Key result
HSA-Trx ameliorates doxorubicin-induced cardiomyopathy by suppressing myocardial fibrosis and oxidative stress.
Why the study?
Sufficient treatments for heart failure are lacking, and exogenously administered thioredoxin rapidly disappears from blood circulation.
Does HSA-Trx ameliorate doxorubicin-induced cardiomyopathy in mice?
Does HSA-Trx ameliorate doxorubicin-induced cardiomyopathy in mice?
p-value: p=<0.05
HSA-Trx ameliorates doxorubicin-induced cardiomyopathy in mice through anti-oxidative, anti-inflammatory, and myocardial atrophy inhibitory actions.
Should not yet change doxorubicin cardiomyopathy care; leaves open HSA-Trx translation from mice to patients.
Although the number of patients with heart failure is increasing, a sufficient treatment agent has not been established. Oxidative stress and inflammation play important roles in the development of myocardial remodeling. When thioredoxin (Trx), an endogenous anti-oxidative and inflammatory modulator with a molecular weight of 12 kDa, is exogenously administered, it disappears rapidly from the blood circulation. In this study, we prepared a long-acting Trx, by fusing human Trx (HSA-Trx) with human serum albumin (HSA) and evaluated its efficacy in treating drug-induced heart failure. Drug-induced cardiomyopathy was created by intraperitoneally administering doxorubicin (Dox) to mice three times per week. A decrease in heart weight, increased myocardial fibrosis and markers for myocardial damage that were observed in the Dox group were suppressed by HSA-Trx administration. HSA-Trx also suppressed the expression of atrogin-1 and myostatin, myocardial atrophy factors in addition to suppressing oxidative stress and inflammation. In the Dox group, a decreased expression of endogenous Trx in cardiac tissue and an increased expression of macrophage migration inhibitory factor were observed, but these changes were restored to normal levels by HSA-Trx administration. These findings suggest that HSA-Trx improves the pathological condition associated with Dox-induced cardiomyopathy by its anti-oxidative/anti-inflammatory and myocardial atrophy inhibitory action.
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Murata et al. (2022) studied Doxorubicin-induced cardiomyopathy. HSA-Trx (human thioredoxin fused with human serum albumin) vs. PBS (10 mL/kg) was evaluated on Myocardial damage (heart weight, CPK, LDH, fibrosis, oxidative stress, and inflammation markers) (p=<0.05). Administration of HSA-Trx significantly ameliorated doxorubicin-induced cardiomyopathy by suppressing myocardial fibrosis, oxidative stress, inflammation, and myocardial atrophy factors.
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