Why the study?
To investigate whether Gastrodin attenuates doxorubicin-induced cardiomyocyte senescence and apoptosis through regulation of the AMPK/mTOR/4EBP1 signaling pathway and autophagy-related processes.
Does Gastrodin reduce doxorubicin-induced senescence and apoptosis in H9c2 cardiomyocytes?
Does Gastrodin reduce doxorubicin-induced senescence and apoptosis in H9c2 cardiomyocytes?
Gastrodin protects against doxorubicin-induced cardiomyocyte senescence and apoptosis in vitro by activating AMPK-mediated autophagy.
May support gastrodin cardioprotection in anthracycline models; leaves open clinical translation pending in vivo trials.
Objective: To investigate whether Gastrodin (Gas) attenuates doxorubicin (Dox)-induced cardiomyocyte senescence and apoptosis by regulating the AMPK/mTOR/4EBP1 signaling pathway and autophagy-related processes. Methods: A Dox-induced senescence model was established in H9c2 cardiomyocytes, and different concentrations of Gas (0.5 mM and 1 mM) were used for intervention. Senescence phenotypes were evaluated using SA-β-gal staining and senescence-associated proteins (P16, P21, and P53). Furthermore, the autophagy inhibitor 3-MA and the AMPK inhibitor Compound C (CC) were applied. Combined with Western blotting, Annexin V/PI flow cytometry, and immunofluorescence techniques, the expression levels of senescence-related proteins, autophagy-related markers (LC3-II/I, Beclin-1, and p62), and the phosphorylation levels of key proteins in the AMPK/mTOR/4EBP1 signaling pathway were analyzed to explore the potential mechanism of Gas. Results: Compared with the Dox model group, Gas intervention dose-dependently reduced the percentage of SA-β-gal-positive cells, downregulated the protein expression levels of P16, P21, P53, and γ-H2AX, and significantly inhibited apoptosis. Mechanistically, Gas treatment partially ameliorated the abnormalities in autophagy-related markers induced by Dox, as evidenced by increased expression of LC3 and Beclin-1 and decreased accumulation of p62, and this ameliorative effect was partially attenuated by 3-MA. Further signaling pathway analysis demonstrated that Gas significantly increased the p-AMPK/AMPK ratio while decreasing the p-mTOR/mTOR and p-4EBP1/4EBP1 ratios. After AMPK inhibition with CC, the activation effect of Gas on autophagy and its protective effects against senescence and apoptosis were both attenuated. Conclusion: These findings indicate that Gas alleviates Dox-induced cardiomyocyte senescence and apoptosis, and its protective effects may be associated with regulation of the AMPK/mTOR/4EBP1 signaling pathway and improvement of autophagy-related processes.
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Yao et al. (2026) studied this question.
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