Apelinergic System Affects Electrocardiographic Abnormalities Induced by Doxorubicin

<b>Background/Objectives</b>: Anthracyclines remain a pivotal element of numerous tumor management regimens; however, their utilization is associated with a range of adverse effects, the most significant of which is cardiotoxicity. Research is constantly being conducted to identify subst...

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Main Authors: Kasper Buczma, Hubert Borzuta, Katarzyna Kamińska, Dorota Sztechman, Katarzyna Matusik, Jan Pawlonka, Michał Kowara, Barbara Buchalska, Agnieszka Cudnoch-Jędrzejewska
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Language:English
Published: MDPI AG 2025-01-01
Series:Biomedicines
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Online Access:https://www.mdpi.com/2227-9059/13/1/94
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author Kasper Buczma
Hubert Borzuta
Katarzyna Kamińska
Dorota Sztechman
Katarzyna Matusik
Jan Pawlonka
Michał Kowara
Barbara Buchalska
Agnieszka Cudnoch-Jędrzejewska
author_facet Kasper Buczma
Hubert Borzuta
Katarzyna Kamińska
Dorota Sztechman
Katarzyna Matusik
Jan Pawlonka
Michał Kowara
Barbara Buchalska
Agnieszka Cudnoch-Jędrzejewska
author_sort Kasper Buczma
collection DOAJ
description <b>Background/Objectives</b>: Anthracyclines remain a pivotal element of numerous tumor management regimens; however, their utilization is associated with a range of adverse effects, the most significant of which is cardiotoxicity. Research is constantly being conducted to identify substances that could be incorporated into ongoing cancer chemotherapy to mitigate anthracycline-induced cardiotoxicity. Recently, the apelinergic system has received a lot of attention in this field due to its involvement in cardiovascular regulation. Therefore, the aim of our study was to investigate the ability of the apelinergic system to inhibit the cardiotoxic effects of anthracycline—doxorubicin (DOX). <b>Methods</b>: In this study, 54 Sprague–Dawley rats were divided into seven groups and received intraperitoneal injections with DOX once a week for 4 consecutive weeks. The osmotic pumps provided a continuous release of NaCl (control groups), apelin-13 and elabela at two different doses, and the apelin receptor (APJ) antagonist ML221. Electrocardiography (ECG) and transthoracic echocardiography (TTE) with assessment of left ventricular (LV) systolic parameters were conducted on the first and last days of the experiment. <b>Results</b>: Lower doses of APJ agonists prevented the prolongation of QT and QTc intervals induced by DOX, while higher doses of these drugs exerted no such effect. The TTE examination confirmed DOX-induced LV systolic dysfunction. Moreover, the TTE examination revealed an improvement in the LV systolic parameters in the DOX-treated groups that were simultaneously administered APJ agonists. <b>Conclusions</b>: Our findings support the use of apelin and elabela as potential cardioprotective agents against anthracycline-induced cardiotoxicity.
