Key result
Dexrazoxane failed to prevent doxorubicin-induced endothelial dysfunction and hypocontraction in mice following 16 hours of exposure.
Why the study?
Although dexrazoxane is effective for doxorubicin-induced cardiotoxicity, whether it prevents doxorubicin-associated vascular toxicity remains unknown.
Does dexrazoxane prevent early vascular toxicity induced by doxorubicin in a murine model?
Does dexrazoxane prevent early vascular toxicity induced by doxorubicin in a murine model?
Dexrazoxane fails to prevent acute doxorubicin-induced vascular toxicity in mice, indicating its protective effects may not extend to the vasculature in the early phase of treatment.
DEXRA cardioprotection does not extend to acute vascular injury; leaves open benefit with chronic or repetitive DOX dosing.
Apart from cardiotoxicity, the chemotherapeutic agent doxorubicin (DOX) provokes acute and long-term vascular toxicity. Dexrazoxane (DEXRA) is an effective drug for treatment of DOX-induced cardiotoxicity, yet it remains currently unknown whether DEXRA prevents vascular toxicity associated with DOX. Accordingly, the present study aimed to evaluate the protective potential of DEXRA against DOX-related vascular toxicity in a previously-established in vivo and ex vivo model of vascular dysfunction induced by 16 hour (h) DOX exposure. Vascular function was evaluated in the thoracic aorta in organ baths, 16h after administration of DOX (4 mg/kg) or DOX with DEXRA (40 mg/kg) to male C57BL6/J mice. In parallel, vascular reactivity was evaluated after ex vivo incubation (16h) of murine aortic segments with DOX (1 μM) or DOX with DEXRA (10 μM). In both in vivo and ex vivo experiments, DOX impaired acetylcholine-stimulated endothelium-dependent vasodilation. In the ex vivo setting, DOX additionally attenuated phenylephrine-elicited vascular smooth muscle cell (VSMC) contraction. Importantly, DEXRA failed to prevent DOX-induced endothelial dysfunction and hypocontraction. Furthermore, RT-qPCR and Western blotting showed that DOX decreased the protein levels of topoisomerase-IIβ (TOP-IIβ), a key target of DEXRA, in the heart, but not in the aorta. Additionally, the effect of N-acetylcysteine (NAC, 10 μM), a reactive oxygen species (ROS) scavenger, was evaluated ex vivo. NAC did not prevent DOX-induced impairment of acetylcholine-stimulated vasodilation. In conclusion, our results show that DEXRA fails to prevent vascular toxicity resulting from 16h DOX treatment. This may relate to DOX provoking vascular toxicity in a ROS- and TOP-IIβ-independent way, at least in the evaluated acute setting. However, it is important to mention that these findings only apply to the acute (16h) treatment period, and further research is warranted to delineate the therapeutic potential of DEXRA against vascular toxicity associated with longer-term repetitive DOX dosing.
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Bosman et al. (2023) studied Doxorubicin-induced vascular toxicity. Dexrazoxane vs. Doxorubicin alone was evaluated on Acetylcholine-stimulated endothelium-dependent vasodilation and phenylephrine-elicited vascular smooth muscle cell contraction. Dexrazoxane failed to prevent doxorubicin-induced endothelial dysfunction and hypocontraction in mice following 16 hours of exposure.
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