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August 15, 2001Journal of Clinical Investigation160 citationsOpen Access

Inhibition of cyclooxygenase-2 aggravates doxorubicin-mediated cardiac injury in vivo

NDN. DowdMSMichael ScullySASharon R. Adderley

Key Result

Coadministration of the selective COX-2 inhibitor SC236 significantly aggravated doxorubicin-induced cardiac injury in rats, increasing plasma lactate dehydrogenase from 578 U/l to 1,552 U/l.

Structured PICO

Does inhibition of COX-2 aggravate doxorubicin-mediated cardiac injury in vivo?

P
Population
Male Sprague Dawley rats (6-8 weeks old) treated with doxorubicin to induce cardiac injury, evaluated over 4 to 24 hours.
I
Intervention
Doxorubicin (15 mg/kg intraperitoneal) coadministered with selective COX-2 inhibitor SC236 (3 mg/kg x2), selective COX-1 inhibitor SC560 (3-10 mg/kg x2), nonselective inhibitor indomethacin (2 mg/kg x2), or prostacyclin analogue iloprost (9 µg/kg in three divided doses)
C
Comparator
Vehicle (DMSO or saline) control, or doxorubicin alone
O
Outcome
Cardiac injury detected as a rise in plasma cardiac troponin T (CTnT), serum lactate dehydrogenase (LDH), and cardiomyocyte apoptosis (TUNEL assay) at 4 hourssurrogate

Inhibition of COX-2 aggravates doxorubicin-induced cardiotoxicity in vivo, suggesting that COX-2 induction is a compensatory protective mechanism mediated by prostacyclin.

Main Result

Absolute Event Rate: 1552% vs 578%

p-value: p=0.02

Limitations

  • Animal model
  • Absence of dose-response data for iloprost
  • Additional mechanisms of cell death induced by DX may not be reversed by iloprost
  • Cannot exclude additional mechanisms of cell death induced by doxorubicin that are not reversed by iloprost
  • Cannot exclude the possibility that a vasodilator response to iloprost provided some degree of protection

Abstract

chemicals were obtained from Sigma Chemical Co.(St.

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Cite This Study

Dowd et al. (2001) studied Doxorubicin-induced cardiac injury. SC236 (COX-2 inhibitor) with Doxorubicin vs. Doxorubicin alone was evaluated on Plasma lactate dehydrogenase (LDH) level at 4 hours (p=0.02). Coadministration of the selective COX-2 inhibitor SC236 significantly aggravated doxorubicin-induced cardiac injury in rats, increasing plasma lactate dehydrogenase from 578 U/l to 1,552 U/l.

synapsesocial.com/papers/6a22b8489433475d0a11cc6chttps://doi.org/10.1172/jci200111334
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