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spelling doaj-art-4c5e563f8d324215bf36b0565eede04e2025-01-24T13:23:59ZengMDPI AGBiomedicines2227-90592025-01-011319410.3390/biomedicines13010094Apelinergic System Affects Electrocardiographic Abnormalities Induced by DoxorubicinKasper Buczma0Hubert Borzuta1Katarzyna Kamińska2Dorota Sztechman3Katarzyna Matusik4Jan Pawlonka5Michał Kowara6Barbara Buchalska7Agnieszka Cudnoch-Jędrzejewska8Chair and Department of Experimental and Clinical Physiology, Laboratory of Centre for Preclinical Research, Medical University of Warsaw, Banacha 1b, 02-097 Warsaw, PolandChair and Department of Experimental and Clinical Physiology, Laboratory of Centre for Preclinical Research, Medical University of Warsaw, Banacha 1b, 02-097 Warsaw, PolandChair and Department of Experimental and Clinical Physiology, Laboratory of Centre for Preclinical Research, Medical University of Warsaw, Banacha 1b, 02-097 Warsaw, PolandChair and Department of Experimental and Clinical Physiology, Laboratory of Centre for Preclinical Research, Medical University of Warsaw, Banacha 1b, 02-097 Warsaw, PolandChair and Department of Experimental and Clinical Physiology, Laboratory of Centre for Preclinical Research, Medical University of Warsaw, Banacha 1b, 02-097 Warsaw, PolandChair and Department of Experimental and Clinical Physiology, Laboratory of Centre for Preclinical Research, Medical University of Warsaw, Banacha 1b, 02-097 Warsaw, PolandChair and Department of Experimental and Clinical Physiology, Laboratory of Centre for Preclinical Research, Medical University of Warsaw, Banacha 1b, 02-097 Warsaw, PolandChair and Department of Experimental and Clinical Physiology, Laboratory of Centre for Preclinical Research, Medical University of Warsaw, Banacha 1b, 02-097 Warsaw, PolandChair and Department of Experimental and Clinical Physiology, Laboratory of Centre for Preclinical Research, Medical University of Warsaw, Banacha 1b, 02-097 Warsaw, Poland<b>Background/Objectives</b>: Anthracyclines remain a pivotal element of numerous tumor management regimens; however, their utilization is associated with a range of adverse effects, the most significant of which is cardiotoxicity. Research is constantly being conducted to identify substances that could be incorporated into ongoing cancer chemotherapy to mitigate anthracycline-induced cardiotoxicity. Recently, the apelinergic system has received a lot of attention in this field due to its involvement in cardiovascular regulation. Therefore, the aim of our study was to investigate the ability of the apelinergic system to inhibit the cardiotoxic effects of anthracycline—doxorubicin (DOX). <b>Methods</b>: In this study, 54 Sprague–Dawley rats were divided into seven groups and received intraperitoneal injections with DOX once a week for 4 consecutive weeks. The osmotic pumps provided a continuous release of NaCl (control groups), apelin-13 and elabela at two different doses, and the apelin receptor (APJ) antagonist ML221. Electrocardiography (ECG) and transthoracic echocardiography (TTE) with assessment of left ventricular (LV) systolic parameters were conducted on the first and last days of the experiment. <b>Results</b>: Lower doses of APJ agonists prevented the prolongation of QT and QTc intervals induced by DOX, while higher doses of these drugs exerted no such effect. The TTE examination confirmed DOX-induced LV systolic dysfunction. Moreover, the TTE examination revealed an improvement in the LV systolic parameters in the DOX-treated groups that were simultaneously administered APJ agonists. <b>Conclusions</b>: Our findings support the use of apelin and elabela as potential cardioprotective agents against anthracycline-induced cardiotoxicity.https://www.mdpi.com/2227-9059/13/1/94apelinergic systemcardiotoxicitydoxorubicinelectrocardiographytransthoracic echocardiography
spellingShingle Kasper Buczma
Hubert Borzuta
Katarzyna Kamińska
Dorota Sztechman
Katarzyna Matusik
Jan Pawlonka
Michał Kowara
Barbara Buchalska
Agnieszka Cudnoch-Jędrzejewska
Apelinergic System Affects Electrocardiographic Abnormalities Induced by Doxorubicin
Biomedicines
apelinergic system
cardiotoxicity
doxorubicin
electrocardiography
transthoracic echocardiography
title Apelinergic System Affects Electrocardiographic Abnormalities Induced by Doxorubicin
title_full Apelinergic System Affects Electrocardiographic Abnormalities Induced by Doxorubicin
title_fullStr Apelinergic System Affects Electrocardiographic Abnormalities Induced by Doxorubicin
title_full_unstemmed Apelinergic System Affects Electrocardiographic Abnormalities Induced by Doxorubicin
title_short Apelinergic System Affects Electrocardiographic Abnormalities Induced by Doxorubicin
title_sort apelinergic system affects electrocardiographic abnormalities induced by doxorubicin
topic apelinergic system
cardiotoxicity
doxorubicin
electrocardiography
transthoracic echocardiography
url https://www.mdpi.com/2227-9059/13/1/94
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