Key result
Polydatin combined with sunitinib significantly reduced iROS, MDA, and LTB4 in cardiomyocytes and renal cancer cells compared to sunitinib alone (P<0.001).
Why the study?
Sunitinib causes dose-related cardiotoxicity, but the putative cardioprotective and chemosensitizing properties of polydatin during sunitinib incubation had not been investigated.
Does polydatin reduce cardiotoxicity and enhance the anticancer effects of sunitinib in human cardiomyocytes and renal adenocarcinoma cells?
Does polydatin reduce cardiotoxicity and enhance the anticancer effects of sunitinib in human cardiomyocytes and renal adenocarcinoma cells?
p-value: p=<0.001
Polydatin acts as a potential nutraceutical agent that reduces sunitinib-induced cardiotoxicity while enhancing its anticancer efficacy in vitro by downregulating the NLRP3-MyD88 pathway.
Cautions against clinical use without trials; leaves open whether cardioprotection improves sunitinib outcomes in renal cancer.
Renal cell carcinoma (RCC) represents the main renal tumors and are highly metastatic. Sunitinib, a recently-approved, multi-targeted Tyrosine Kinases Inhibitor (TKi), prolongs survival in patients with metastatic renal cell carcinoma and gastrointestinal stromal tumors, however a dose related cardiotoxicity was well described. Polydatin (3,4’,5-trihydroxystilbene-3-β-d-glucoside) is a monocrystalline compound isolated from Polygonum cuspidatum with consolidated anti-oxidant and anti-inflammatory properties, however no studies investigated on its putative cardioprotective and chemosensitizing properties during incubation with sunitinib. We investigated on the effects of polydatin on the oxidative stress, NLRP3 inflammasome and Myd88 expression, highlighting on the production of cytokines and chemokines (IL-1β, IL-6, IL-8, CXCL-12 and TGF-β) during treatment with sunitinib. Exposure of cardiomyocytes and cardiomyoblasts (AC-16 and H9C2 cell lines) and human renal adenocarcinoma cells (769‐P and A498) to polydatin combined to plasma-relevant concentrations of sunitinib reduces significantly iROS, MDA and LTB4 compared to only sunitinib-treated cells (P<0.001). In renal cancer cells and cardiomyocytes polydatin reduces expression of pro-inflammatory cytokines and chemokines involved in myocardial damages and chemoresistance and down-regulates the signaling pathway of NLRP3 inflammasome, MyD88 and NF-κB. Data of the present study, although in vitro , indicate that polydatin, besides reducing oxidative stress, reduces key chemokines involved in cancer cell survival, chemoresistance and cardiac damages of sunitinib through downregulation of NLRP3-MyD88 pathway, applying as a potential nutraceutical agent in preclinical studies of preventive cardio-oncology.
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Quagliariello et al. (2021) studied Sunitinib-induced cardiotoxicity and renal cell carcinoma. Polydatin vs. Sunitinib alone was evaluated on iROS, MDA and LTB4 levels (p=<0.001). Polydatin combined with sunitinib significantly reduced iROS, MDA, and LTB4 in cardiomyocytes and renal cancer cells compared to sunitinib alone (P<0.001).
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