期刊论文详细信息
Journal of Experimental & Clinical Cancer Research
5-Fluorouracil induces apoptosis in rat cardiocytes through intracellular oxidative stress
Michele Caraglia1  Nicola Sannolo2  Annamaria Spina1  Silvio Naviglio1  Delia Pesce1  Daniela Feola2  Anna Grimaldi1  Silvia Zappavigna1  Monica Marra1  Stefania Porto1  Monica Lamberti2 
[1] Department of Biochemistry and Biophysics, Second University of Naples, Via S.M. Costantinopoli, 16, 80138, Naples, Italy;Occupational Medicine, Hygiene and Industrial Toxicology Section, Department of Experimental Medicine, Naples, Italy
关键词: Health workers;    Cardiotoxicity;    ROS;    Apoptosis;    Doxorubicin;    5-Fluorouracil;   
Others  :  826260
DOI  :  10.1186/1756-9966-31-60
 received in 2012-06-20, accepted in 2012-07-19,  发布年份 2012
PDF
【 摘 要 】

Background

Cardiotoxicity is a major complication of anticancer drugs, including anthracyclines and 5-fluorouracil(5-FU) and it can have detrimental effects both in patients and workers involved in the preparation of chemotherapy.

Methods

Specifically, we have assessed the effects of increasing concentrations of 5-FU and doxorubicin (DOXO) on proliferation of H9c2 rat cardiocytes and HT-29 human colon adenocarcinoma cells by MTT assay. Cells were treated for 24, 48 and 72 h with different concentrations of the two drugs alone or with 5-FU in combination with 10-4 M of levofolene (LF).

Results

5-FU induced a time- and dose-dependent growth inhibition in both cell lines. The 50% growth inhibition (IC:50) was reached at 72 h with concentrations of 4 μM and 400 μM on HT-29 and H9c2, respectively. The addition of LF to 5-FU enhanced this effect. On the other hand, the IC:50 of DOXO was reached at 72 h with concentrations of 0.118 μM on H9c2 and of 0.31 μM for HT-29. We have evaluated the cell death mechanism induced by 50% growth inhibitory concentrations of 5-FU or DOXO in cardiocytes and colon cancer cells. We have found that the treatment with 400 μM 5-FU induced apoptosis in 32% of H9c2 cells. This effect was increased by the addition of LF to 5-FU (38% of apoptotic cells). Apoptosis occurred in only about 10% of HT-29 cells treated with either 5-FU or 5-FU and LF in combination. DOXO induced poor effects on apoptosis of both H9c2 and HT-29 cells (5–7% apoptotic cells, respectively). The apoptosis induced by 5-FU and LF in cardiocytes was paralleled by the activation of caspases 3, 9 and 7 and by the intracellular increase of O2− levels.

Conclusions

These results suggest that cardiotoxic mechanism of chemotherapy agents are different and this disclose a new scenario for prevention of this complication.

【 授权许可】

   
2012 Lamberti et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20140713091642441.pdf 1180KB PDF download
Figure 6. 19KB Image download
Figure 5. 24KB Image download
Figure 4. 33KB Image download
Figure 3. 49KB Image download
Figure 2. 61KB Image download
Figure 1. 38KB Image download
【 图 表 】

Figure 1.

Figure 2.

Figure 3.

Figure 4.

Figure 5.

Figure 6.

