Aidi injection reduces doxorubicin-induced cardiotoxicity by inhibiting carbonyl reductase 1 expression

Context Aidi injection (ADI), a traditional Chinese medicine antitumor injection, is usually combined with doxorubicin (DOX) for the treatment of malignant tumours. The cardiotoxicity of DOX is ameliorated by ADI in the clinic. However, the relevant mechanism is unknown.Objective To investigate the...

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Main Authors: Yuan Lu, Wen Liu, Ting Lv, Yanli Wang, Ting Liu, Yi Chen, Yang Jin, Jin Huang, Lin Zheng, Yong Huang, Yan He, Yongjun Li
Format: Article
Language:English
Published: Taylor & Francis Group 2022-12-01
Series:Pharmaceutical Biology
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/13880209.2022.2110127
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author Yuan Lu
Wen Liu
Ting Lv
Yanli Wang
Ting Liu
Yi Chen
Yang Jin
Jin Huang
Lin Zheng
Yong Huang
Yan He
Yongjun Li
author_facet Yuan Lu
Wen Liu
Ting Lv
Yanli Wang
Ting Liu
Yi Chen
Yang Jin
Jin Huang
Lin Zheng
Yong Huang
Yan He
Yongjun Li
author_sort Yuan Lu
collection DOAJ
description Context Aidi injection (ADI), a traditional Chinese medicine antitumor injection, is usually combined with doxorubicin (DOX) for the treatment of malignant tumours. The cardiotoxicity of DOX is ameliorated by ADI in the clinic. However, the relevant mechanism is unknown.Objective To investigate the effects of ADI on DOX-induced cardiotoxicity and its mechanism.Materials and methods ICR mice were randomly divided into six groups: control, ADI-L, ADI-H, DOX, DOX + ADI-L and DOX + ADI-H. DOX (i.p., 0.03 mg/10 g) was administered in the presence or absence of ADI (i.p., 0.1 or 0.2 mL/10 g) for two weeks. Heart pathology and levels of AST, LDH, CK, CK-MB and BNP were assessed. H9c2 cells were treated with DOX in the presence or absence of ADI (1, 4, 10%). Cell viability, caspase-3 activity, nuclear morphology, and CBR1 expression were then evaluated. DOX and doxorubicinol (DOXol) concentrations in heart, liver, kidneys, serum, and cells were analysed by UPLC-MS/MS.Results High-dose ADI significantly reduced DOX-induced pathological changes and the levels of AST, LDH, CK, CK-MB and BNP to normal. Combined treatment with ADI (1, 4, 10%) improved the cell viability, and IC50 increased from 68.51 μM (DOX alone) to 83.47, 176.9, and 310.8 μM, reduced caspase-3 activity by 39.17, 43.96, and 61.82%, respectively. High-dose ADI inhibited the expression of CBR1 protein by 32.3%, reduced DOXol levels in heart, serum and H9c2 cells by 59.8, 72.5 and 48.99%, respectively.Discussion and Conclusions ADI reduces DOX-induced cardiotoxicity by inhibiting CBR1 expression, which provides a scientific basis for the rational use of ADI.
