Key result
Exposure of hiPCS-CMs to 1 µM doxorubicin suppressed cardiac troponin gene expression and caused marked reorganization and collapse of the troponin network.
Why the study?
While cardiac troponins are used for early recognition of cancer therapeutics-related cardiac dysfunction, the dynamics of cardiomyocyte response to doxorubicin regarding troponin expression and organization remained to be investigated.
Does doxorubicin alter the expression and organization of cardiac troponins in human induced pluripotent stem cell-derived cardiomyocytes?
Does doxorubicin alter the expression and organization of cardiac troponins in human induced pluripotent stem cell-derived cardiomyocytes?
Doxorubicin induces direct cardiotoxicity in human cardiomyocytes by disrupting the expression and structural organization of cardiac troponins, providing mechanistic insight into cancer therapeutics-related cardiac dysfunction.
hiPSC-CM model links doxorubicin to troponin changes; leaves open whether these markers improve early cardiotoxicity detection beyond current troponin use.
Modern diagnostic strategies for early recognition of cancer therapeutics-related cardiac dysfunction involve cardiac troponins measurement. Still, the role of other markers of cardiotoxicity is still unclear. The present study was designed to investigate dynamics of response of human cardiomyocytes derived from induced pluripotent stem cells (hiPCS-CMs) to doxorubicin with the special emphasis on their morphological changes in relation to expression and organization of troponins. The hiPCS-CMs were treated with doxorubicin concentrations (1 and 0.3 µM) for 48 h and followed for next up to 6 days. Exposure of hiPCS-CMs to 1 µM doxorubicininduced suppression of both cardiac troponin T (cTnT) and cardiac troponin I (cTnI) gene expression. Conversely, lower 0.3 µM doxorubicin concentration produced no significant changes in the expression of aforementioned genes. However, the intracellular topography, arrangement, and abundance of cardiac troponin proteins markedly changed after both doxorubicin concentrations. In particular, at 48 h of treatment, both cTnT and cTnI bundles started to reorganize, with some of them forming compacted shapes extending outwards and protruding outside the cells. At later intervals (72 h and onwards), the whole troponin network collapsed and became highly disorganized following, to some degree, overall changes in the cellular shape. Moreover, membrane permeability of cardiomyocytes was increased, and intracellular mitochondrial network rearranged and hypofunctional. Together, our results demonstrate complex effects of clinically relevant doxorubicin concentrations on hiPCS-CM cells including changes in cTnT and cTnI, but also in other cellular compartments contributing to the overall cytotoxicity of this class of cytostatics.
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Adamcová et al. (2019) studied Doxorubicin-induced cardiotoxicity. Doxorubicin was evaluated on Morphological changes in relation to expression and organization of troponins. Exposure of hiPCS-CMs to 1 µM doxorubicin suppressed cardiac troponin gene expression and caused marked reorganization and collapse of the troponin network.
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