Natural strategies of preventing anthracycline-induced cardiotoxicity – a review
DOI:
https://doi.org/10.24193/subbbiol.2022.2.01Keywords:
cardiotoxicity, antioxidants, prevention, polyphenolsAbstract
Cardiotoxicity is one of the worst long-term effects of cancer therapy and doxorubicin is one of the main compounds responsible for cardiovascular complications. There are several biologically active compounds that can alleviate or prevent cardiotoxicity through multiple directions. Therefore, one of the aims of this paper is to emphasize the mechanisms by which several naturally occuring substances can improve the cardiac activity after drug-induced cardiotoxicity. The second part of this paper aims to update the molecular mechanism by which physical exercise and nutrition improve the life of a person with cardiovascular disease. The data collected showed that an active life and following a diet rich in polyphenols, coenzyme Q10, magnesium, may enhance the cardiovascular activity after exposure cu cardiotoxic drugs.
Article history: Received: 30 July 2022; Revised: 20 October 2022;
Accepted: 29 November 2022; Available online: 22 December 2022.
References
Abushouk A.I., Ismail A., Salem A.M.A., Afifi A.M., & Abdel-Daim M.M. (2017). Cardioprotective mechanisms of phytochemicals against doxorubicin-induced cardiotoxicity. Biomed Pharmacother, 90, 935-946.
Afsar T., Razak S., Almajwal A., Shabbir M., & Khan M.R. (2019). Evaluating the protective potency of Acacia hydaspica R. Parker on histological and biochemical changes induced by Cisplatin in the cardiac tissue of rats. BMC Complement Altern Med, 23, 19(1), 182.
Antunes P., Esteves D., Nunes C., Sampaio F., Ascensão A., & Vilela E. (2019). Impact of exercise training on cardiotoxicity and cardiac health outcomes in women with breast cancer anthracycline chemotherapy: a study protocol for a randomized controlled trial. Trials, 20(1), 433.
Ascensão A., Magalhães J., Soares J.M., Ferreira R., Neuparth M.J., & Marques F. (2005). Moderate endurance training prevents doxorubicin-induced in vivo mitochondriopathy and reduces the development of cardiac apoptosis. Am J Physiol Heart Circ Physiol, 289(2), H722-731.
Bacchetta, G., Farris, E., & Pontecorvo, C. (2012). A new method to set conservation priorities in biodiversity hotspots. Plant Biosystems, 146(3), 638-648.
Benzer F., Kandemir F.M., Ozkaraca M., Kucukler S., & Caglayan C. (2018). Curcumin ameliorates doxorubicin-induced cardiotoxicity by abrogation of inflammation, apoptosis, oxidative DNA damage, and protein oxidation in rats. J Biochem Mol Toxicol, 32(2).
Botelho A.F.M., Lempek M.R., Branco S.E.M.T., Nogueira M.M., de Almeida M.E., & Costa A.G. (2019). Coenzyme Q10 cardioprotective effects against doxorubicin-induced cardiotoxicity in Wistar rat. Cardiovasc Toxicol, [Epub ahead of print]
Buckley J.P., Furze G., Doherty P., Speck L., Connolly S., & Hinton S. (2013). BACPR stientific statement: British standards and core components for cardiovascular disease prevention and rehabilitation, Heart, 99(15), 1069-1071.
CancerResearchUK (2014). Cancer mortality in the UK 2012. In: Cancer Statistics Report. London UK.
Carresi C., Gliozzia M., Giancotta C., Scarcella A., Scarano F., & Bosco F. (2016). Studies on the protective role of Bergamot polyphenols in doxorubicin-induced cardiotoxicity. Pharma Nutr, 4(Suppl), S19-S26.
Ciocârlan, V. (2009) Flora ilustrată a României. Pteridophyta et Spermatophyta. Ceres, Bucureşti, 226 pp.
Coleman M.P., Forman D., Bryant H., Butler J., Rachet B., Maringe C, et al. (2011). Cancer survival in Australia, Canada, Denmark, Norway, Sweden, and the UK, 1995-2007 (the International Cancer Benchmarking Partnership): an analysis of population-based cancer registry data. Lancet, 377(9760), 127-138.
Diaz-Balboa E., Gonzalez-Salvado V., Rodriguez-Romero B., Martinez-Monzonis A., Pedreira-Perez M., Palacios-Ozores P., Lopez-Lopez R., Pena-Gil C., & Gozalez-Juanatey J.R. (2021). A randomized trial to evaluate the impact of exercise-based cardiac rehabilitation for the prevention of chemotherapy-induced cardiotoxicity in patients with breast cancer: ONCORE study protocol. BMC Cardiovasc Disord, 21(1), 165.
Dutta D., Xu J., Dirain M.L., & Leeuwenburgh C. (2014). Calorie restriction combined with resveratrol induces autophagy and protects 26-month-old rat hearts from doxorubicin-induced toxicity. Free Radic Biol Med, 74, 252-262.
Fidale T.M., Antunes H.K.M., Alex Dos Santos L., Rodrigues de Souza F., & Deconte S.R. (2018). Borges Rosa de Moura F. Increased dietary leucine reduces doxorubicin-associated cardiac dysfunction in rats. Front Physiol, 8, 1042.
Foulkes S.J., Howden E.J., Antill Y., Loi S., Salim A., Haykowsky M.J., Daly R.M., Fraser S.F., & La Gerche A. (2020). Exercise as a diagnostic and therapeutic tool for preventing cardiovascular morbidity in breast cancer patients-the Breast cancer Exercise InTervention (BREXIT) trial protocol. BMC Cancer, 20, 655-670.
