Skip to main content
Erschienen in: General Thoracic and Cardiovascular Surgery 5/2023

25.08.2022 | Original Article

HMOX1 silencing prevents doxorubicin-induced cardiomyocyte injury, mitochondrial dysfunction, and ferroptosis by downregulating CTGF

verfasst von: Jia Qian, Wenting Wan, Min Fan

Erschienen in: General Thoracic and Cardiovascular Surgery | Ausgabe 5/2023

Einloggen, um Zugang zu erhalten

Abstract

Objectives

Doxorubicin is a type of effective antitumor drug but can contribute to cardiomyocyte injuries. We aimed to dissect the mechanism of the HMOX1/CTGF axis in DOX-induced cardiomyocyte injury, mitochondrial dysfunction, and ferroptosis.

Methods

Bioinformatics analysis was conducted to retrieve differentially expressed genes in a DOX-induced mouse model. Mouse cardiomyocytes, HL-1 cells, were induced with l µM DOX, after which gain- or loss-of-function assays were applied. CCK-8, fluorescent probe assay, flow cytometry, and corresponding kits were employed to detect cell viability, ROS levels, mitochondrial membrane potential and cell apoptosis, and GSH and Fe2+ contents, respectively. qRT-PCR or Western blot assay was adopted to test HMOX1, CTGF, BCL-2, Caspase3, Cleaved-Caspase3, and GPX4 expression.

Results

Bioinformatics analysis showed that HMOX1 and CTGF were highly expressed in DOX-induced mice and correlated with each other. Also, HMOX1 and CTGF expression was high in HL-1 cells after DOX treatment, along with an obvious decrease in cell viability and GSH and GPX4 expression, an increase in ROS levels, apoptosis, and Fe2+ contents, and mitochondrial membrane potential dysfunction or loss. HMOX1 or CTGF silencing diminished cell apoptosis, Cleaved-Caspase3 expression, Fe2+ contents, and ROS levels, enhanced cell viability and the expression of GSH, GPX4, and BCL-2, and recovered mitochondrial membrane potential in DOX-induced HL-1 cells. Nevertheless, the effects of HMOX1 silencing on the viability, apoptosis, ferroptosis, and mitochondrial dysfunction of DOX-induced HL-1 cells were counteracted by CTGF overexpression.

