Abstract

This study was undertaken to evaluate the therapeutic potential effect of pentoxifylline (PTX) against arsenic trioxide (ATO)-induced cardiac oxidative damage in mice. Thirty-six male albino mice were divided into six groups and treated intraperitoneally with normal saline (group 1), ATO (5 mg/kg; group 2), PTX (100 mg/kg; group 3), and different doses of PTX (25, 50, and 100 mg/kg; groups 4, 5, and 6, respectively) with ATO. After four weeks, the blood sample was collected for biochemical experiments. In addition, cardiac tissue was removed for assessment of oxidative stress markers and histopathological changes (such as hemorrhage, necrosis, infiltration of inflammatory cells, and myocardial degeneration). The findings showed that ATO caused a significant raise in serum biochemical markers such as lactate dehydrogenase (LDH), creatine phosphokinase (CPK) and troponin-I (cTnI), glucose, total cholesterol (TC), and triglyceride (TG) levels. In addition to histopathological changes in cardiac tissue, ATO led to the significant increase in cardiac lipid peroxidation (LPO) and nitric oxide (NO); remarkable decrease in the activity of cardiac antioxidant enzymes such as catalase (CAT), superoxide dismutase (SOD), and glutathione peroxidase (GPx); and the depletion of the total antioxidant capacity (TAC) and total thiol groups (TTGs). PTX was able to reduce the increased levels of serum cardiac markers (LDH, CPK, cTnI, TC, and TG), cardiac LPO, and improve antioxidant markers (TAC, TTGs, CAT, SOD, and GPx) alongside histopathologic changes. However, no significant changes were observed in elevated serum glucose and cardiac NO levels. In conclusion, the current study showed the potential therapeutic effect of PTX in the prevention of ATO-induced cardiotoxicity via reversing the oxidative stress.

Highlights

  • Arsenic is an environmental contaminant that is widely widespread in water, soil, and air due to its industrial and agricultural applications [1]

  • The present study suggests more evidence to support the involvement of oxidative stress in the pathogenesis of ATOinduced cardiotoxicity

  • The results revealed the link between the antioxidant effects of PTX and its therapeutic potential against cardiac oxidative damage induced by the Arsenic trioxide (ATO)

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Summary

Introduction

Arsenic is an environmental contaminant that is widely widespread in water, soil, and air due to its industrial and agricultural applications [1]. Arsenic trioxide (ATO) is an effective chemotherapeutic drug used in the treatment of acute promyelocytic leukemia (APL), but its usage has been limited because of cardiovascular side effects, such as ventricular tachycardia, QT prolongation, torsade de pointes, and sudden cardiac death [6, 7]. These side effects can be caused through mitochondrial dysfunction and excess generation of reactive oxygen species (ROS) [8], functional changes of ion channels, and disrupted balance of intracellular and extracellular ions [9].

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