Pregnenolone Inhibits Doxorubicin-Induced Cardiac Oxidative Stress, Inflammation, and Apoptosis—Role of Matrix Metalloproteinase 2 and NADPH Oxidase 1

The clinical usefulness of doxorubicin (DOX) is limited by its serious adverse effects, such as cardiotoxicity. Pregnenolone demonstrated both anti-inflammatory and antioxidant activity in animal models. The current study aimed to investigate the cardioprotective potential of pregnenolone against DO...

Full description

Bibliographic Details
Main Authors: Mohamed A. Morsy, Seham A. Abdel-Gaber, Sahar A. Mokhemer, Mahmoud Kandeel, Wael F. Sedik, Anroop B. Nair, Katharigatta N. Venugopala, Hany Ezzat Khalil, Bandar E. Al-Dhubiab, Mervat Z. Mohamed
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Pharmaceuticals
Subjects:
Online Access:https://www.mdpi.com/1424-8247/16/5/665
_version_ 1797598719709806592
author Mohamed A. Morsy
Seham A. Abdel-Gaber
Sahar A. Mokhemer
Mahmoud Kandeel
Wael F. Sedik
Anroop B. Nair
Katharigatta N. Venugopala
Hany Ezzat Khalil
Bandar E. Al-Dhubiab
Mervat Z. Mohamed
author_facet Mohamed A. Morsy
Seham A. Abdel-Gaber
Sahar A. Mokhemer
Mahmoud Kandeel
Wael F. Sedik
Anroop B. Nair
Katharigatta N. Venugopala
Hany Ezzat Khalil
Bandar E. Al-Dhubiab
Mervat Z. Mohamed
author_sort Mohamed A. Morsy
collection DOAJ
description The clinical usefulness of doxorubicin (DOX) is limited by its serious adverse effects, such as cardiotoxicity. Pregnenolone demonstrated both anti-inflammatory and antioxidant activity in animal models. The current study aimed to investigate the cardioprotective potential of pregnenolone against DOX-induced cardiotoxicity. After acclimatization, male Wistar rats were randomly grouped into four groups: control (vehicle-treated), pregnenolone (35 mg/kg/d, p.o.), DOX (15 mg/kg, i.p, once), and pregnenolone + DOX. All treatments continued for seven consecutive days except DOX, which was administered once on day 5. The heart and serum samples were harvested one day after the last treatment for further assays. Pregnenolone ameliorated the DOX-induced increase in markers of cardiotoxicity, namely, histopathological changes and elevated serum levels of creatine kinase-MB and lactate dehydrogenase. Moreover, pregnenolone prevented DOX-induced oxidative changes (significantly lowered cardiac malondialdehyde, total nitrite/nitrate, and NADPH oxidase 1, and elevated reduced glutathione), tissue remodeling (significantly decreased matrix metalloproteinase 2), inflammation (significantly decreased tumor necrosis factor-α and interleukin 6), and proapoptotic changes (significantly lowered cleaved caspase-3). In conclusion, these findings show the cardioprotective effects of pregnenolone in DOX-treated rats. The cardioprotection achieved by pregnenolone treatment can be attributed to its antioxidant, anti-inflammatory, and antiapoptotic actions.
first_indexed 2024-03-11T03:25:40Z
format Article
id doaj.art-9fa69729efb9480dbde210f6f11d1777
institution Directory Open Access Journal
issn 1424-8247
language English
last_indexed 2024-03-11T03:25:40Z
publishDate 2023-04-01
publisher MDPI AG
record_format Article
series Pharmaceuticals
spelling doaj.art-9fa69729efb9480dbde210f6f11d17772023-11-18T02:48:12ZengMDPI AGPharmaceuticals1424-82472023-04-0116566510.3390/ph16050665Pregnenolone Inhibits Doxorubicin-Induced Cardiac Oxidative Stress, Inflammation, and Apoptosis—Role of Matrix Metalloproteinase 2 and NADPH Oxidase 1Mohamed A. Morsy0Seham A. Abdel-Gaber1Sahar A. Mokhemer2Mahmoud Kandeel3Wael F. Sedik4Anroop B. Nair5Katharigatta N. Venugopala6Hany Ezzat Khalil7Bandar E. Al-Dhubiab8Mervat Z. Mohamed9Department of Pharmaceutical Sciences, College of Clinical Pharmacy, King Faisal University, Al-Ahsa 31982, Saudi ArabiaDepartment of Pharmacology, Faculty of Medicine, Minia University, El-Minia 61511, EgyptDepartment of Histology and Cell Biology, Faculty of Medicine, Minia University, El-Minia 61511, EgyptDepartment of Biomedical Sciences, College of Veterinary Medicine, King Faisal University, Al-Ahsa 31982, Saudi ArabiaDepartment of Medical Biochemistry, Faculty of Medicine, Minia University, El-Minia 61511, EgyptDepartment of Pharmaceutical Sciences, College of Clinical Pharmacy, King Faisal University, Al-Ahsa 31982, Saudi ArabiaDepartment of Pharmaceutical Sciences, College of Clinical Pharmacy, King Faisal University, Al-Ahsa 31982, Saudi ArabiaDepartment of Pharmaceutical Sciences, College of Clinical Pharmacy, King Faisal University, Al-Ahsa 31982, Saudi ArabiaDepartment of Pharmaceutical Sciences, College of Clinical Pharmacy, King Faisal University, Al-Ahsa 31982, Saudi ArabiaDepartment of Pharmacology, Faculty of Medicine, Minia University, El-Minia 