Isodunnianol alleviates doxorubicin-induced myocardial injury by activating protective autophagy

Food Funct. 2019 May 22;10(5):2651-2657. doi: 10.1039/c9fo00063a.

Abstract

Recurrent cardiotoxicity limits the clinical application of doxorubicin (DOX); however the detailed molecular mechanism of DOX cardiotoxicity remains unclear. In the current study, we found that a natural product extracted from Illicium verum, isodunnianol (IDN), mitigates DOX-induced cardiotoxicity by regulating autophagy and apoptosis both in vitro and in vivo. DOX suppressed protective autophagy and induced apoptosis in H9C2 cardiac myoblasts. Additionally, IDN demonstrated up-regulated autophagy and reduced apoptosis through the activation of the AMPK-ULK1 pathway. In addition, the beneficial effects of IDN on DOX which induced myocardial injury were dependent on AMPK and ULK1 phosphorylation. Similar results were also observed in a DOX-induced cardiotoxicity rat model. The combination of IDN and DOX resulted in decreased apoptosis and inflammatory myocardial fibrosis compared to the DOX mono-treatment group. In summary, our findings provide novel insights into the prevention of DOX-related toxicity by isodunnianol, a food source natural product, warranting further investigation.

MeSH terms

  • AMP-Activated Protein Kinase Kinases
  • Animals
  • Antineoplastic Agents / adverse effects*
  • Apoptosis / drug effects
  • Autophagy / drug effects*
  • Autophagy-Related Protein-1 Homolog / genetics
  • Autophagy-Related Protein-1 Homolog / metabolism
  • Cardiotoxicity / drug therapy*
  • Cardiotoxicity / etiology
  • Cardiotoxicity / metabolism
  • Cardiotoxicity / physiopathology
  • Doxorubicin / adverse effects*
  • Drugs, Chinese Herbal / administration & dosage*
  • Humans
  • Illicium / chemistry*
  • Lignans / pharmacology
  • Lignans / therapeutic use*
  • Male
  • Myoblasts, Cardiac / cytology
  • Myoblasts, Cardiac / drug effects
  • Myoblasts, Cardiac / metabolism
  • Protein Kinases / genetics
  • Protein Kinases / metabolism
  • Rats
  • Rats, Sprague-Dawley
  • Sesquiterpenes / administration & dosage*
  • Sesquiterpenes / pharmacology
  • Sesquiterpenes / therapeutic use

Substances

  • Antineoplastic Agents
  • Drugs, Chinese Herbal
  • Lignans
  • Sesquiterpenes
  • isodunnianol
  • Doxorubicin
  • Protein Kinases
  • Autophagy-Related Protein-1 Homolog
  • AMP-Activated Protein Kinase Kinases