Key result
Transient doxorubicin exposure triggers permanent endothelial damage via sustained VEGFR2 downregulation and protein synthesis inhibition.
Why the study?
It is unclear whether and how transient exposure to doxorubicin leads to long-term downregulation of endothelial VEGFR2, essential for endothelial cell function.
Does transient exposure to doxorubicin cause long-lasting VEGFR2 downregulation in endothelial cells?
Does transient exposure to doxorubicin cause long-lasting VEGFR2 downregulation in endothelial cells?
Transient exposure to doxorubicin causes permanent damage to endothelial cells through sustained protein synthesis inhibition and VEGFR2 downregulation, providing a mechanistic basis for its long-term cardiotoxicity.
May underlie persistent doxorubicin cardiotoxicity; hypothesis-generating for VEGFR2-targeted protection in animal models.
Doxorubicin (Dox) is an effective antineoplastic drug with serious cardiotoxic side effects that persist after drug withdrawal and can lead to heart failure. Dysregulation of vascular endothelium has been linked to the development of Dox-induced cardiotoxicity, but it is unclear whether and how transient exposure to Dox leads to long-term downregulation of Endothelial Vascular Endothelial Growth Factor Receptor type2 (VEGFR2), essential for endothelial cells function. Using an in vitro model devised to study the long-lasting effects of brief endothelial cells exposure to Dox, we show that Dox leads to sustained protein synthesis inhibition and VEGFR2 downregulation. Transient Dox treatment led to the development of long-term senescence associated with a reduction in VEGFR2 levels that persisted days after drug withdrawal. By analyzing VEGFR2 turnover, we ruled out that its downregulation was depended on Dox-induced autophagy. Conversely, Dox induced p53 expression, reduced mTOR-dependent translation, and inhibited global protein synthesis. Our data contribute to a mechanistic basis to the permanent damage caused to endothelial cells by short-term Dox treatment.
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Graziani et al. (2022) studied Doxorubicin-induced cardiotoxicity. Doxorubicin was evaluated on VEGFR2 downregulation and protein synthesis inhibition. Transient exposure of endothelial cells to doxorubicin leads to sustained protein synthesis inhibition and long-term downregulation of VEGFR2, contributing to permanent endothelial damage.
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