Key result
Nebivolol pretreatment significantly protected against doxorubicin-induced cardiotoxicity in rats, evidenced by decreased expression of caspase-3, eNOS, iNOS, and TNF-α.
Why the study?
Does nebivolol prevent doxorubicin-induced cardiotoxicity in a rat model?
Does nebivolol prevent doxorubicin-induced cardiotoxicity in a rat model?
Absolute Event Rate: 15.94% vs 27.44%
p-value: p=0.03
Nebivolol pretreatment protects against doxorubicin-induced cardiotoxicity in rats by reducing apoptosis and modulating inflammatory and oxidative stress markers.
Should not change cardio-oncology practice; hypothesis-generating for nebivolol in doxorubicin cardiotoxicity.
The cardiotoxicity of doxorubicin is incompletely understood. We investigated the prophylactic effect of nebivolol on doxorubicin-induced cardiac toxicity. Material and methods: Thirty rats were divided into a control group, doxorubicin-treated group and nebivolol + doxorubicin-treated group. The specimens were examined using H + E and Masson's trichrome, caspase 3, endothelial nitric oxide synthase (eNOS), inducible nitric oxide synthase (iNOS) and tumor necrosis factor factor- (TNF-). The mean area percentage of collagen fiber content, caspase-3, eNOS, iNOS and TNF- immunoactivities was measured. Results: The doxorubicin-treated group showed marked myocyte distortion and fragmentation, congestion and cytoplasmic lysis in most fibers. These changes were less intense in the nebivolol-treated group. The mean area percentage of collagen fiber in the nebivolol-treated group was non-significantly smaller (p = 0.07) than that in the doxorubicin-treated group. The expression of caspase-3 (p = 0.03), eNOS (p 0.001), iNOS (p < 0.001) and TNF- (p = 0.003) immunoreactivity was improved in the nebivolol-treated group. Conclusions: Nebivolol exerted a significant protective effect from doxorubicin toxicity. The protective effect appears to be mediated mainly through caspase-3, eNOS, iNOS and TNF- modulation.
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Mohamed et al. (2018) studied Doxorubicin-induced cardiotoxicity (n=30). Nebivolol vs. Doxorubicin alone was evaluated on Mean area percentage of caspase-3 immunoreactivity (p=0.03). Nebivolol pretreatment significantly protected against doxorubicin-induced cardiotoxicity in rats, evidenced by decreased expression of caspase-3, eNOS, iNOS, and TNF-α.
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