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Activation of poly(ADP-ribose) polymerase contributes to development of doxorubicin-induced heart failure

Pacher, P., Liaudet, L., Bai, P., Virág, L., Mabley, J. G., Haskó, G., Szabó, C.: Activation of poly(ADP-ribose) polymerase contributes to development of doxorubicin-induced heart failure.
J. Pharmacol. Exp. Ther. 300 (3), 862-867, 2002.
Journal metrics:
Q1 Biochemistry
D1 Physiology (medical)
title:
Activation of poly(ADP-ribose) polymerase contributes to development of doxorubicin-induced heart failure
authors:
  • Pacher Pál
  • Liaudet, Lucas
  • Bai Péter
  • Virág László
  • Mabley, Jon G.
  • Haskó György
  • Szabó Csaba
published:
2002
type:
article
genre:
research article/review article
journal:
Free Radical Biology And Medicine (ISSN: 0891-5849)
language:
English
HAC:
Health Sciences, Theoretical Medicine
subjects:
Acute Disease, Animals, Antibiotics, Antineoplastic, Creatine Kinase/metabolism, Doxorubicin, Enzyme Activation/drug effects, Heart Failure/ chemically induced/pathology/physiopathology, Hemodynamics/drug effects, L-Lactate Dehydrogenase/metabolism, Male, Metalloendopeptidases/metabolism, Mice, Mice, Inbred BALB C, Mice, Knockout, Poly(ADP-ribose) Polymerases/ genetics/ metabolism, Survival Analysis, Ventricular Function, Left/genetics, Apoptosis, Benzamides/ pharmacology, Caspases/metabolism, Cells, Cultured, DNA Damage/drug effects, DNA Fragmentation/drug effects, Enzyme Activation/drug effects/physiology, Enzyme Inhibitors/ pharmacology, Mice, Inbred C57BL, Mitochondria/ drug effects, Nitrates, Nitrites/toxicity, Nitrogen Oxides/ toxicity, Poly(ADP-ribose) Polymerases/ antagonists & inhibitors/metabolism, Protective Agents/ pharmacology, Thymus Gland/cytology/ drug effects, Tyrosine
abstract:
Activation of the nuclear enzyme poly(ADP-ribose) polymerase (PARP) by oxidant-mediated DNA damage is an important pathway of cell dysfunction and tissue injury in conditions associated with oxidative stress. Increased oxidative stress is a major factor implicated in the cardiotoxicity of doxorubicin (DOX), a widely used antitumor anthracycline antibiotic. Thus, we hypothesized that the activation of PARP may contribute to the DOX-induced cardiotoxicity. Using a dual approach of PARP-1 suppression, by genetic deletion or pharmacological inhibition with the phenanthridinone PARP inhibitor PJ34, we now demonstrate the role of PARP in the development of cardiac dysfunction induced by DOX. PARP-1+/+ and PARP-1-/- mice received a single injection of DOX (25 mg/kg i.p). Five days after DOX administration, left ventricular performance was significantly depressed in PARP-1+/+ mice, but only to a smaller extent in PARP-1-/- ones. Similar experiments were conducted in BALB/c mice treated with PJ34 or vehicle. Treatment with a PJ34 significantly improved cardiac dysfunction and increased the survival of the animals. In addition PJ34 significantly reduced the DOX-induced increase in the serum lactate dehydrogenase and creatine kinase activities but not metalloproteinase activation in the heart. Thus, PARP activation contributes to the cardiotoxicity of DOX. PARP inhibitors may exert protective effects against the development of severe cardiac complications associated with the DOX treatment.Nitroxyl (NO(-)/HNO), has been proposed to be one of the NO(*)-derived cytotoxic species. Although the biological effect of nitroxyl is largely unknown, it has been reported to cause DNA breakage and cytotoxicity. We have therefore investigated whether NO(-)/HNO-induced DNA single-strand breakage activates the nuclear nick sensor enzyme poly(ADP-ribose) polymerase (PARP) and whether PARP activation affects the mode of NO(-)/HNO- induced cell death. NO(-)/HNO generated from Angeli's salt (AS, sodium trioxodinitrate) (0-300 microM) induced DNA single-strand breakage, PARP activation, and a concentration-dependent cytotoxicity in murine thymocytes. AS-induced cell death was also accompanied by decreased mitochondrial membrane potential and increased secondary superoxide production. The cytotoxicity of AS, as measured by propidium iodide uptake, was abolished by electron acceptors potassium ferricyanide, TEMPOL, the intracellular calcium chelator BAPTA-AM, and by PARP inhibitors 3-aminobenzamide (3-AB) and PJ-34. The cytoprotective effect of 3-AB was paralleled by increased output of AS-induced apoptotic parameters such as phosphatidylserine exposure, caspase activation, and DNA fragmentation. No significant increase in tyrosine nitration could be observed in AS-treated thymocytes as opposed to peroxynitrite-treated cells, indicating that tyrosine nitration is not likely to contribute to NO(-)/HNO-induced cytotoxicity. Our results demonstrate that NO(-)/HNO-induced PARP activation shifts the default apoptotic cell death toward necrosis in thymocytes. However, as total PARP inhibition resulted only in 30% cytoprotection, PARP-independent mechanisms dominate NO(-)/HNO-induced cytotoxicity in thymocytes.
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