Conclusions

In conclusion, HMOX1 silencing decreased CTGF expression to alleviate DOX-induced injury, mitochondrial dysfunction, and ferroptosis of mouse cardiomyocytes.
Literatur
1.
Zurück zum Zitat Rivankar S. An overview of doxorubicin formulations in cancer therapy. J Cancer Res Ther. 2014;10:853–8.PubMedCrossRef Rivankar S. An overview of doxorubicin formulations in cancer therapy. J Cancer Res Ther. 2014;10:853–8.PubMedCrossRef
2.
Zurück zum Zitat Cagel M, Grotz E, Bernabeu E, Moretton MA, Chiappetta DA. Doxorubicin: nanotechnological overviews from bench to bedside. Drug Discov Today. 2017;22:270–81.PubMedCrossRef Cagel M, Grotz E, Bernabeu E, Moretton MA, Chiappetta DA. Doxorubicin: nanotechnological overviews from bench to bedside. Drug Discov Today. 2017;22:270–81.PubMedCrossRef
3.
Zurück zum Zitat Yao CX, Shi JC, Ma CX, Xiong CJ, Song YL, et al. EGF protects cells against dox-induced growth arrest through activating cyclin d1 expression. J Cell Biochem. 2015;116:1755–65.PubMedCrossRef Yao CX, Shi JC, Ma CX, Xiong CJ, Song YL, et al. EGF protects cells against dox-induced growth arrest through activating cyclin d1 expression. J Cell Biochem. 2015;116:1755–65.PubMedCrossRef
4.
Zurück zum Zitat Al-Malky HS, Al Harthi SE, Osman AM. Major obstacles to doxorubicin therapy: cardiotoxicity and drug resistance. J Oncol Pharm Pract. 2020;26:434–44.PubMedCrossRef Al-Malky HS, Al Harthi SE, Osman AM. Major obstacles to doxorubicin therapy: cardiotoxicity and drug resistance. J Oncol Pharm Pract. 2020;26:434–44.PubMedCrossRef
5.
Zurück zum Zitat Prathumsap N, Shinlapawittayatorn K, Chattipakorn SC, Chattipakorn N. Effects of doxorubicin on the heart: from molecular mechanisms to intervention strategies. Eur J Pharmacol. 2020;866: 172818.PubMedCrossRef Prathumsap N, Shinlapawittayatorn K, Chattipakorn SC, Chattipakorn N. Effects of doxorubicin on the heart: from molecular mechanisms to intervention strategies. Eur J Pharmacol. 2020;866: 172818.PubMedCrossRef
6.
Zurück zum Zitat Liu Y, Zeng L, Yang Y, Chen C, Wang D, Wang H. Acyl-CoA thioesterase 1 prevents cardiomyocytes from doxorubicin-induced ferroptosis via shaping the lipid composition. Cell Death Dis. 2020;11:756.PubMedPubMedCentralCrossRef Liu Y, Zeng L, Yang Y, Chen C, Wang D, Wang H. Acyl-CoA thioesterase 1 prevents cardiomyocytes from doxorubicin-induced ferroptosis via shaping the lipid composition. Cell Death Dis. 2020;11:756.PubMedPubMedCentralCrossRef
7.
Zurück zum Zitat Hu C, Zhang X, Song P, Yuan YP, Kong CY, et al. Meteorin-like protein attenuates doxorubicin-induced cardiotoxicity via activating cAMP/PKA/SIRT1 pathway. Redox Biol. 2020;37: 101747.PubMedPubMedCentralCrossRef Hu C, Zhang X, Song P, Yuan YP, Kong CY, et al. Meteorin-like protein attenuates doxorubicin-induced cardiotoxicity via activating cAMP/PKA/SIRT1 pathway. Redox Biol. 2020;37: 101747.PubMedPubMedCentralCrossRef
8.
Zurück zum Zitat Wang AJ, Zhang J, Xiao M, Wang S, Wang BJ, et al. Molecular mechanisms of doxorubicin-induced cardiotoxicity: novel roles of sirtuin 1-mediated signaling pathways. Cell Mol Life Sci. 2021;78:3105–25.PubMedCrossRef Wang AJ, Zhang J, Xiao M, Wang S, Wang BJ, et al. Molecular mechanisms of doxorubicin-induced cardiotoxicity: novel roles of sirtuin 1-mediated signaling pathways. Cell Mol Life Sci. 2021;78:3105–25.PubMedCrossRef
9.
Zurück zum Zitat Schipper HM, Song W, Tavitian A, Cressatti M. The sinister face of heme oxygenase-1 in brain aging and disease. Prog Neurobiol. 2019;172:40–70.PubMedCrossRef Schipper HM, Song W, Tavitian A, Cressatti M. The sinister face of heme oxygenase-1 in brain aging and disease. Prog Neurobiol. 2019;172:40–70.PubMedCrossRef
