Key result
Trimetazidine inhibits radiation-induced cardiac fibrosis in mice via the CTGF/TGF-β1/Smad pathway.
Why the study?
The effect of trimetazidine on radiation-induced cardiac fibrosis and its molecular mechanism were unknown.
Does trimetazidine prevent radiation-induced cardiac fibrosis in a mouse model?
Does trimetazidine prevent radiation-induced cardiac fibrosis in a mouse model?
Trimetazidine demonstrates a protective effect against radiation-induced cardiac fibrosis in mice by regulating the CTGF/TGF-β1/Smad pathway.
Trimetazidine should not yet alter clinical practice for radiation cardioprotection; hypothesis-generating in mice and requires human trials.
Radiation-induced heart damage is a serious side effect caused by radiotherapy, especially during the treatment of cancer near the chest. Trimetazidine is effective at reducing inflammation in the heart, but how it affects radiation-induced cardiac fibrosis (RICF) is unknown. To investigate the potential effect and molecular mechanism, we designed this project with a C57BL6 male mouse model supposing trimetazidine could inhibit RICF in mice. During the experiment, mice were randomly divided into six groups including a control group (Con), radiation-damaged model group (Mod) and four experimental groups receiving low-dose (10 mg/kg/day) or high-dose (20 mg/kg/day) trimetazidine before or after radiation treatment. Apart from the control group, all mice chests were exposed to 6 MV X-rays at a single dose of 20 Gy to induce RICF, and tissue analysis was done at 8 weeks after irradiation. Fibroblast or interstitial tissues and cardiac fibrosis-like characteristics were determined using haematoxylin and eosin and Masson staining, which can be used to assess myocardial fibrosis. Immunohistochemical analysis and RT-PCR were used to determine gene expression and study the molecular mechanism. As a result, this study suggests that trimetazidine inhibits RICF by reducing gene expression related to myocyte apoptosis and fibrosis formation, i.e. connective tissue growth factor (CTGF), transforming growth factor (TGF)-β1, smad2 and smad3. In conclusion, by regulating the CTGF/TGF-β1/Smad pathway, trimetazidine could be a prospective drug for clinical treatment of RICF.
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Zhang et al. (2020) studied Radiation-induced cardiac fibrosis. Trimetazidine vs. Radiation-damaged model group and healthy control group was evaluated on Cardiac fibrosis-like characteristics and gene expression (CTGF, TGF-β1, smad2, smad3). Trimetazidine inhibited radiation-induced cardiac fibrosis in mice by reducing gene expression related to myocyte apoptosis and fibrosis formation via the CTGF/TGF-β1/Smad pathway.
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