Why the study?
Doxorubicin use is limited by cardiotoxicity, and while low-dose radiation was shown to mitigate this toxicity, its molecular targets and protective mechanisms remained not understood.
Does low-dose radiation pretreatment prevent doxorubicin-induced myocardial injury in Balb/c mice?
Does low-dose radiation pretreatment prevent doxorubicin-induced myocardial injury in Balb/c mice?
Low-dose radiation pretreatment protects against doxorubicin-induced cardiotoxicity in mice by preserving mitochondrial function and ATP production.
LDR may mitigate DOX cardiotoxicity via mitochondrial pathways in mice; leaves open clinical translation and requires prospective human studies.
The use of doxorubicin (DOX) as an anthraquinone antineoplastic agent is limited due to its cardiotoxicity. Our previous study suggested that low-dose radiation (LDR) could mitigate the cardiotoxicity induced by DOX via suppressing oxidative stress and cell apoptosis. However, the molecular targets and protective mechanism of LDR are not understood. In the present study, we sought to investigate the mechanisms underlying LDR's cardioprotection. Balb/c mice were randomly divided into four groups: Control group (no treatment), DOX group, LDR group (75 mGy), and LDR-72 h-DOX group (LDR pretreatment followed by intraperitoneal injection of DOX). Electron microscopy, PCR, and Western blot analyses indicated that LDR pretreatment mitigated changes in mitochondrial morphology caused by DOX, upregulated activity of mitochondrial complexes, and restored ATP levels in cardiomyocytes that were decreased by DOX. Whole genome microarray and PCR analyses showed that mitochondrial-related genes were altered by LDR pretreatment. Thus, our study showed that LDR can protect cardiomyocytes against DOX through improving mitochondrial function and increasing ATP production. This research could inform DOX chemotherapy strategies and provide new insight into the molecule mechanisms underlying the cardioprotective effects of LDR.
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Zhao et al. (2023) studied this question.
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