10.
Zurück zum Zitat Singh N, Ahmad Z, Baid N, Kumar A. Host heme oxygenase-1: friend or foe in tackling pathogens? IUBMB Life. 2018;70:869–80.PubMedCrossRef Singh N, Ahmad Z, Baid N, Kumar A. Host heme oxygenase-1: friend or foe in tackling pathogens? IUBMB Life. 2018;70:869–80.PubMedCrossRef
11.
Zurück zum Zitat Menon AV, Liu J, Tsai HP, Zeng L, Yang S, et al. Excess heme upregulates heme oxygenase 1 and promotes cardiac ferroptosis in mice with sickle cell disease. Blood. 2022;139:936–41.PubMedPubMedCentralCrossRef Menon AV, Liu J, Tsai HP, Zeng L, Yang S, et al. Excess heme upregulates heme oxygenase 1 and promotes cardiac ferroptosis in mice with sickle cell disease. Blood. 2022;139:936–41.PubMedPubMedCentralCrossRef
12.
Zurück zum Zitat Chen C, Shen H, Huang Q, Li Q. The circular rna cdr1as regulates the proliferation and apoptosis of human cardiomyocytes through the mir-135a/hmox1 and mir-135b/hmox1 axes. Genet Test Mol Biomark. 2020;24:537–48.CrossRef Chen C, Shen H, Huang Q, Li Q. The circular rna cdr1as regulates the proliferation and apoptosis of human cardiomyocytes through the mir-135a/hmox1 and mir-135b/hmox1 axes. Genet Test Mol Biomark. 2020;24:537–48.CrossRef
13.
Zurück zum Zitat Meyer N, Zielke S, Michaelis JB, Linder B, Warnsmann V, et al. AT 101 induces early mitochondrial dysfunction and HMOX1 (heme oxygenase 1) to trigger mitophagic cell death in glioma cells. Autophagy. 2018;14:1693–709.PubMedPubMedCentralCrossRef Meyer N, Zielke S, Michaelis JB, Linder B, Warnsmann V, et al. AT 101 induces early mitochondrial dysfunction and HMOX1 (heme oxygenase 1) to trigger mitophagic cell death in glioma cells. Autophagy. 2018;14:1693–709.PubMedPubMedCentralCrossRef
14.
Zurück zum Zitat Ramazani Y, Knops N, Elmonem MA, Nguyen TQ, Arcolino FO, et al. Connective tissue growth factor (CTGF) from basics to clinics. Matrix Biol. 2018;68–69:44–66.PubMedCrossRef Ramazani Y, Knops N, Elmonem MA, Nguyen TQ, Arcolino FO, et al. Connective tissue growth factor (CTGF) from basics to clinics. Matrix Biol. 2018;68–69:44–66.PubMedCrossRef
15.
Zurück zum Zitat Vainio LE, Szabo Z, Lin R, Ulvila J, Yrjola R, et al. Connective tissue growth factor inhibition enhances cardiac repair and limits fibrosis after myocardial infarction. JACC Basic Transl Sci. 2019;4:83–94.PubMedPubMedCentralCrossRef Vainio LE, Szabo Z, Lin R, Ulvila J, Yrjola R, et al. Connective tissue growth factor inhibition enhances cardiac repair and limits fibrosis after myocardial infarction. JACC Basic Transl Sci. 2019;4:83–94.PubMedPubMedCentralCrossRef
16.
Zurück zum Zitat Valentijn FA, Knoppert SN, Pissas G, Rodrigues-Diez RR, Marquez-Exposito L, et al. CCN2 aggravates the immediate oxidative stress-dna damage response following renal ischemia-reperfusion injury. Antioxidants (Basel). 2021;10:2020.PubMedCrossRef Valentijn FA, Knoppert SN, Pissas G, Rodrigues-Diez RR, Marquez-Exposito L, et al. CCN2 aggravates the immediate oxidative stress-dna damage response following renal ischemia-reperfusion injury. Antioxidants (Basel). 2021;10:2020.PubMedCrossRef
17.
Zurück zum Zitat Lai WT, Li YJ, Wu SB, Yang CN, Wu TS, et al. Connective tissue growth factor decreases mitochondrial metabolism through ubiquitin-mediated degradation of mitochondrial transcription factor A in oral squamous cell carcinoma. J Formos Med Assoc. 2018;117:212–9.PubMedCrossRef Lai WT, Li YJ, Wu SB, Yang CN, Wu TS, et al. Connective tissue growth factor decreases mitochondrial metabolism through ubiquitin-mediated degradation of mitochondrial transcription factor A in oral squamous cell carcinoma. J Formos Med Assoc. 2018;117:212–9.PubMedCrossRef
