Key result
Dasatinib induces dose-dependent cardiomyocyte toxicity and cell death through c-Src kinase inhibition.
Why the study?
Cancer treatment with dasatinib is associated with cardiotoxic side effects, but the underlying molecular mechanisms remained unclear.
p-value: p=<0.001
c-Src is a key target mediating dasatinib-induced cardiotoxicity, suggesting the need for closer cardiac monitoring in patients treated with c-Src inhibitors.
May implicate c-Src in dasatinib cardiotoxicity; hypothesis-generating and should not yet change practice.
Dasatinib is a multitargeted kinase inhibitor used for treatment of chronic myeloid leukemia and acute lymphoblastic leukemia. Unfortunately, treatment of cancer patients with some kinase inhibitors has been associated with cardiotoxicity. Cancer treatment with dasatinib has been reported to be associated with cardiotoxic side effects such as left ventricular dysfunction, heart failure, pericardial effusion and pulmonary hypertension. Here we aimed to investigate the molecular mechanisms underlying the cardiotoxicity of dasatinib. We found that among the resident cardiac cell types, cardiomyocytes were most sensitive to dasatinib-induced cell death. Exposure of cardiomyocytes to dasatinib attenuated the activity of extracellular signal-regulated kinase (ERK), which is a downstream target of dasatinib target kinase c-Src. Similar to dasatinib, c-Src depletion in cardiomyocytes compromised cardiomyocyte viability. Overexpression of dasatinib-resistant mutant of c-Src rescued the toxicity of dasatinib on cardiomyocytes, whereas forced expression of wild type c-Src did not have protective effect. Collectively, our results show that c-Src is a key target of dasatinib mediating the toxicity of dasatinib to cardiomyocytes. These findings may influence future drug design and suggest closer monitoring of patients treated with agents targeting c-Src for possible adverse cardiac effects.
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Elmadani et al. (2023) studied Cardiotoxicity. Dasatinib vs. Vehicle/Control was evaluated on Cardiomyocyte viability and cell death (cellular ATP levels and adenylate kinase release) (p=<0.001). Dasatinib induces dose-dependent cardiomyocyte toxicity and cell death via inhibition of c-Src kinase, an effect that can be rescued by overexpression of a dasatinib-resistant c-Src mutant.
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