Sunitinib malate induces cell death in adult human cardiac progenitor cells

Sunitinib malate is known to cause cardiotoxicity in a sub-population of patients, with heart failure seen in more severe cases. Cardiac progenitor cells (CPCs) have been identified in adult human myocardium and contribute to overall tissue maintenance, with previous work identifying negative impact...

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Main Authors: Robert Walmsley, Derek S. Steele, Sotiris Papaspyros, Andrew J. Smith
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Current Research in Toxicology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666027X24000203
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author Robert Walmsley
Derek S. Steele
Sotiris Papaspyros
Andrew J. Smith
author_facet Robert Walmsley
Derek S. Steele
Sotiris Papaspyros
Andrew J. Smith
author_sort Robert Walmsley
collection DOAJ
description Sunitinib malate is known to cause cardiotoxicity in a sub-population of patients, with heart failure seen in more severe cases. Cardiac progenitor cells (CPCs) have been identified in adult human myocardium and contribute to overall tissue maintenance, with previous work identifying negative impacts of sunitinib on these cells. This study aimed to characterise the toxic effects of sunitinib in human CPCs, applying sunitinib concentrations equivalent to clinical plasma levels to these cells in vitro. Cell viability was reduced by 26.5 ± 6.6 % by 2 μM sunitinib for 24 h (p < 0.01); this concentration also induced fold-change increases in gene expression of: calpain (3.1 ± 0.73, p < 0.05), FAS (2.3 ± 0.8, p < 0.05) and BAX (1.9 ± 0.2, p < 0.05), and a decrease in BCL-2 (3.5 ± 0.0, p < 0.001), vs. control (1.0 ± 0.0). This was affirmed by sunitinib inducing fold changes in protein expression of: calpain-1 (2.5 ± 0.5, p < 0.05); FAS receptor (2.1 ± 0.2, p < 0.05) and BAX (2.1 ± 0.2, p < 0.05) vs. control (1.0 ± 0.0). These results indicated that sunitinib induced apoptosis in CPCs, but negative annexin V staining and lack of protection by caspase inhibitors indicated this was not the cell death pathway activated. Further investigation found sunitinib was concentrated in the lysosomes and autophagosomes within CPCs, but did not induce accumulation of acidic organelles. In conclusion, these data confirm that cell death is caused by sunitinib in CPCs at concentrations equivalent to clinical plasma levels, inducing cell death pathway signals that lead to non-apoptotic cell death.
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spelling doaj.art-355f9cffb2ab46de90044301e66494da2024-06-12T04:47:23ZengElsevierCurrent Research in Toxicology2666-027X2024-01-016100167Sunitinib malate induces cell death in adult human cardiac progenitor cellsRobert Walmsley0Derek S. Steele1Sotiris Papaspyros2Andrew J. Smith3School of Biomedical Sciences, Faculty of Biological Sciences, University of Leeds, Woodhouse Lane, Leeds LS2 9JT, United KingdomSchool of Biomedical Sciences, Faculty of Biological Sciences, University of Leeds, Woodhouse Lane, Leeds LS2 9JT, United KingdomDepartment of Cardiac Surgery, Yorkshire Heart Centre, Leeds General Infirmary, Leeds LS1 3EX, United KingdomSchool of Biomedical Sciences, Faculty of Biological Sciences, University of Leeds, Woodhouse Lane, Leeds LS2 9JT, United Kingdom; Corresponding author.Sunitinib malate is known to cause cardiotoxicity in a sub-population of patients, with heart failure seen in more severe cases. Cardiac progenitor cells (CPCs) have been identified in adult human myocardium and contribute to overall tissue maintenance, with previous work identifying negative impacts of sunitinib on these cells. This study aimed to characterise the toxic effects of sunitinib in human CPCs, applying sunitinib concentrations equivalent to clinical plasma levels to these cells in vitro. Cell viability was reduced by 26.5 ± 6.6 % by 2 μM sunitinib for 24 h (p < 0.01); this concentration also induced fold-change increases in gene expression of: calpain (3.1 ± 0.73, p < 0.05), FAS (2.3 ± 0.8, p < 0.05) and BAX (1.9 ± 0.2, p < 0.05), and a decrease in BCL-2 (3.5 ± 0.0, p < 0.001), vs. control (1.0 ± 0.0). This was affirmed by sunitinib inducing fold changes in protein expression of: calpain-1 (2.5 ± 0.5, p < 0.05); FAS receptor (2.1 ± 0.2, p < 0.05) and BAX (2.1 ± 0.2, p < 0.05) vs. control (1.0 ± 0.0). These results indicated that sunitinib induced apoptosis in CPCs, but negative annexin V staining and lack of protection by caspase inhibitors indicated this was not the cell death pathway activated. Further investigation found sunitinib was concentrated in the lysosomes and autophagosomes within CPCs, but did not induce accumulation of acidic organelles. In conclusion, these data confirm that cell death is caused by sunitinib in CPCs at concentrations equivalent to clinical plasma levels, inducing cell death pathway signals that lead to non-apoptotic cell death.http://www.sciencedirect.com/science/article/pii/S2666027X24000203CardiotoxicityReceptor tyrosine kinaseCardiac progenitor cellsApoptosis
spellingShingle Robert Walmsley
Derek S. Steele
Sotiris Papaspyros
Andrew J. Smith
Sunitinib malate induces cell death in adult human cardiac progenitor cells
Current Research in Toxicology
Cardiotoxicity
Receptor tyrosine kinase
Cardiac progenitor cells
Apoptosis
title Sunitinib malate induces cell death in adult human cardiac progenitor cells
title_full Sunitinib malate induces cell death in adult human cardiac progenitor cells
title_fullStr Sunitinib malate induces cell death in adult human cardiac progenitor cells
title_full_unstemmed Sunitinib malate induces cell death in adult human cardiac progenitor cells
title_short Sunitinib malate induces cell death in adult human cardiac progenitor cells
title_sort sunitinib malate induces cell death in adult human cardiac progenitor cells
topic Cardiotoxicity
Receptor tyrosine kinase
Cardiac progenitor cells
Apoptosis
url http://www.sciencedirect.com/science/article/pii/S2666027X24000203
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