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spelling doaj.art-04b941f61047447589391cdb7206c2d42022-12-22T03:44:52ZengTaylor & Francis GroupPharmaceutical Biology1388-02091744-51162022-12-016011616162410.1080/13880209.2022.2110127Aidi injection reduces doxorubicin-induced cardiotoxicity by inhibiting carbonyl reductase 1 expressionYuan Lu0Wen Liu1Ting Lv2Yanli Wang3Ting Liu4Yi Chen5Yang Jin6Jin Huang7Lin Zheng8Yong Huang9Yan He10Yongjun Li11State Key Laboratory of Functions and Applications of Medicinal Plants, Guizhou Provincial Key Laboratory of Pharmaceutics, Guizhou Medical University, Guiyang, ChinaThe Affiliated Hospital of Guizhou Medical University, Guiyang, ChinaSchool of Pharmacy, Guizhou Medical University, Guiyang, ChinaSchool of Pharmacy, Guizhou Medical University, Guiyang, ChinaEngineering Research Center for the Development and Application of Ethnic Medicine and TCM (Ministry of Education), Guizhou Medical University, Guiyang, ChinaSchool of Pharmacy, Guizhou Medical University, Guiyang, ChinaSchool of Pharmacy, Guizhou Medical University, Guiyang, ChinaSchool of Pharmacy, Guizhou Medical University, Guiyang, ChinaState Key Laboratory of Functions and Applications of Medicinal Plants, Guizhou Provincial Key Laboratory of Pharmaceutics, Guizhou Medical University, Guiyang, ChinaState Key Laboratory of Functions and Applications of Medicinal Plants, Guizhou Provincial Key Laboratory of Pharmaceutics, Guizhou Medical University, Guiyang, ChinaThe Affiliated Hospital of Guizhou Medical University, Guiyang, ChinaEngineering Research Center for the Development and Application of Ethnic Medicine and TCM (Ministry of Education), Guizhou Medical University, Guiyang, ChinaContext Aidi injection (ADI), a traditional Chinese medicine antitumor injection, is usually combined with doxorubicin (DOX) for the treatment of malignant tumours. The cardiotoxicity of DOX is ameliorated by ADI in the clinic. However, the relevant mechanism is unknown.Objective To investigate the effects of ADI on DOX-induced cardiotoxicity and its mechanism.Materials and methods ICR mice were randomly divided into six groups: control, ADI-L, ADI-H, DOX, DOX + ADI-L and DOX + ADI-H. DOX (i.p., 0.03 mg/10 g) was administered in the presence or absence of ADI (i.p., 0.1 or 0.2 mL/10 g) for two weeks. Heart pathology and levels of AST, LDH, CK, CK-MB and BNP were assessed. H9c2 cells were treated with DOX in the presence or absence of ADI (1, 4, 10%). Cell viability, caspase-3 activity, nuclear morphology, and CBR1 expression were then evaluated. DOX and doxorubicinol (DOXol) concentrations in heart, liver, kidneys, serum, and cells were analysed by UPLC-MS/MS.Results High-dose ADI significantly reduced DOX-induced pathological changes and the levels of AST, LDH, CK, CK-MB and BNP to normal. Combined treatment with ADI (1, 4, 10%) improved the cell viability, and IC50 increased from 68.51 μM (DOX alone) to 83.47, 176.9, and 310.8 μM, reduced caspase-3 activity by 39.17, 43.96, and 61.82%, respectively. High-dose ADI inhibited the expression of CBR1 protein by 32.3%, reduced DOXol levels in heart, serum and H9c2 cells by 59.8, 72.5 and 48.99%, respectively.Discussion and Conclusions ADI reduces DOX-induced cardiotoxicity by inhibiting CBR1 expression, which provides a scientific basis for the rational use of ADI.https://www.tandfonline.com/doi/10.1080/13880209.2022.2110127Traditional Chinese medicinedoxorubicinolH9c2 cellsUPLC-MS/MS
spellingShingle Yuan Lu
Wen Liu
Ting Lv
Yanli Wang
Ting Liu
Yi Chen
Yang Jin
Jin Huang
Lin Zheng
Yong Huang
Yan He
Yongjun Li
Aidi injection reduces doxorubicin-induced cardiotoxicity by inhibiting carbonyl reductase 1 expression
Pharmaceutical Biology
Traditional Chinese medicine
doxorubicinol
H9c2 cells
UPLC-MS/MS
title Aidi injection reduces doxorubicin-induced cardiotoxicity by inhibiting carbonyl reductase 1 expression
title_full Aidi injection reduces doxorubicin-induced cardiotoxicity by inhibiting carbonyl reductase 1 expression
title_fullStr Aidi injection reduces doxorubicin-induced cardiotoxicity by inhibiting carbonyl reductase 1 expression
title_full_unstemmed Aidi injection reduces doxorubicin-induced cardiotoxicity by inhibiting carbonyl reductase 1 expression
title_short Aidi injection reduces doxorubicin-induced cardiotoxicity by inhibiting carbonyl reductase 1 expression
title_sort aidi injection reduces doxorubicin induced cardiotoxicity by inhibiting carbonyl reductase 1 expression
topic Traditional Chinese medicine
doxorubicinol
H9c2 cells
UPLC-MS/MS
url https://www.tandfonline.com/doi/10.1080/13880209.2022.2110127
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