18.
Zurück zum Zitat Kuo CY, Chiu V, Hsieh PC, Huang CY, Huang SJ, et al. Chrysophanol attenuates hepatitis B virus X protein-induced hepatic stellate cell fibrosis by regulating endoplasmic reticulum stress and ferroptosis. J Pharmacol Sci. 2020;144:172–82.PubMedCrossRef Kuo CY, Chiu V, Hsieh PC, Huang CY, Huang SJ, et al. Chrysophanol attenuates hepatitis B virus X protein-induced hepatic stellate cell fibrosis by regulating endoplasmic reticulum stress and ferroptosis. J Pharmacol Sci. 2020;144:172–82.PubMedCrossRef
19.
Zurück zum Zitat Bauer B, Liedtke D, Jarzina S, Stammler E, Kreisel K, et al. Exploration of zebrafish larvae as an alternative whole-animal model for nephrotoxicity testing. Toxicol Lett. 2021;344:69–81.PubMedCrossRef Bauer B, Liedtke D, Jarzina S, Stammler E, Kreisel K, et al. Exploration of zebrafish larvae as an alternative whole-animal model for nephrotoxicity testing. Toxicol Lett. 2021;344:69–81.PubMedCrossRef
20.
Zurück zum Zitat Aung LHH, Li R, Prabhakar BS, Li P. Knockdown of Mtfp1 can minimize doxorubicin cardiotoxicity by inhibiting Dnm1l-mediated mitochondrial fission. J Cell Mol Med. 2017;21:3394–404.PubMedPubMedCentralCrossRef Aung LHH, Li R, Prabhakar BS, Li P. Knockdown of Mtfp1 can minimize doxorubicin cardiotoxicity by inhibiting Dnm1l-mediated mitochondrial fission. J Cell Mol Med. 2017;21:3394–404.PubMedPubMedCentralCrossRef
21.
Zurück zum Zitat Wenningmann N, Knapp M, Ande A, Vaidya TR, Ait-Oudhia S. Insights into doxorubicin-induced cardiotoxicity: molecular mechanisms, preventive strategies, and early monitoring. Mol Pharmacol. 2019;96:219–32.PubMedCrossRef Wenningmann N, Knapp M, Ande A, Vaidya TR, Ait-Oudhia S. Insights into doxorubicin-induced cardiotoxicity: molecular mechanisms, preventive strategies, and early monitoring. Mol Pharmacol. 2019;96:219–32.PubMedCrossRef
23.
Zurück zum Zitat Cheng X, Liu D, Song H, Tian X, Yan C, Han Y. Overexpression of kininogen-1 aggravates oxidative stress and mitochondrial dysfunction in dox-induced cardiotoxicity. Biochem Biophys Res Commun. 2021;550:142–50.PubMedCrossRef Cheng X, Liu D, Song H, Tian X, Yan C, Han Y. Overexpression of kininogen-1 aggravates oxidative stress and mitochondrial dysfunction in dox-induced cardiotoxicity. Biochem Biophys Res Commun. 2021;550:142–50.PubMedCrossRef
24.
Zurück zum Zitat Zheng X, Zhong T, Ma Y, Wan X, Qin A, et al. Bnip3 mediates doxorubicin-induced cardiomyocyte pyroptosis via caspase-3/GSDME. Life Sci. 2020;242: 117186.PubMedCrossRef Zheng X, Zhong T, Ma Y, Wan X, Qin A, et al. Bnip3 mediates doxorubicin-induced cardiomyocyte pyroptosis via caspase-3/GSDME. Life Sci. 2020;242: 117186.PubMedCrossRef
25.
Zurück zum Zitat Kitakata H, Endo J, Matsushima H, Yamamoto S, Ikura H, et al. MITOL/MARCH5 determines the susceptibility of cardiomyocytes to doxorubicin-induced ferroptosis by regulating GSH homeostasis. J Mol Cell Cardiol. 2021;161:116–29.PubMedCrossRef Kitakata H, Endo J, Matsushima H, Yamamoto S, Ikura H, et al. MITOL/MARCH5 determines the susceptibility of cardiomyocytes to doxorubicin-induced ferroptosis by regulating GSH homeostasis. J Mol Cell Cardiol. 2021;161:116–29.PubMedCrossRef
26.
