ;
Mulrooney, Daniel A. ;
Nathan, Paul C. ;
Ryan, Thomas D. ;
van der Pal, Helena J. ;
van Dalen, Elvira C. ;
Kremer, Leontien C. M. .
JOURNAL OF CLINICAL ONCOLOGY, 2018, 36 (21) :2135-2144
[2]   Forsythiae Fructus Inhibits B16 Melanoma Growth Involving MAPKs/Nrf2/HO-1 Mediated Anti-Oxidation and Anti-Inflammation [J].
Bao, Jiaolin ;
Ding, Renbo ;
Zou, Lidi ;
Zhang, Chao ;
Wang, Kai ;
Liu, Fang ;
Li, Peng ;
Chen, Meiwan ;
Wan, Jian-Bo ;
Su, Huanxing ;
Wang, Yitao ;
He, Chengwei .
AMERICAN JOURNAL OF CHINESE MEDICINE, 2016, 44 (05) :1043-1061
[3]   Protective Effect of Boswellic Acids against Doxorubicin-Induced Hepatotoxicity: Impact on Nrf2/HO-1 Defense Pathway [J].
Barakat, Bassant M. ;
Ahmed, Hebatalla I. ;
Bahr, Hoda I. ;
Elbahaie, Alaaeldeen M. .
OXIDATIVE MEDICINE AND CELLULAR LONGEVITY, 2018, 2018
[4]   PARASYMPATHETIC WITHDRAWAL IS AN INTEGRAL COMPONENT OF AUTONOMIC IMBALANCE IN CONGESTIVE-HEART-FAILURE - DEMONSTRATION IN HUMAN-SUBJECTS AND VERIFICATION IN A PACED CANINE MODEL OF VENTRICULAR FAILURE [J].
BINKLEY, PF ;
NUNZIATA, E ;
HAAS, GJ ;
NELSON, SD ;
CODY, RJ .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1991, 18 (02) :464-472
[5]   Anti-inflammatory agents and monoHER protect against DOX-induced cardiotoxicity and accumulation of CML in mice [J].
Bruynzeel, A. M. E. ;
Abou El Hassan, M. A. ;
Schalkwijk, C. ;
Berkhof, J. ;
Bast, A. ;
Niessen, H. W. M. ;
van der Vijgh, W. J. F. .
BRITISH JOURNAL OF CANCER, 2007, 96 (06) :937-943
[6]   Early Detection of Anthracycline Cardiotoxicity and Improvement With Heart Failure Therapy [J].
Cardinale, Daniela ;
Colombo, Alessandro ;
Bacchiani, Giulia ;
Tedeschi, Ines ;
Meroni, Carlo A. ;
Veglia, Fabrizio ;
Civelli, Maurizio ;
Lamantia, Giuseppina ;
Colombo, Nicola ;
Curigliano, Giuseppe ;
Fiorentini, Cesare ;
Cipolla, Carlo M. .
CIRCULATION, 2015, 131 (22) :1981-1988
[7]   Heart rate variability in myocardial infarction and heart failure [J].
Chattipakorn, Nipon ;
Incharoen, Tanat ;
Kanlop, Natnicha ;
Chattipakorn, Siriporn .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 2007, 120 (03) :289-296
[8]   Low-Level Vagus Nerve Stimulation Attenuates Myocardial Ischemic Reperfusion Injury by Antioxidative Stress and Antiapoptosis Reactions in Canines [J].
Chen, Mingxian ;
Zhou, Xiaoya ;
Yu, Lilei ;
Liu, Qiming ;
Sheng, Xia ;
Wang, Zhuo ;
Wang, Songyun ;
Jiang, Hong ;
Zhou, Shenghua .
JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2016, 27 (02) :224-231
[9]   Role of nuclear factor (erythroid-derived 2)-like 2 in the age-resistant properties of the glaucoma trabecular meshwork [J].
Cheng, Jintao ;
Liang, Jiamei ;
Qi, Jinze .
EXPERIMENTAL AND THERAPEUTIC MEDICINE, 2017, 14 (01) :791-796
[10]   Regulated cell death pathways in doxorubicin-induced cardiotoxicity [J].
Christidi, Effimia ;
Brunham, Liam R. .
CELL DEATH & DISEASE, 2021, 12 (04)