Abstract

Oxidative stress and cardiomyocytes apoptosis were closely involved in the pathological process of doxorubicin- (Dox-) induced cardiac injury. MicroRNA-451 (miR-451) was mainly expressed in cardiomyocytes. However, the role of miR-451 in Dox-induced cardiac injury remained unclear. Our study aimed to investigate the effect of miR-451 on Dox-induced cardiotoxicity in mice. We established a Dox-induced cardiotoxicity model in the mice and manipulated miR-451 expression in the heart using a miR-451 inhibitor, which was injected every other day beginning at one day before Dox injection. Oxidative stress and apoptosis in the hearts were evaluated. miR-451 levels were significantly increased in Dox-treated mice or cardiomyocytes. miR-451 inhibition attenuated Dox-induced whole-body wasting and heart atrophy, reduced cardiac injury, restored cardiac function, and improved cardiomyocyte contractile function. Moreover, miR-451 inhibition reduced oxidative stress and cardiomyocytes apoptosis in vivo and in vitro. miR-451 inhibition increased the expression of calcium binding protein 39 (Cab39) and activated adenosine monophosphate activated protein kinase (AMPK) signaling pathway. A specific inhibitor of AMPK abolished the protection provided by miR-451 inhibition against cell injury in vitro. In conclusion, miR-451 inhibition protected against Dox-induced cardiotoxicity via activation of AMPK signaling pathway.

Highlights

  • Doxorubicin (Dox) is an anthracycline cytostatic agent, which has been commonly used to treat solid tumors, lymphomas, and child leukemias [1]

  • A previous report demonstrated that miR-451 had a high expression in the hearts, and miR-451 mainly located in the cardiac myocytes [12]

  • MiR-451 has been shown to play a key role in the pathogenesis of diabetic cardiomyopathy in obese mice [12], miR-451 has not been further investigated for additional function in the hearts, especially in Doxinduced cardiac injury

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Summary

Introduction

Doxorubicin (Dox) is an anthracycline cytostatic agent, which has been commonly used to treat solid tumors, lymphomas, and child leukemias [1]. Dox administration resulted in the arrest of cell cycle and inhibited the proliferation of tumor cells [2]. Dox caused cumulative dose-limiting toxicity, which could result in irreversible degenerative cardiomyopathy and heart failure with long-term heart problems [3]. The mechanism of Dox-induced cardiotoxicity involved the generation of oxidative stress, DNA damage, and cardiomyocytes loss [4, 5]. There was no effective approach to prevent Dox-related cardiotoxicity. Development of novel interventions that can inhibit these pathological alterations will reduce or prevent this complication related to Dox in patients with tumor

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