Zurück zum Zitat Zhao L, Qi Y, Xu L, Tao X, Han X, et al. MicroRNA-140-5p aggravates doxorubicin-induced cardiotoxicity by promoting myocardial oxidative stress via targeting Nrf2 and Sirt2. Redox Biol. 2018;15:284–96.PubMedCrossRef Zhao L, Qi Y, Xu L, Tao X, Han X, et al. MicroRNA-140-5p aggravates doxorubicin-induced cardiotoxicity by promoting myocardial oxidative stress via targeting Nrf2 and Sirt2. Redox Biol. 2018;15:284–96.PubMedCrossRef
27.
Zurück zum Zitat Kiraz Y, Adan A, Kartal Yandim M, Baran Y. Major apoptotic mechanisms and genes involved in apoptosis. Tumour Biol. 2016;37:8471–86.PubMedCrossRef Kiraz Y, Adan A, Kartal Yandim M, Baran Y. Major apoptotic mechanisms and genes involved in apoptosis. Tumour Biol. 2016;37:8471–86.PubMedCrossRef
28.
Zurück zum Zitat Song S, Chu L, Liang H, Chen J, Liang J, et al. Protective effects of dioscin against doxorubicin-induced hepatotoxicity via regulation of sirt1/foxo1/nf-kappab signal. Front Pharmacol. 2019;10:1030.PubMedPubMedCentralCrossRef Song S, Chu L, Liang H, Chen J, Liang J, et al. Protective effects of dioscin against doxorubicin-induced hepatotoxicity via regulation of sirt1/foxo1/nf-kappab signal. Front Pharmacol. 2019;10:1030.PubMedPubMedCentralCrossRef
29.
Zurück zum Zitat Bernard A, Chevrier S, Beltjens F, Dosset M, Viltard E, et al. Cleaved caspase-3 transcriptionally regulates angiogenesis-promoting chemotherapy resistance. Cancer Res. 2019;79:5958–70.PubMedCrossRef Bernard A, Chevrier S, Beltjens F, Dosset M, Viltard E, et al. Cleaved caspase-3 transcriptionally regulates angiogenesis-promoting chemotherapy resistance. Cancer Res. 2019;79:5958–70.PubMedCrossRef
30.
Zurück zum Zitat Yang B, Chen Y, Shi J. Reactive oxygen species (ROS)-based nanomedicine. Chem Rev. 2019;119:4881–985.PubMedCrossRef Yang B, Chen Y, Shi J. Reactive oxygen species (ROS)-based nanomedicine. Chem Rev. 2019;119:4881–985.PubMedCrossRef
31.
Zurück zum Zitat Zhang Q, Wu G, Guo S, Liu Y, Liu Z. Effects of tristetraprolin on doxorubicin (adriamycin)-induced experimental kidney injury through inhibiting IL-13/STAT6 signal pathway. Am J Transl Res. 2020;12:1203–21.PubMedPubMedCentral Zhang Q, Wu G, Guo S, Liu Y, Liu Z. Effects of tristetraprolin on doxorubicin (adriamycin)-induced experimental kidney injury through inhibiting IL-13/STAT6 signal pathway. Am J Transl Res. 2020;12:1203–21.PubMedPubMedCentral
33.
Zurück zum Zitat Yin J, Guo J, Zhang Q, Cui L, Zhang L, et al. Doxorubicin-induced mitophagy and mitochondrial damage is associated with dysregulation of the PINK1/parkin pathway. Toxicol In Vitro. 2018;51:1–10.PubMedCrossRef Yin J, Guo J, Zhang Q, Cui L, Zhang L, et al. Doxorubicin-induced mitophagy and mitochondrial damage is associated with dysregulation of the PINK1/parkin pathway. Toxicol In Vitro. 2018;51:1–10.PubMedCrossRef
34.
Zurück zum Zitat Stamenkovic A, O’Hara KA, Nelson DC, Maddaford TG, Edel AL, et al. Oxidized phosphatidylcholines trigger ferroptosis in cardiomyocytes during ischemia-reperfusion injury. Am J Physiol Heart Circ Physiol. 2021;320:H1170–84.PubMedCrossRef Stamenkovic A, O’Hara KA, Nelson DC, Maddaford TG, Edel AL, et al. Oxidized phosphatidylcholines trigger ferroptosis in cardiomyocytes during ischemia-reperfusion injury. Am J Physiol Heart Circ Physiol. 2021;320:H1170–84.PubMedCrossRef
35.
Zurück zum Zitat Ursini F, Maiorino M. Lipid peroxidation and ferroptosis: the role of GSH and GPx4. Free Radic Biol Med. 2020;152:175–85.PubMedCrossRef Ursini F, Maiorino M. Lipid peroxidation and ferroptosis: the role of GSH and GPx4. Free Radic Biol Med. 2020;152:175–85.PubMedCrossRef
36.
