Aloin alleviates doxorubicin-induced cardiotoxicity in rats by abrogating oxidative stress and pro-inflammatory cytokines

Cancer Chemother Pharmacol. 2020 Sep;86(3):419-426. doi: 10.1007/s00280-020-04125-w. Epub 2020 Aug 18.

Abstract

Purpose: Aloin, an anthraquinone present in the aloe species, possesses antiangiogenic, chemopreventive and antioxidant properties. It exerts cytotoxicity against breast cancer and ovarian cancer cell lines. These properties of aloin project it as a chemopreventive adjuvant to anticancer chemotherapy.

Methods: We evaluated the effect of concurrent oral administration of aloin against doxorubicin (DOX)-induced cardiotoxicity in rats. The protective effects of aloin against DOX-induced toxicity were evident as a statistically significant inhibition of a rise in the biochemical markers of myocardial damage including lactate dehydrogenase (LDH), creatinine kinase-myocardial band (CK-MB), alanine aminotransferase (ALT), and aspartate aminotransferase (AST).

Results: Aloin dose dependently inhibited the DOX-induced changes in ECG like increased ST-height and prolonged QT interval. It protected heart against the lipid peroxidation and restored the levels of antioxidative defenses: reduced glutathione, catalase and superoxide dismutase. Aloin prominently reduced the levels of proinflammatory cytokines- TNF-α, IL-1β and IL-6. Notably, the significant protective effects of aloin were evident even at the strikingly lower doses of 1 and 5 mg/kg per day.

Conclusion: Our results highlight the necessity to further investigate the chemopreventive effects of aloin against other chemotherapeutic agents.

Keywords: Aloin; Cytokines; Doxorubicin; Oxidative stress.

MeSH terms

  • Animals
  • Antibiotics, Antineoplastic / adverse effects
  • Cardiotoxicity / etiology
  • Cardiotoxicity / metabolism
  • Cardiotoxicity / pathology
  • Cardiotoxicity / prevention & control*
  • Cathartics / pharmacology
  • Cytokines / metabolism*
  • Doxorubicin / adverse effects*
  • Emodin / analogs & derivatives*
  • Emodin / pharmacology
  • Inflammation Mediators / metabolism*
  • Male
  • Oxidative Stress / drug effects*
  • Rats
  • Rats, Wistar

Substances

  • Antibiotics, Antineoplastic
  • Cathartics
  • Cytokines
  • Inflammation Mediators
  • Doxorubicin
  • Emodin
  • alloin