【 参考文献 】
  • [1]Kopjar N, Kasuba V, Rozgaj R, et al.: The genotoxic risk in health care workers occupationally exposed to cytotoxic drugs–a comprehensive evaluation by the SCE assay. J Environ Sci Health, Part A: Tox Hazard Subst Environ Eng 2009, 44(5):462-479.
  • [2]Gulten T, Evke E, Ercan I, et al.: Lack of genotoxicity in medical oncology nurses handling antineoplastic drugs: effect of work environment and protective equipment. Work 2011, 39(4):485-489.
  • [3]Eken A, Aydin A, Erdem O, et al.: Cytogenetic analysis of peripheral blood lymphocytes of hospital staff occupationally exposed to low doses of ionizing radiation. Toxicol Ind Healt 2010, 26(5):273-280.
  • [4]Fucic A, Jazbec A, Mijic A, et al.: Cytogenetic consequences after occupational exposure to antineoplastic drugs. Mutat Res 1998, 416:59-66.
  • [5]Favier B, Gilles L, Desage M, et al.: Analysis of cyclophosphamide in the urine of antineoplastic drugs handlers. Bull Cancer 2003, 90(10):905-909.
  • [6]Undeger U, Basaran N, Kars A, et al.: Assessment of DNA damage in nurses handling antineoplastic drugs by the alkaline COMET assay. Mutat Res 1999, 439:277-285.
  • [7]Maluf SW, Erdtmann B: Evaluation of occupational genotoxic risk in a Brazilian hospital. Genet Mol Biol 2000, 23:485-488.
  • [8]Maluf SW, Erdtmann B: Follow-up study of genetic damage in lymphocytes of pharmacists and nurses handling antineoplastic drugs evaluated by cytokinesis-block micronuclei analysis and single cell gel electrophoresis assay. Mutat Res 2000, 471:21-27.
  • [9]Kopjar N, Garaj-Vrhovac V: Application of the alkaline comet assay in human biomonitoring for genotoxicity: a study on Croatian medical handling antineoplastic drugs. Mutagenesis 2001, 16:71-78.
  • [10]Turci R, Sottani C, Ronchi A, et al.: Biological monitoring of hospital personnel occupationally exposed to antineoplastic agents. Toxicol Lett 2002, 134:57-64.
  • [11]Faust F, Kassie F, Kanasmuller S, et al.: The use of the alkaline comet assay with lymphocytes in human biomonitoring studies. Mutat Res 2004, 566:209-229.
  • [12]Deng H, Zhang M, He J, et al.: Investigating genetic damage in workers occupationally exposed to methotrexate using three genetic end-points. Mutagenesis 2005, 20:351-313.
  • [13]Bouraoui S, Brahem A, Tabka F, et al.: Assessment of chromosomal aberrations, micronuclei and proliferation rate index in peripheral lymphocytes from Tunisian nurses handling cytotoxic drugs. Environ Toxicol Pharmacol 2011, 31(1):250-257.
  • [14]Rekhadevi PV, Sailaja N, Chandrasekhar M, et al.: Genotoxicity assessment in oncology nurses handling anti-neoplastic drugs. Mutagenesis 2007, 6:395-401.
  • [15]Rombaldi F, Cassini C, Salvador M, et al.: Occupational risk assessment of genotoxicity and oxidative stress in workers handling anti-neoplastic drugs during a working week. Mutagenesis 2009, 24:143-148.
  • [16]International Agency for Research on Cancer: Monographs on the evaluation of the carcinogenic risk of chemicals to humans: pharmaceutical drugs. IARC, Lyon, France; 2001.
  • [17]Lipp. Cardiotoxicity of cytotoxic drugs: Anticancer drug toxicity: prevention, management and clinical pharmacokinetics. Marcel Dekker, New York; 1999:471-488.
  • [18]Shaikh AY, Shih JA: Chemotherapy-induced cardiotoxicity. Curr Heart Fail Rep 2012, 9(2):117-127.
  • [19]Albini A, Pennesi G, Donatelli F, et al.: Cardiotoxicity of anticancer drugs: the need for cardio-oncology and cardio-oncological prevention. J Natl Cancer Inst 2010, 102:14-25.
  • [20]Yeh ET, Tong AT, Lenihan DJ, et al.: Cardiovascular complications of cancer therapy: diagnosis, pathogenesis, and management. Circulation 2004, 109:3122-3131.
  • [21]Chiusa M, Timolati F, Perriard JC, et al.: Sodium nitroprusside induces cell death and cytoskeleton degradation in adult rat cardiomyocytes in vitro: implications for anthracycline-induced cardiotoxicity. Eur J Histochem 2012, 56(2):e15.
