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January 1, 2025Northern Clinics of IstanbulOpen Access

Caffeic acid phenethyl ester improves doxorubicin-induced myocardial histopathology in rats without altering ECG or biomarkers.

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Why the study?

The protective effect of Caffeic acid phenethyl ester (CAPE) against doxorubicin-induced cardiotoxicity was investigated due to the cardiotoxic effects of doxorubicin.

Does Caffeic acid phenethyl ester (CAPE) prevent doxorubicin-induced cardiotoxicity in Wistar Albino rats?

Comparison

CAPE+DOX vs DOX only, CAPE only, and control

Design

Randomized preclinical study

Key result

Caffeic acid phenethyl ester treatment ameliorated doxorubicin-induced histopathological changes in the myocardium of rats, but did not significantly alter oxidative stress, MMP-2 gene expression, Troponin I levels, or ECG parameters.

Authors

ODOlcay Murat Dişli

Discussion

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Overview

Caffeic acid may protect against doxorubicin toxicity in animals; hypothesis-generating, requires human trials before any clinical consideration.

Structured PICO

Does Caffeic acid phenethyl ester (CAPE) prevent doxorubicin-induced cardiotoxicity in Wistar Albino rats?

P
Population
40 Wistar Albino rats were randomized to evaluate the protective effects of a 10-day treatment with caffeic acid phenethyl ester against doxorubicin-induced cardiotoxicity.
I
Intervention
Caffeic acid phenethyl ester (CAPE) 10 µmol/kg bw + doxorubicin (DOX) 10 mg/kg bw
C
Comparator
Doxorubicin (DOX) only (10 mg/kg bw), CAPE only (10 µmol/kg bw), and vehicle control (saline and 2.5% ethanol)
O
Outcome
Oxidative stress parameters, ECG changes, matrix metalloproteinase 2 (MMP-2) gene expression, troponin I level and histopathologysurrogate

In a rat model, CAPE ameliorated doxorubicin-induced myocardial histopathological damage but did not improve biochemical or electrocardiographic markers of cardiotoxicity.

Limitations

  • Absence of Western blot analysis, immunohistochemistry findings, echocardiographic analysis, and levels of B-type natriuretic peptide
  • Short duration of CAPE administration (10 days)

Cite This Study

Olcay Murat Dişli (2025) studied Doxorubicin-induced cardiotoxicity (n=40). Caffeic acid phenethyl ester (CAPE) vs. Doxorubicin only and Control (saline + 2.5% ethanol) was evaluated on Histopathological changes, oxidative stress parameters, MMP-2 gene expression, Troponin I, and ECG changes. Caffeic acid phenethyl ester treatment ameliorated doxorubicin-induced histopathological changes in the myocardium of rats, but did not significantly alter oxidative stress, MMP-2 gene expression, Troponin I levels, or ECG parameters.

synapsesocial.com/papers/6aaa582bb0403d670f6cb781https://doi.org/10.14744/nci.2025.29566
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Protective effects of caffeic acid phenethyl ester on doxorubicin‐induced cardiotoxicity in rats2004 · 153 citations
  2. 2Caffeic Acid Phenethyl Ester Protects Against Doxorubicin-Induced Cardiotoxicity via Inhibiting the ROS-MLKL-Mediated Cross-Talk Between Oxidative Stress and Necroptosis2025 · 4 citations
  3. 3Effects of caffeic acid phenethyl ester against doxorubicin‐induced neuronal oxidant injury2003 · 29 citations
  4. 4Effects of caffeic acid on doxorubicin induced cardiotoxicity in rats2013 · 16 citations
  5. 5Potential protective effect of catechin on doxorubicin-induced cardiotoxicity in adult male albino rats2021 · 25 citations