Zurück zum Zitat Wang J, Deng B, Liu Q, Huang Y, Chen W, et al. Pyroptosis and ferroptosis induced by mixed lineage kinase 3 (MLK3) signaling in cardiomyocytes are essential for myocardial fibrosis in response to pressure overload. Cell Death Dis. 2020;11:574.PubMedPubMedCentralCrossRef Wang J, Deng B, Liu Q, Huang Y, Chen W, et al. Pyroptosis and ferroptosis induced by mixed lineage kinase 3 (MLK3) signaling in cardiomyocytes are essential for myocardial fibrosis in response to pressure overload. Cell Death Dis. 2020;11:574.PubMedPubMedCentralCrossRef
37.
Zurück zum Zitat Ahmed AZ, Mumbrekar KD, Satyam SM, Shetty P, D’Souza MR, Singh VK. Chia seed oil ameliorates doxorubicin-induced cardiotoxicity in female wistar rats: an electrocardiographic. Biochem Histopathol Approach Cardiovasc Toxicol. 2021;21:533–42.CrossRef Ahmed AZ, Mumbrekar KD, Satyam SM, Shetty P, D’Souza MR, Singh VK. Chia seed oil ameliorates doxorubicin-induced cardiotoxicity in female wistar rats: an electrocardiographic. Biochem Histopathol Approach Cardiovasc Toxicol. 2021;21:533–42.CrossRef
38.
Zurück zum Zitat Zhang H, Wang Z, Liu Z, Du K, Lu X. Protective effects of dexazoxane on rat ferroptosis in doxorubicin-induced cardiomyopathy through regulating HMGB1. Front Cardiovasc Med. 2021;8: 685434.PubMedPubMedCentralCrossRef Zhang H, Wang Z, Liu Z, Du K, Lu X. Protective effects of dexazoxane on rat ferroptosis in doxorubicin-induced cardiomyopathy through regulating HMGB1. Front Cardiovasc Med. 2021;8: 685434.PubMedPubMedCentralCrossRef
39.
Zurück zum Zitat Deng X, Liang C, Qian L, Zhang Q. miR-24 targets HMOX1 to regulate inflammation and neurofunction in rats with cerebral vasospasm after subarachnoid hemorrhage. Am J Transl Res. 2021;13:1064–74.PubMedPubMedCentral Deng X, Liang C, Qian L, Zhang Q. miR-24 targets HMOX1 to regulate inflammation and neurofunction in rats with cerebral vasospasm after subarachnoid hemorrhage. Am J Transl Res. 2021;13:1064–74.PubMedPubMedCentral
40.
Zurück zum Zitat Fang X, Wang H, Han D, Xie E, Yang X, et al. Ferroptosis as a target for protection against cardiomyopathy. Proc Natl Acad Sci USA. 2019;116:2672–80.PubMedPubMedCentralCrossRef Fang X, Wang H, Han D, Xie E, Yang X, et al. Ferroptosis as a target for protection against cardiomyopathy. Proc Natl Acad Sci USA. 2019;116:2672–80.PubMedPubMedCentralCrossRef
41.
Zurück zum Zitat Qin D, Yue R, Deng P, Wang X, Zheng Z, et al. 8-Formylophiopogonanone B antagonizes doxorubicin-induced cardiotoxicity by suppressing heme oxygenase-1-dependent myocardial inflammation and fibrosis. Biomed Pharmacother. 2021;140: 111779.PubMedCrossRef Qin D, Yue R, Deng P, Wang X, Zheng Z, et al. 8-Formylophiopogonanone B antagonizes doxorubicin-induced cardiotoxicity by suppressing heme oxygenase-1-dependent myocardial inflammation and fibrosis. Biomed Pharmacother. 2021;140: 111779.PubMedCrossRef
42.
Zurück zum Zitat Meng Z, Liang H, Zhao J, Gao J, Liu C, et al. HMOX1 upregulation promotes ferroptosis in diabetic atherosclerosis. Life Sci. 2021;284: 119935.PubMedCrossRef Meng Z, Liang H, Zhao J, Gao J, Liu C, et al. HMOX1 upregulation promotes ferroptosis in diabetic atherosclerosis. Life Sci. 2021;284: 119935.PubMedCrossRef
43.
Zurück zum Zitat Moreno-Navarrete JM, Ortega F, Rodriguez A, Latorre J, Becerril S, et al. HMOX1 as a marker of iron excess-induced adipose tissue dysfunction, affecting glucose uptake and respiratory capacity in human adipocytes. Diabetologia. 2017;60:915–26.PubMedCrossRef Moreno-Navarrete JM, Ortega F, Rodriguez A, Latorre J, Becerril S, et al. HMOX1 as a marker of iron excess-induced adipose tissue dysfunction, affecting glucose uptake and respiratory capacity in human adipocytes. Diabetologia. 2017;60:915–26.PubMedCrossRef
