Key result
High-dose Aidi injection reduced doxorubicin-induced cardiotoxicity by inhibiting CBR1 protein expression by 32.3% and reducing doxorubicinol levels in heart, serum, and H9c2 cells.
Why the study?
Aidi injection ameliorates doxorubicin-induced cardiotoxicity clinically, but the underlying mechanism remains unknown.
Does Aidi injection reduce doxorubicin-induced cardiotoxicity in preclinical models?
Does Aidi injection reduce doxorubicin-induced cardiotoxicity in preclinical models?
Aidi injection ameliorates doxorubicin-induced cardiotoxicity in preclinical models by inhibiting carbonyl reductase 1 (CBR1) expression and reducing toxic doxorubicinol levels.
Supports preclinical testing of Aidi for doxorubicin cardiotoxicity; leaves open clinical translation pending human trials.
CONTEXT: Aidi injection (ADI), a traditional Chinese medicine antitumor injection, is usually combined with doxorubicin (DOX) for the treatment of malignant tumours. The cardiotoxicity of DOX is ameliorated by ADI in the clinic. However, the relevant mechanism is unknown. OBJECTIVE: To investigate the effects of ADI on DOX-induced cardiotoxicity and its mechanism. MATERIALS AND METHODS: 0.1 or 0.2 mL/10 g) for two weeks. Heart pathology and levels of AST, LDH, CK, CK-MB and BNP were assessed. H9c2 cells were treated with DOX in the presence or absence of ADI (1, 4, 10%). Cell viability, caspase-3 activity, nuclear morphology, and CBR1 expression were then evaluated. DOX and doxorubicinol (DOXol) concentrations in heart, liver, kidneys, serum, and cells were analysed by UPLC-MS/MS. RESULTS: High-dose ADI significantly reduced DOX-induced pathological changes and the levels of AST, LDH, CK, CK-MB and BNP to normal. Combined treatment with ADI (1, 4, 10%) improved the cell viability, and IC50 increased from 68.51 μM (DOX alone) to 83.47, 176.9, and 310.8 μM, reduced caspase-3 activity by 39.17, 43.96, and 61.82%, respectively. High-dose ADI inhibited the expression of CBR1 protein by 32.3%, reduced DOXol levels in heart, serum and H9c2 cells by 59.8, 72.5 and 48.99%, respectively. DISCUSSION AND CONCLUSIONS: ADI reduces DOX-induced cardiotoxicity by inhibiting CBR1 expression, which provides a scientific basis for the rational use of ADI.
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Lü et al. (2022) studied Doxorubicin-induced cardiotoxicity. Aidi injection (ADI) vs. Doxorubicin alone was evaluated on Cardiotoxicity (pathological changes, cardiac biomarkers, cell viability, caspase-3 activity, CBR1 expression, DOXol levels). High-dose Aidi injection reduced doxorubicin-induced cardiotoxicity by inhibiting CBR1 protein expression by 32.3% and reducing doxorubicinol levels in heart, serum, and H9c2 cells.
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