  • [22]Wojtacki J, Lewicka-Nowack E, Lesniewski-Kmak K: Anthracycline-induced cardiotoxicity: clinical course, risk factors, pathogenesis, detection and prevention—review of the literature. Med Sci Monit 2000, 6:411-420.
  • [23]Sawyer DB, Zuppinger C, Miller TA, et al.: Modulation of anthracycline-induced myofibrillar disarray in rat ventricular myocytes by neuregulin-1beta and anti-erbB2: potential mechanism for trastuzumab-induced cardiotoxicity. Circulation 2002, 105:1551-1554.
  • [24]Minotti G, Cairo G, Monti E: Role of iron in anthracycline cardiotoxicity: new tunes for an old song? FASEB J 1999, 13(2):199-212.
  • [25]Elliott P: Pathogenesis of cardiotoxicity induced by anthracyclines. Semin Oncol 2006, 33:S2-S7.
  • [26]Jensen SA, Sørensen JB: 5-Fluorouracil-based therapy induces endovascular injury having potential significance to development of clinically overt cardiotoxicity. Cancer Chemother Pharmacol 2012, 69(1):57-64.
  • [27]Anand AJ: Fluorouracil cardiotoxicity. Ann Pharmacother 1994, 28:374-378.
  • [28]Chiosi E, Spina A, Sorrentino A, et al.: Change in TNF- receptor expression is a relevant event in doxorubicin-induced H9c2 cardiomyocyte cell death. J Interferon Cytokine Res 2007, 27:589-597.
  • [29]Tsibiribi P, Descotes J, Lombard-Bohas C, Barel , et al.: Cardiotoxicity of 5-fluorouracil in 1350 patients with no prior history of heart disease. Bull Cancer 2006, 93:E27-E30.
  • [30]Lieutaud T, Brain E, Golgran-Toledano D, et al.: 5-Fluorouracil cardiotoxicity: a unique mechanism for ischaemic cardiopathy and cardiac failure? Eur J Canc 1996, 32a:368-369.
  • [31]Çalık AN, Çeliker E, Velibey Y, et al.: Initial dose effect of 5-fluorouracil: rapidly improving severe, acute toxic myopericarditis. Am J Emerg Med 2012, 30(1):257.e1-e3.
  • [32]Dechant C, Baur M, Böck R, et al.: Acute Reversible Heart Failure Caused by Coronary Vasoconstriction due to Continuous 5-Fluorouracil Combination Chemotherapy. Case Rep Oncol 2012, 5(2):296-301.
  • [33]Castiglia L, Miraglia N, Pieri M, et al.: Evaluation of occupational exposure to antiblastic drugs in an Italian hospital oncological department. J Occup Health 2008, 50(1):48-56.
  • [34]Büchel B, Rhyn P, Schürch S, et al.: LC-MS/MS method for simultaneous analysis of uracil, 5,6-dihydrouracil, 5-fluorouracil and 5-fluoro-5,6-dihydrouracil in human plasma for therapeutic drug monitoring and toxicity prediction in cancer patients. Biomed Chromatogr 2012.
  • [35]Caraglia M, Marra M, Budillon A, et al.: Chemotherapy regimen GOLF induces apoptosis in colon cancer cells through multi-chaperone complex inactivation and increased Raf-1 ubiquitin-dependent degradation. Cancer Biol Ther 2005, 4(10):1159-1167.
  • [36]Correale P, Marra M, Remondo C, et al.: Cytotoxic drugs up-regulate epidermal growth factor receptor (EGFR) expression in colon cancer cells and enhance their susceptibility to EGFR-targeted antibody-dependent cell-mediated-cytotoxicity (ADCC). Eur J Cancer 2010, 46(9):1703-1711.
  • [37]Alter P, Herzum M, Soufi M, et al.: Cardiotoxicity of 5-fluorouracil. Cardiovasc Hematol Agents Med Chem 2006, 4(1):1-5.
  • [38]Oztop I, Gencer M, Okan T, et al.: Evaluation of cardiotoxicity of a combined bolus plus infusional 5-fluorouracil/folinic acid treatment by echocardiography, plasma troponin I level, QT interval and dispersion in patients with gastrointestinal system cancers. Jpn J Clin Oncol 2004, 34(5):262-268.
  • [39]Canale ML, Camerini A, Stroppa S, et al.: A case of acute myocardial infarction during 5-fluorouracil infusion. J Cardiovasc Med 2006, 7(11):835-837.
  • [40]Asensio-López MC, Lax A, Pascual-Figal DA, et al.: Metformin protects against doxorubicin-induced cardiotoxicity: involvement of the adiponectin cardiac system. Free Radic Biol Med 2011, 51(10):1861-1871.
  • [41]Lang F, Perrotti N, Stournaras C: Colorectal carcinoma cells–regulation of survival and growth by SGK1. Int J Biochem Cell Biol 2010, 42(10):1571-1575.
  • [42]Wong RSY: Apoptosis in cancer: from pathogenesis to treatment. J Exp Clin Cancer Res 2011, 30:87. BioMed Central Full Text
  文献评价指标  
  下载次数:8次 浏览次数:12次