Key result
Sophocarpine alleviates doxorubicin-induced heart injury by suppressing oxidative stress and apoptosis via Nrf2/HO-1 activation.
Why the study?
Doxorubicin is an effective anti-tumor drug accompanied by cardiac side effects, prompting exploration of the effects of sophocarpine on doxorubicin-induced heart injury.
Answers are grounded in this paper and cite their sources.
Sophocarpine demonstrates cardioprotective effects against doxorubicin-induced cardiotoxicity in preclinical models by reducing oxidative stress and apoptosis through the Nrf2/HO-1 pathway.
Doxorubicin (DOX) is an effective anti-tumor drug accompanied with many side effects, especially heart injury. To explore what effects of sophocarpine (SOP) on DOX-induced heart injury, this study conducted in vivo experiment and in vitro experiment, and the C57BL/6J mice and the H9C2 cells were used. The experimental methods used included echocardiography, enzyme-linked immunosorbent assay (ELISA), dihydroethidium (DHE) staining, terminal deoxynucleotidyl transferase dUTP nick end labeling (TUNEL) staining, western blotting and so on. Echocardiography showed that SOP alleviated DOX-induced cardiac dysfunction, as evidenced by the improvements of left ventricle ejection fraction and left ventricle fractional shortening. DOX caused upregulations of creatine kinase (CK), creatine kinase-MB (CK-MB) and lactate dehydrogenase (LDH), while SOP reduced these indices. The relevant stainings showed that SOP reversed the increases of total superoxide level induced by DOX. DOX also contribute to a higher level of MDA and lower levels of SOD and GSH, but these changes were suppressed by SOP. DOX increased the pro-oxidative protein level of NOX-4 while decreased the anti-oxidative protein level of SOD-2, but SOP reversed these effects. In addition, this study further discovered that SOP inhibited the decreases of Nrf2 and HO-1 levels induced by DOX. The TUNEL staining revealed that SOP reduced the high degree of apoptosis induced by DOX. Besides, pro-apoptosis proteins like Bax, cleaved-caspase-3 and cytochrome-c upregulated while anti-apoptosis protein like Bcl-2 downregulated when challenged by DOX, but them were suppressed by SOP. These findings suggested that SOP could alleviate DOX-induced heart injury by suppressing oxidative stress and apoptosis, with molecular mechanism activating of the Nrf2/HO-1 signaling pathway.
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Zhang et al. (2024) studied Doxorubicin-induced heart injury (n=24). Sophocarpine vs. Doxorubicin alone or normal saline was evaluated on Cardiac function (LVEF, LVFS) and heart injury biomarkers. Sophocarpine alleviated doxorubicin-induced heart injury by suppressing oxidative stress and apoptosis through the activation of the Nrf2/HO-1 signaling pathway.
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