61511, EgyptThe clinical usefulness of doxorubicin (DOX) is limited by its serious adverse effects, such as cardiotoxicity. Pregnenolone demonstrated both anti-inflammatory and antioxidant activity in animal models. The current study aimed to investigate the cardioprotective potential of pregnenolone against DOX-induced cardiotoxicity. After acclimatization, male Wistar rats were randomly grouped into four groups: control (vehicle-treated), pregnenolone (35 mg/kg/d, p.o.), DOX (15 mg/kg, i.p, once), and pregnenolone + DOX. All treatments continued for seven consecutive days except DOX, which was administered once on day 5. The heart and serum samples were harvested one day after the last treatment for further assays. Pregnenolone ameliorated the DOX-induced increase in markers of cardiotoxicity, namely, histopathological changes and elevated serum levels of creatine kinase-MB and lactate dehydrogenase. Moreover, pregnenolone prevented DOX-induced oxidative changes (significantly lowered cardiac malondialdehyde, total nitrite/nitrate, and NADPH oxidase 1, and elevated reduced glutathione), tissue remodeling (significantly decreased matrix metalloproteinase 2), inflammation (significantly decreased tumor necrosis factor-α and interleukin 6), and proapoptotic changes (significantly lowered cleaved caspase-3). In conclusion, these findings show the cardioprotective effects of pregnenolone in DOX-treated rats. The cardioprotection achieved by pregnenolone treatment can be attributed to its antioxidant, anti-inflammatory, and antiapoptotic actions.https://www.mdpi.com/1424-8247/16/5/665pregnenolonedoxorubicincardiotoxicityMMP2NADPH oxidase 1caspase-3
spellingShingle Mohamed A. Morsy
Seham A. Abdel-Gaber
Sahar A. Mokhemer
Mahmoud Kandeel
Wael F. Sedik
Anroop B. Nair
Katharigatta N. Venugopala
Hany Ezzat Khalil
Bandar E. Al-Dhubiab
Mervat Z. Mohamed
Pregnenolone Inhibits Doxorubicin-Induced Cardiac Oxidative Stress, Inflammation, and Apoptosis—Role of Matrix Metalloproteinase 2 and NADPH Oxidase 1
Pharmaceuticals
pregnenolone
doxorubicin
cardiotoxicity
MMP2
NADPH oxidase 1
caspase-3
title Pregnenolone Inhibits Doxorubicin-Induced Cardiac Oxidative Stress, Inflammation, and Apoptosis—Role of Matrix Metalloproteinase 2 and NADPH Oxidase 1
title_full Pregnenolone Inhibits Doxorubicin-Induced Cardiac Oxidative Stress, Inflammation, and Apoptosis—Role of Matrix Metalloproteinase 2 and NADPH Oxidase 1
title_fullStr Pregnenolone Inhibits Doxorubicin-Induced Cardiac Oxidative Stress, Inflammation, and Apoptosis—Role of Matrix Metalloproteinase 2 and NADPH Oxidase 1
title_full_unstemmed Pregnenolone Inhibits Doxorubicin-Induced Cardiac Oxidative Stress, Inflammation, and Apoptosis—Role of Matrix Metalloproteinase 2 and NADPH Oxidase 1
title_short Pregnenolone Inhibits Doxorubicin-Induced Cardiac Oxidative Stress, Inflammation, and Apoptosis—Role of Matrix Metalloproteinase 2 and NADPH Oxidase 1
title_sort pregnenolone inhibits doxorubicin induced cardiac oxidative stress inflammation and apoptosis role of matrix metalloproteinase 2 and nadph oxidase 1
topic pregnenolone
doxorubicin
cardiotoxicity
MMP2
NADPH oxidase 1
caspase-3
url https://www.mdpi.com/1424-8247/16/5/665
work_keys_str_mv AT mohamedamorsy pregnenoloneinhibitsdoxorubicininducedcardiacoxidativestressinflammationandapoptosisroleofmatrixmetalloproteinase2andnadphoxidase1
AT sehamaabdelgaber pregnenoloneinhibitsdoxorubicininducedcardiacoxidativestressinflammationandapoptosisroleofmatrixmetalloproteinase2andnadphoxidase1
AT saharamokhemer pregnenoloneinhibitsdoxorubicininducedcardiacoxidativestressinflammationandapoptosisroleofmatrixmetalloproteinase2andnadphoxidase1
AT mahmoudkandeel pregnenoloneinhibitsdoxorubicininducedcardiacoxidativestressinflammationandapoptosisroleofmatrixmetalloproteinase2andnadphoxidase1
AT waelfsedik pregnenoloneinhibitsdoxorubicininducedcardiacoxidativestressinflammationandapoptosisroleofmatrixmetalloproteinase2andnadphoxidase1
AT anroopbnair pregnenoloneinhibitsdoxorubicininducedcardiacoxidativestressinflammationandapoptosisroleofmatrixmetalloproteinase2andnadphoxidase1
AT katharigattanvenugopala pregnenoloneinhibitsdoxorubicininducedcardiacoxidativestressinflammationandapoptosisroleofmatrixmetalloproteinase2andnadphoxidase1
AT hanyezzatkhalil pregnenoloneinhibitsdoxorubicininducedcardiacoxidativestressinflammationandapoptosisroleofmatrixmetalloproteinase2andnadphoxidase1
AT bandarealdhubiab pregnenoloneinhibitsdoxorubicininducedcardiacoxidativestressinflammationandapoptosisroleofmatrixmetalloproteinase2andnadphoxidase1
AT mervatzmohamed pregnenoloneinhibitsdoxorubicininducedcardiacoxidativestressinflammationandapoptosisroleofmatrixmetalloproteinase2andnadphoxidase1