2017
DOI: 10.1038/srep44735
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Doxorubicin induces cardiotoxicity through upregulation of death receptors mediated apoptosis in cardiomyocytes

Abstract: Doxorubicin is a highly effective anticancer agent but causes cardiotoxicity in many patients. The mechanisms of doxorubicin-induced cardiotoxicity remain incompletely understood. Here we investigated doxorubicin-induced cytotoxicity in human induced pluripotent stem cells-derived cardiomyocytes (iPS-CMs). We found that doxorubicin and related anthracycline agents (e.g., daunorubicin, idarubicin, and epirubicin) significantly upregulated the expression of death receptors (DRs) (TNFR1, Fas, DR4 and DR5) in iPS-… Show more

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Cited by 293 publications
(217 citation statements)
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“…Despite strong anticancer effects, DOX and CP have cardiotoxic and nephrotoxic effects [25][26][27], respectively, that decrease their therapeutic efficiencies. DOX causes cumulative and dose-dependent cardiotoxicity, including abnormal changes to the structure and function of myocardium, severe cardiomyopathy, and congestive heart failure, resulting in cardiac transplants and death in many patients [25,26]. CP is finally cleared by the kidneys through glomerular filtration and tubular secretion; therefore, the drug molecules are filtered out when the concentration in the kidney exceeds the concentration in the blood.…”
Section: Discussionmentioning
confidence: 99%
“…Despite strong anticancer effects, DOX and CP have cardiotoxic and nephrotoxic effects [25][26][27], respectively, that decrease their therapeutic efficiencies. DOX causes cumulative and dose-dependent cardiotoxicity, including abnormal changes to the structure and function of myocardium, severe cardiomyopathy, and congestive heart failure, resulting in cardiac transplants and death in many patients [25,26]. CP is finally cleared by the kidneys through glomerular filtration and tubular secretion; therefore, the drug molecules are filtered out when the concentration in the kidney exceeds the concentration in the blood.…”
Section: Discussionmentioning
confidence: 99%
“…Cluster 4 had high number of G-protein coupled receptor signaling pathway members (60%, p = 0.01). Apoptotic process, believed to play an important role in drug-induced hepatotoxicity [44] and cardiotoxicity [45], was the largest enriched category in Cluster 7 (63.62%, p=0.01). No significant GO term enrichment for any functions was identified in Cluster 8.…”
Section: Model Interpretationmentioning
confidence: 99%
“…Pengurangan dosis dengan tetap mempertahankan efektiivitas doxorubicin menjadi salah satu cara untuk menurunkan efek kardiotoksik. 28 Hasil penelitian ini menunjukkan ko-administrasi GM 40 µg/mL dapat meningkatkan efek sitotoksik doxorubicin 3 nM hingga 51%. Perlakuan tunggal doxorubicin membutuhkan konsentrasi 6 nM untuk menghasilkan efek sitotoksik 50% (IC50).…”
Section: Pembahasanunclassified