Key result
Minocycline preserves EF at ~68% versus doxorubicin alone in rats, driven by reduced apoptosis.
Why the study?
Doxorubicin use is limited by dose-dependent cardiotoxicity driven by apoptotic pathways, and minocycline has anti-apoptotic effects that may provide cardioprotection.
Does minocycline prevent doxorubicin-induced cardiotoxicity in male Wistar rats?
Does minocycline prevent doxorubicin-induced cardiotoxicity in male Wistar rats?
Absolute Event Rate: 68% vs 49.57%
p-value: p=<0.001
Minocycline demonstrates protective anti-apoptotic effects against doxorubicin-induced cardiotoxicity in a rat model, preserving left ventricular function.
Minocycline may protect against doxorubicin cardiotoxicity in rats; leaves open translation to human trials.
Background and Aim: Doxorubicin is an effective chemotherapeutic agent. However, use of this drug is limited due to its dose-dependent cardiotoxicity. Activation of apoptotic pathways in myocardial tissue plays an important role in doxorubicin- induced cardiotoxicity. Minocycline is an antibiotic that has anti-apoptotic effects. In this study, we investigated the protective effects of minocycline against doxorubicin-induced cardiac toxicity in male rats. Materials and Methods: Forty two adult male rats were divided into control (normal saline), doxorubicin (2.5 mg / kg), minocycline (45 and 90 mg / kg) and treatment (doxorubicin + minocycline 45 and 90 mg / kg) groups. Minocycline was injected intraperitoneally, once a day for 3 weeks. Ejection fraction (EF) and fractional shortening (FS) were measured using echocardiography. The activity of caspase 3/7 and the expression of Bax and Bcli were measured by biochemical methods. Bax and Bcl-2 genes expression levels were estimated by real-time PCR. Results: In the minocycline-treated groups (45 and 90 mg / kg) the activity of caspase 7/3 and the expression of Bax gene were significantly lower and the levels of EF, FS and Bcl-2 expression were significantly higher than those in the doxorubicin group. Conclusion: Minocycline reduces doxorubicin-induced cardiotoxicity. The anti-apoptotic effects of minocycline may play an important role in its protective effects.
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Piri et al. (2023) studied Doxorubicin-induced cardiotoxicity (n=42). Minocycline vs. Doxorubicin alone (2.5 mg/kg) was evaluated on Ejection fraction (EF) (p=<0.001). Minocycline (45 mg/kg) significantly improved ejection fraction to 68% compared to 49.57% with doxorubicin alone, and reduced apoptotic markers in a rat model of cardiotoxicity.
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