44.
Zurück zum Zitat Stephany HA, Strand DW, Ching CB, Tanaka ST, Milne GL, et al. Chronic cyclic bladder over distention up-regulates hypoxia dependent pathways. J Urol. 2013;190:1603–9.PubMedPubMedCentralCrossRef Stephany HA, Strand DW, Ching CB, Tanaka ST, Milne GL, et al. Chronic cyclic bladder over distention up-regulates hypoxia dependent pathways. J Urol. 2013;190:1603–9.PubMedPubMedCentralCrossRef
45.
Zurück zum Zitat Chen L, Ji Q, Zhu H, Ren Y, Fan Z, Tian N. miR-30a attenuates cardiac fibrosis in rats with myocardial infarction by inhibiting CTGF. Exp Ther Med. 2018;15:4318–24.PubMedPubMedCentral Chen L, Ji Q, Zhu H, Ren Y, Fan Z, Tian N. miR-30a attenuates cardiac fibrosis in rats with myocardial infarction by inhibiting CTGF. Exp Ther Med. 2018;15:4318–24.PubMedPubMedCentral
46.
Zurück zum Zitat Ouyang W, Fu S, Zhao X, Su S, Zhang J, et al. Recombinant human endostatin combined with radiotherapy promotes cardiomyocyte apoptosis in rats via TGFbeta1/Smads/CTGF signaling pathway. BMC Cardiovasc Disord. 2022;22:97.PubMedPubMedCentralCrossRef Ouyang W, Fu S, Zhao X, Su S, Zhang J, et al. Recombinant human endostatin combined with radiotherapy promotes cardiomyocyte apoptosis in rats via TGFbeta1/Smads/CTGF signaling pathway. BMC Cardiovasc Disord. 2022;22:97.PubMedPubMedCentralCrossRef
47.
Zurück zum Zitat De Francesco EM, Rocca C, Scavello F, Amelio D, Pasqua T, et al. Protective role of gper agonist g-1 on cardiotoxicity induced by doxorubicin. J Cell Physiol. 2017;232:1640–9.PubMedCrossRef De Francesco EM, Rocca C, Scavello F, Amelio D, Pasqua T, et al. Protective role of gper agonist g-1 on cardiotoxicity induced by doxorubicin. J Cell Physiol. 2017;232:1640–9.PubMedCrossRef
48.
Zurück zum Zitat Behnes M, Brueckmann M, Lang S, Weiss C, Ahmad-Nejad P, et al. Connective tissue growth factor (CTGF/CCN2): diagnostic and prognostic value in acute heart failure. Clin Res Cardiol. 2014;103:107–16.PubMedCrossRef Behnes M, Brueckmann M, Lang S, Weiss C, Ahmad-Nejad P, et al. Connective tissue growth factor (CTGF/CCN2): diagnostic and prognostic value in acute heart failure. Clin Res Cardiol. 2014;103:107–16.PubMedCrossRef
49.
Zurück zum Zitat Chi H, Feng H, Shang X, Jiao J, Sun L, et al. Circulating connective tissue growth factor is associated with diastolic dysfunction in patients with diastolic heart failure. Cardiology. 2019;143:77–84.PubMedCrossRef Chi H, Feng H, Shang X, Jiao J, Sun L, et al. Circulating connective tissue growth factor is associated with diastolic dysfunction in patients with diastolic heart failure. Cardiology. 2019;143:77–84.PubMedCrossRef
50.
Zurück zum Zitat Waza AA, Hamid Z, Bhat SA, Shah NUD, Bhat M, Ganai B. Relaxin protects cardiomyocytes against hypoxia-induced damage in in-vitro conditions: Involvement of Nrf2/HO-1 signaling pathway. Life Sci. 2018;213:25–31.PubMedCrossRef Waza AA, Hamid Z, Bhat SA, Shah NUD, Bhat M, Ganai B. Relaxin protects cardiomyocytes against hypoxia-induced damage in in-vitro conditions: Involvement of Nrf2/HO-1 signaling pathway. Life Sci. 2018;213:25–31.PubMedCrossRef
Metadaten
Titel
HMOX1 silencing prevents doxorubicin-induced cardiomyocyte injury, mitochondrial dysfunction, and ferroptosis by downregulating CTGF
verfasst von
Jia Qian
Wenting Wan
Min Fan
Publikationsdatum
25.08.2022
Verlag
Springer Nature Singapore
Erschienen in
General Thoracic and Cardiovascular Surgery / Ausgabe 5/2023
Print ISSN: 1863-6705
Elektronische ISSN: 1863-6713
DOI
https://doi.org/10.1007/s11748-022-01867-7

