This study was aimed at investigating the effects of subchronic administration of doxorubicin (DOX) on brain mitochondrial bioenergetics and oxidative status. Rats were treated with seven weekly injections of vehicle (sc, saline solution) or DOX (sc, 2 mg kg −1 ), and 1 week after the last administration of the drug the animals were sacrificed and brain mitochondrial fractions were obtained. Several parameters were analyzed: respiratory chain, phosphorylation system, induction of the permeability transition pore (PTP), mitochondrial aconitase activity, lipid peroxidation markers, and nonenzymatic antioxidant defenses. DOX treatment induced an increase in thiobarbituric acid-reactive substances and vitamin E levels and a decrease in reduced glutathione content and aconitase activity. Furthermore, DOX potentiated PTP induced by Ca 2+ . No statistical differences were observed in the other parameters analyzed. Altogether our results show that DOX treatment increases the susceptibility of brain mitochondria to Ca 2+ -induced PTP opening and oxidative stress, predisposing brain cells to degeneration and death.© 2008 Elsevier Inc. All rights reserved.
IntroductionDoxorubicin (DOX) is a potent broad-spectrum antineoplastic agent effective in the treatment of a wide variety of cancers, including both solid tumors and leukemias [1]. However, the chronic administration of this drug can induce toxicity to nontarget tissues, cardiotoxicity being the best known side effect [2]. DOX-induced cardiotoxicity has been attributed to a number of effects, including the direct inhibition of key transporters involved in ion homeostasis, alterations in cellular iron and calcium metabolism, disruption of sarcoplasmic reticulum function, mitochondrial dysfunction, and apoptotic cell loss [3]. The mechanisms underlying these events seem to be linked to an increased production of reactive oxygen species (ROS) and oxidative damage [3]. Oxidative stress results from an imbalance between the generation of ROS and reactive nitrogen species and their removal by the cellular antioxidant system [4] and has been implicated in many neurodegenerative disorders [5,6].Several studies in breast cancer survivors and other patients undergoing DOX-based chemotherapy have reported persistent changes in cognitive functions, including memory loss and difficulty in the performance of daily life tasks [4]. Despite the well-known side effects of DOX treatment in the heart, little is known about its effects in the brain. Park et al. [7] showed that DOX generates free radicals in cultured astrocytes and decreases cell viability in a concentration-dependent manner. Similarly, in a study made in primary neuronal cultures, Lopes et al. [2] observed that DOX can induce neuronal cell death by necrosis and apoptosis in a concentration-dependent manner.Mitochondria play a central role in both cell life and cell death [8]. These organelles are essential for the production of ATP through oxidative phosphorylation and regulation of intracellular Ca 2+ homeostasis and are t...