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      The Effects of Neuropeptide Y Overexpression on the Mouse Model of Doxorubicin-Induced Cardiotoxicity

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          Abstract

          Doxorubicin is a potent anticancer drug with cardiotoxicity hampering its use. Neuropeptide Y (NPY) is the most abundant neuropeptide in the heart and a co-transmitter of the sympathetic nervous system that plays a role in cardiac diseases. The aim of this work was to study the impact of NPY on doxorubicin-induced cardiotoxicity. Transgenic mice overexpressing NPY in noradrenergic neurons (NPY-OE DβH) and wild-type mice were treated with a single dose of doxorubicin. Doxorubicin caused cardiotoxicity in both genotypes as demonstrated by decreased weight gain, tendency to reduced ejection fraction, and changes in the expression of several genes relevant to cardiac pathology. Doxorubicin resulted in a tendency to lower ejection fraction in NPY-OE DβH mice more than in wild-type mice. In addition, gain in the whole body lean mass gain was decreased only in NPY-OE DβH mice, suggesting a more severe impact of doxorubicin in this genotype. The effects of doxorubicin on genes expressed in the heart were similar between NPY-OE DβH and wild-type mice. The results demonstrate that doxorubicin at a relatively low dose caused significant cardiotoxicity. There were differences between NPY-OE DβH and wild-type mice in their responses to doxorubicin that suggest NPY to increase susceptibility to cardiotoxicity. This may point to the therapeutic implications as suggested for NPY system in other cardiovascular diseases.

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          The online version of this article (10.1007/s12012-019-09557-2) contains supplementary material, which is available to authorized users.

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          Most cited references56

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          Doxorubicin Cardiomyopathy

          Established doxorubicin cardiomyopathy is a lethal disease. When congestive heart failure develops, mortality is approximately 50%. Extensive research has been done to understand the mechanism and pathophysiology of doxorubicin cardiomyopathy, and considerable knowledge and experience has been gained. Unfortunately, no effective treatment for established doxorubicin cardiomyopathy is presently available. Extensive research has been done and is being done to discover preventive treatments. However an effective and clinically applicable preventive treatment is yet to be discovered.
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            Phospholamban: a crucial regulator of cardiac contractility.

            Heart failure is a major cause of death and disability. Impairments in blood circulation that accompany heart failure can be traced, in part, to alterations in the activity of the sarcoplasmic reticulum Ca2+ pump that are induced by its interactions with phospholamban, a reversible inhibitor. If phospholamban becomes superinhibitory or chronically inhibitory, contractility is diminished, inducing dilated cardiomyopathy in mice and humans. In mice, phospholamban seems to encumber an otherwise healthy heart, but humans with a phospholamban-null genotype develop early-onset dilated cardiomyopathy.
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              Protective effects of carvedilol against anthracycline-induced cardiomyopathy.

              The aim of this study was to determine the protective effect of carvedilol in anthracycline (ANT)-induced cardiomyopathy (CMP). Despite its broad effectiveness, ANT therapy is associated with ANT-induced CMP. Recent animal studies and experimental observations showed that carvedilol prevented development of CMP due to chemotherapeutics. However, there is no placebo-controlled clinical trial concerning prophylactic carvedilol use in preventing ANT-induced CMP. Patients in whom ANT therapy was planned were randomized to administration of carvedilol or placebo. We enrolled 25 patients in carvedilol and control groups. In the carvedilol group, 12.5 mg once-daily oral carvedilol was given during 6 months. The patients were evaluated with echocardiography before and after chemotherapy. Left ventricular ejection fraction (EF) and systolic and diastolic diameters were calculated. At the end of 6 months of follow-up, 1 patient in the carvedilol group and 4 in the control group had died. Control EF was below 50% in 1 patient in the carvedilol group and in 5 in the control group. The mean EF of the carvedilol group was similar at baseline and control echocardiography (70.5 vs. 69.7, respectively; p = 0.3), but in the control group the mean EF at control echocardiography was significantly lower (68.9 vs. 52.3; p < 0.001). Both systolic and diastolic diameters were significantly increased compared with basal measures in the control group. In Doppler study, whereas E velocities in the carvedilol group decreased, E velocities and E/A ratios were significantly reduced in the control group. Prophylactic use of carvedilol in patients receiving ANT may protect both systolic and diastolic functions of the left ventricle.
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                Author and article information

                Contributors
                eriika.savontaus@utu.fi
                Journal
                Cardiovasc Toxicol
                Cardiovasc. Toxicol
                Cardiovascular Toxicology
                Springer US (New York )
                1530-7905
                1559-0259
                6 December 2019
                6 December 2019
                2020
                : 20
                : 3
                : 328-338
                Affiliations
                [1 ]GRID grid.1374.1, ISNI 0000 0001 2097 1371, Research Centre for Integrative Physiology and Pharmacology, Institute of Biomedicine, , University of Turku, ; Turku, Finland
                [2 ]GRID grid.1374.1, ISNI 0000 0001 2097 1371, Drug Research Doctoral Programme, , University of Turku, ; Turku, Finland
                [3 ]GRID grid.410552.7, ISNI 0000 0004 0628 215X, Department of Pathology, , Turku University Hospital and University of Turku, ; Turku, Finland
                [4 ]GRID grid.410552.7, ISNI 0000 0004 0628 215X, Clinical Pharmacology, , Turku University Hospital, ; Turku, Finland
                [5 ]GRID grid.410552.7, ISNI 0000 0004 0628 215X, Heart Centre, , Turku University Hospital and University of Turku, ; Turku, Finland
                Author notes

                Communicated by Lorraine Chalifour.

                Author information
                http://orcid.org/0000-0003-3421-0367
                Article
                9557
                10.1007/s12012-019-09557-2
                7176599
                31811615
                d83b5595-7b57-462c-b4a3-20673f6010dd
                © The Author(s) 2019

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/.

                History
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100005424, Varsinais-Suomen Rahasto;
                Funded by: FundRef http://dx.doi.org/10.13039/501100005609, Turun Yliopisto;
                Funded by: FundRef http://dx.doi.org/10.13039/501100005633, Sydäntutkimussäätiö;
                Funded by: FundRef http://dx.doi.org/10.13039/501100007083, Orionin Tutkimussäätiö;
                Funded by: FundRef http://dx.doi.org/10.13039/100010133, Aarne Koskelon Säätiö;
                Funded by: FundRef http://dx.doi.org/10.13039/501100009094, Turun Yliopistollisen Keskussairaalan Koulutus- ja Tutkimussäätiö;
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                © Springer Science+Business Media, LLC, part of Springer Nature 2020

                Cardiovascular Medicine
                doxorubicin,neuropeptide y,cardiotoxicity model,mouse model
                Cardiovascular Medicine
                doxorubicin, neuropeptide y, cardiotoxicity model, mouse model

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