Weitere Artikel der Ausgabe 5/2023

General Thoracic and Cardiovascular Surgery 5/2023 Zur Ausgabe

Wie erfolgreich ist eine Re-Ablation nach Rezidiv?

23.04.2024 Ablationstherapie Nachrichten

Nach der Katheterablation von Vorhofflimmern kommt es bei etwa einem Drittel der Patienten zu Rezidiven, meist binnen eines Jahres. Wie sich spätere Rückfälle auf die Erfolgschancen einer erneuten Ablation auswirken, haben Schweizer Kardiologen erforscht.

Hinter dieser Appendizitis steckte ein Erreger

23.04.2024 Appendizitis Nachrichten

Schmerzen im Unterbauch, aber sonst nicht viel, was auf eine Appendizitis hindeutete: Ein junger Mann hatte Glück, dass trotzdem eine Laparoskopie mit Appendektomie durchgeführt und der Wurmfortsatz histologisch untersucht wurde.

Mehr Schaden als Nutzen durch präoperatives Aussetzen von GLP-1-Agonisten?

23.04.2024 Operationsvorbereitung Nachrichten

Derzeit wird empfohlen, eine Therapie mit GLP-1-Rezeptoragonisten präoperativ zu unterbrechen. Eine neue Studie nährt jedoch Zweifel an der Notwendigkeit der Maßnahme.

Ureterstriktur: Innovative OP-Technik bewährt sich

19.04.2024 EAU 2024 Kongressbericht

Die Ureterstriktur ist eine relativ seltene Komplikation, trotzdem bedarf sie einer differenzierten Versorgung. In komplexen Fällen wird dies durch die roboterassistierte OP-Technik gewährleistet. Erste Resultate ermutigen.

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare
CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare
CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare
CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.