Key result
Pretreatment with mitochondrial-targeted antioxidants MitoQ (2.5 μM) and SKQ1 (5 μM) significantly improved H9c2 cell viability to 2.19 and 1.65 relative to doxorubicin alone, respectively.
Why the study?
Preconditioning of the heart ameliorates doxorubicin-induced cardiotoxicity, prompting investigation into whether pretreating cardiomyocytes with mitochondrial-targeted antioxidants would provide better protection than co-treatment.
Do mitochondrial-targeted antioxidants (MitoQ, SKQ1) or vitamin C mitigate doxorubicin-induced damage in H9c2 cardiomyoblasts?
Do mitochondrial-targeted antioxidants (MitoQ, SKQ1) or vitamin C mitigate doxorubicin-induced damage in H9c2 cardiomyoblasts?
Pretreatment with mitochondrial-targeted antioxidants MitoQ and SKQ1 provides superior protection against doxorubicin-induced cardiotoxicity in vitro compared to co-treatment, whereas vitamin C offers no significant protection.
Answers are grounded in this paper and cite their sources.
MitoQ pretreatment may confer superior protection vs co-treatment in H9c2 cells; leaves open whether mitochondrial antioxidants prevent clinical doxorubicin cardiotoxicity.
BACKGROUND: Preconditioning of the heart ameliorates doxorubicin (Dox)-induced cardiotoxicity. We tested whether pretreating cardiomyocytes by mitochondrial-targeted antioxidants, mitoquinone (MitoQ) or SKQ1, would provide better protection against Dox than co-treatment. METHODS: We investigated the dose-response relationship of MitoQ, SKQ1, and vitamin C on Dox-induced damage on H9c2 cardiomyoblasts when drugs were given concurrently with Dox (e.g., co-treatment) or 24 h prior to Dox (e.g., pretreatment). Moreover, their effects on intracellular and mitochondrial oxidative stress were evaluated by 2,7-dichlorofluorescin diacetate and MitoSOX, respectively. RESULTS: Dox (0.5-50 μM, n = 6) dose-dependently reduced cell viability. By contrast, co-treatment of MitoQ (0.05-10 μM, n = 6) and SKQ1 (0.05-10 μM, n = 6), but not vitamin C (1-2000 μM, n = 3), significantly improved cell viability only at intermediate doses (0.5-1 μM). MitoQ (1 μM) and SKQ1 (1 μM) significantly increased cell viability to 1.79 ± 0.12 and 1.59 ± 0.08 relative to Dox alone, respectively (both p < 0.05). Interestingly, when given as pretreatment, only higher doses of MitoQ (2.5 μM, n = 9) and SKQ1 (5 μM, n = 7) showed maximal protection and improved cell viability to 2.19 ± 0.13 and 1.65 ± 0.07 relative to Dox alone, respectively (both p < 0.01), which was better than that of co-treatment. Moreover, the protective effects were attributed to the significant reduction in Dox-induced intracellular and mitochondrial oxidative stress. CONCLUSION: The data suggest that MitoQ and SKQ1, but not vitamin C, mitigated DOX-induced damage. Moreover, MitoQ pretreatment showed significantly higher cardioprotection than its co-treatment and SKQ1, which may be due to its better antioxidant effects.
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Sacks et al. (2021) studied Doxorubicin-induced cardiotoxicity. MitoQ and SKQ1 vs. Doxorubicin alone was evaluated on Cell viability relative to Doxorubicin alone (p=<0.01). Pretreatment with mitochondrial-targeted antioxidants MitoQ (2.5 μM) and SKQ1 (5 μM) significantly improved H9c2 cell viability to 2.19 and 1.65 relative to doxorubicin alone, respectively.
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