Key result
Continuous infusion of low-dose doxorubicin in mice induced early adverse cardiac remodeling and significant transcriptional dysregulation of several histone deacetylases, including downregulation of Hdac2 and upregulation of Hdac4, 5, 6, 7, 10, and 11.
Why the study?
Does low-dose doxorubicin induce early harmful myocardial and transcriptional changes in a mouse model?
Does low-dose doxorubicin induce early harmful myocardial and transcriptional changes in a mouse model?
Low-dose doxorubicin, previously considered safe, induces early adverse myocardial remodeling and epigenetic changes in mice, highlighting HDACs as potential targets for cardioprotection.
Supports doxorubicin dose limits in cancer care; animal data leaves open human cardioprotection trials.
Doxorubicin is a potent chemotherapeutic agent that is widely-used to treat a variety of cancers but causes acute and chronic cardiac injury, severely limiting its use. Clinically, the acute side effects of doxorubicin are mostly manageable, whereas the delayed consequences can lead to life-threatening heart failure, even decades after cancer treatment. The cardiotoxicity of doxorubicin is subject to a critical cumulative dose and so dosage limitation is considered to be the best way to reduce these effects. Hence, a number of studies have defined a "safe dose" of the drug, both in animal models and clinical settings, with the aim of avoiding long-term cardiac effects. Here we show that a dose generally considered as safe in a mouse model can induce harmful changes in the myocardium, as early as 2 weeks after infusion. The adverse changes include the development of fibrotic lesions, disarray of cardiomyocytes and a major transcription dysregulation. Importantly, low-dose doxorubicin caused specific changes in the transcriptional profile of several histone deacetylases (HDACs) which are epigenetic regulators of cardiac remodelling. This suggests that cardioprotective therapies, aimed at modulating HDACs during doxorubicin treatment, deserve further exploration.
No takes yet. Share an insight, caveat, or question.
Piotrowska et al. (2017) studied Doxorubicin-induced cardiomyopathy (n=12). Doxorubicin vs. Vehicle (PBS) was evaluated on Transcriptional alteration of histone deacetylases (HDACs) and cardiac remodeling. Continuous infusion of low-dose doxorubicin in mice induced early adverse cardiac remodeling and significant transcriptional dysregulation of several histone deacetylases, including downregulation of Hdac2 and upregulation of Hdac4, 5, 6, 7, 10, and 11.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: