MicroRNAs in doxorubicin-induced cardiotoxicity: The DNA damage response

Doxorubicin (DOX) is a chemotherapeutic drug widely used for cancer treatment, but its use is limited by cardiotoxicity. Although free radicals from redox cycling and free cellular iron have been predominant as the suggested primary pathogenic mechanism, novel evidence has pointed to topoisomerase I...

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Main Authors: Ippei Kawano, Michaela Adamcova
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2022.1055911/full
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author Ippei Kawano
Michaela Adamcova
author_facet Ippei Kawano
Michaela Adamcova
author_sort Ippei Kawano
collection DOAJ
description Doxorubicin (DOX) is a chemotherapeutic drug widely used for cancer treatment, but its use is limited by cardiotoxicity. Although free radicals from redox cycling and free cellular iron have been predominant as the suggested primary pathogenic mechanism, novel evidence has pointed to topoisomerase II inhibition and resultant genotoxic stress as the more fundamental mechanism. Recently, a growing list of microRNAs (miRNAs) has been implicated in DOX-induced cardiotoxicity (DIC). This review summarizes miRNAs reported in the recent literature in the context of DIC. A particular focus is given to miRNAs that regulate cellular responses downstream to DOX-induced DNA damage, especially p53 activation, pro-survival signaling pathway inhibition (e.g., AMPK, AKT, GATA-4, and sirtuin pathways), mitochondrial dysfunction, and ferroptosis. Since these pathways are potential targets for cardioprotection against DOX, an understanding of how miRNAs participate is necessary for developing future therapies.
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spelling doaj.art-ed25ab781e8745cdae0cd17976d7244f2022-12-22T04:39:02ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122022-11-011310.3389/fphar.2022.10559111055911MicroRNAs in doxorubicin-induced cardiotoxicity: The DNA damage responseIppei KawanoMichaela AdamcovaDoxorubicin (DOX) is a chemotherapeutic drug widely used for cancer treatment, but its use is limited by cardiotoxicity. Although free radicals from redox cycling and free cellular iron have been predominant as the suggested primary pathogenic mechanism, novel evidence has pointed to topoisomerase II inhibition and resultant genotoxic stress as the more fundamental mechanism. Recently, a growing list of microRNAs (miRNAs) has been implicated in DOX-induced cardiotoxicity (DIC). This review summarizes miRNAs reported in the recent literature in the context of DIC. A particular focus is given to miRNAs that regulate cellular responses downstream to DOX-induced DNA damage, especially p53 activation, pro-survival signaling pathway inhibition (e.g., AMPK, AKT, GATA-4, and sirtuin pathways), mitochondrial dysfunction, and ferroptosis. Since these pathways are potential targets for cardioprotection against DOX, an understanding of how miRNAs participate is necessary for developing future therapies.https://www.frontiersin.org/articles/10.3389/fphar.2022.1055911/fullmicroRNAdoxorubicincardiotoxicitygenotoxic stressp53
spellingShingle Ippei Kawano
Michaela Adamcova
MicroRNAs in doxorubicin-induced cardiotoxicity: The DNA damage response
Frontiers in Pharmacology
microRNA
doxorubicin
cardiotoxicity
genotoxic stress
p53
title MicroRNAs in doxorubicin-induced cardiotoxicity: The DNA damage response
title_full MicroRNAs in doxorubicin-induced cardiotoxicity: The DNA damage response
title_fullStr MicroRNAs in doxorubicin-induced cardiotoxicity: The DNA damage response
title_full_unstemmed MicroRNAs in doxorubicin-induced cardiotoxicity: The DNA damage response
title_short MicroRNAs in doxorubicin-induced cardiotoxicity: The DNA damage response
title_sort micrornas in doxorubicin induced cardiotoxicity the dna damage response
topic microRNA
doxorubicin
cardiotoxicity
genotoxic stress
p53
url https://www.frontiersin.org/articles/10.3389/fphar.2022.1055911/full
work_keys_str_mv AT ippeikawano micrornasindoxorubicininducedcardiotoxicitythednadamageresponse
AT michaelaadamcova micrornasindoxorubicininducedcardiotoxicitythednadamageresponse