Why the study?
Use of the anticancer drug doxorubicin is limited by its cardiotoxicity, prompting investigation into whether a synthetic galanin receptor agonist could protect against cardiomyopathy.
Does the synthetic galanin receptor agonist peptide G prevent doxorubicin-induced cardiomyopathy and metabolic dysfunction in rats?
Does the synthetic galanin receptor agonist peptide G prevent doxorubicin-induced cardiomyopathy and metabolic dysfunction in rats?
The synthetic galanin receptor agonist peptide G mitigates doxorubicin-induced cardiotoxicity in rats by improving myocardial energy metabolism and reducing oxidative stress.
Should not change clinical practice; leaves open whether galanin receptor agonism prevents doxorubicin cardiomyopathy in humans.
The use of the anticancer drug doxorubicin (Dox) is limited by its cardiotoxic effect. The aim of this work was to study the effect of a new synthetic agonist of the galanin receptor GalR1-3 [βAla14, His15]-galanine (2-15) (G) on the metabolism, antioxidant enzyme activity, and cardiac function in rats with cardiomyopathy (CM) caused by chronic administration of Dox. Coadministration of peptide G and Dox significantly increased the fractional shortening (FS) and ejection fraction (EF) by an average of 30 ± 4% compared with the indices in the Dox group. The reduced severity of cardiac dysfunction under the action of G was accompanied by a 2.5-fold decrease in the activity of creatine kinase-MB (CK-MB) in blood plasma. The protective mechanism of the action of peptide G is caused by a reduced lipid peroxidation (LP) that is due to the increased activity of Cu,Zn superoxide dismutase (Cu,Zn-SOD) and glutathione peroxidase (GSH-Px) in the damaged heart. Administration of peptide G significantly increased the adenine nucleotide pool (ΣAH), ATP content, and the levels of phosphocreatine (PCr) and total creatine (ΣCr) in the damaged myocardium. It also reduced lactate accumulation relative to its content in the Dox group. The better energy supply of cardiomyocytes after treatment with peptide G prevented the accumulation of cytotoxic ammonia and disruption in the metabolism of the key myocardial amino acids (glutamic acid (Glu), aspartic acid (Asp), and alanine (Ala)). Peptide G significantly improved the morphological parameters of the heart in rats treated with Dox. The results show promise in using peptide G to efficiently correct functional, morphological, and metabolic damage to the heart caused by anthracycline chemotherapy.
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Студнева et al. (2020) studied this question.
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