Why the study?
Doxorubicin has high cardiotoxicity driven by oxidative stress and ROS overproduction, demanding protective strategies such as vanillin.
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Population
Rat H9c2 cardiomyocytes and osteosarcoma cells
Comparison
Vanillin plus doxorubicin vs doxorubicin alone
Design
In vitro controlled laboratory study
Hypothesis-generating for vanillin in doxorubicin cardiotoxicity; leaves open translation beyond H9c2 cells.
Doxorubicin (doxo) is an effective anticancer compound in several tumor types. However, as a consequence of oxidative stress induction and ROS overproduction, its high cardiotoxicity demands urgent attention. Vanillin possesses antioxidant, antiproliferative, antidepressant and anti-glycating properties. Therefore, we investigated the potential vanillin protective effects against doxo-induced cardiotoxicity in H9c2 cells. Using multiparametric approach, we demonstrated that vanillin restored both cell viability and damage in response to doxo exposure. Contextually, vanillin decreased sub-G1 appearance and caspase-3 and PARP1 activation, reducing the doxo-related apoptosis induction. From a mechanistic point of view, vanillin hindered doxo-induced ROS accumulation and impaired the ERK phosphorylation. Notably, besides the cardioprotective effects, vanillin did not counteract the doxo effectiveness in osteosarcoma cells. Taken together, our results suggest that vanillin ameliorates doxo-induced toxicity in H9c2 cells, opening new avenues for developing alternative therapeutic approaches to prevent the anthracycline-related cardiotoxicity and to improve the long-term outcome of antineoplastic treatment.
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Sirangelo et al. (2020) studied this question.
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