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
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页数:22
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