French J.P., Hamilton K.L., Quindry J.C., Lee Y., Upchurch P.A., & Powers S.K. (2008). Exercise-induced protection against myocardial apoptosis and necrosis: MnSOD, calcium-handling proteins, and calpain. FASEB J, 22(8), 2862-2871.
Furmaniak A.C., Menig M., & Markes M.H. (2016). Exercise for women receveing adjuvant therapy for breast cancer. Cochrane Database Syst Rev, 9.
Gu J., Hu W., Song Z.P., Chen Y.G., Zhang D.D., & Wang C.Q. (2016). Resveratrol-induced autophagy promotes survival and attenuates doxorubicin-induced cardiotoxicity. Int Immunopharmacol, 32, 1-7.
Hijazi M.A., Jambi H.A., Aljehany B.M., & Althaiban M.A. (2019). Potential protective effect of Achillea fragrantissima against adriamycin-induced cardiotoxicity in rats via an antioxidant and anti-inflammatory pathway. Biomed Res Int, 5269074.
Hosseini A., Razavi B.M., Banach M., & Hosseinzadeh H. (2021). Quercetin and metabolic syndromeț: a review, Phytother res, 23(10), 5352-5364.
Howden E.J., Bigaran A., Beaudry R., Fraser S., Selig S., & Foulkes S. (2019). Exercise as a diagnostic and therapeutic tool for the prevention of cardiovascular dysfunction in breast cancer patients. Eur J Prev Cardiol, 26(3), 305-315.
Ibrahim M.A., Bakhaat G.A., Tammam H.G., Mohamed R.M., & El-Naggar S.A. (2019). Cardioprotective effect of green tea extract and vitamin E on Cisplatin-induced cardiotoxicity in mice: Toxicological, histological and immunohistochemical studies. Biomed Pharmacother, 113, 108731.
Imbaby S., Ewais M., Essawy S., & Farag N. (2014). Cardioprotective effects of curcumin and nebivolol against doxorubicin-induced cardiac toxicity in rats. Hum Exp Toxicol, 33(8), 800-813.
Jensen G.L., Compher C., Sullivan D.H., & Mullin G.E. (2013). Recognizing malnutrition in adults: definitions and characteristics, screening, assessment, and team approach. JPEN J Parenter Enteral Nutr, 37(6), 802-807.
Khalilzadeh M., Abdollahi A., Abdolahi F., Abdolghaffari A.H., Dehpour A.R., & Jazaeri F. (2018). Protective effects of magnesium sulfate against doxorubicin induced cardiotoxicity in rats. Life Sci, 207, 436-441.
Kirkham A.A., Eves N.D., Shave R.E., Bland K.A., Bovard J., & Gelmon K.A. (2018). The effect of an aerobic exercise bout 24 h prior to each doxorubicin treatment for breast cancer on markers of cardiotoxicity and treatment symptoms: a RCT. Breast Cancer Res Treat, 167(3), 719-729.
Lahart I.M., Metsios G.S., Nevill A.M., & Carmichael A.R. (2018). Physical activity for women with breast cancer after adjuvant therapy. Cochrane Database Syst Rev, 1.
Lee K., Kang I., Mack W.J., Mortimer J., Sattler F., Salem G., Lu J., & Dieli-Conwright C.M. (2018). Effects of high-intensity interval training on vascular endothelial function and vascular wall thickness in breast cancer patients receiving anthracycline-based chemotherapy: a randomized pilot study. BMJ, 177(2), 477-485.
Leitzmann M., Powers H., Anderson A.S., Scoccianti C., Berrino F., & Boutron-Ruault M.C. (2015). European Code against Cancer 4th Edition: Physical activity and cancer. Cancer Epidemiol, 39 Suppl 1, S46-55.
Li S.Z., Li K., Zhang J.H., & Dong Z. (2013). The effect of quercetin on doxorubicin cytotoxicity in human breast cancer cells. Anticancer Agents Med Chem, 13(2), 352-355.
Li W.J., Zhang X.Y., Wu R.T., Song Y.H., & Xie M.Y. (2018). Ganoderma atrum polysaccharide improves doxorubicin-induced cardiotoxicity in mice by regulation of apoptotic pathway in mitochondria. Carbohydr Polym, 202, 581-590.
Maia T.N., de Araujo G.B.R., Teixeira J.A.C., Junior E.D.A.J., & Dias K.P. (2017). Cardiotoxicity of doxorubicin treatment and physical activity: A systematic review. Int J Cardiovasc Sci, 30(1), 70-80.
Matouk A.I., Taye A., Heeba G.H., & El-Moselhy M.A. (2013). Quercetin augments the protective effect of losartan against chronic doxorubicin cardiotoxicity in rats. Environ Toxicol Pharmacol, 36(2), 443-450.
McGowan J.V., Chung R., Maulik A., Piotrowska I., Walker J.M., & Yellon D.M. (2017). Anthracycline chemotherapy and cardiotoxicity. Cardiovasc Drugs Ther, 31(1), 63-75.
Meng T., Xiao D., Muhammed A., Deng J., Chen L., & He J. (2021). Anti-inflammatory action and mechanisms of resveratrol Molecules, 26(1), 229.
Muthukumaran S., Sudheer A.R., Menon V.P., & Nalini N. (2008). Protective effect of quercetin on nicotine-induced prooxidant and antioxidant imbalance and DNA damage in Wistar rats. Toxicology, 243(1-2), 207-215.
Nathan P., Kulkarni K., & MacDonald T. (2022). Incidence and risk factors of anthracycline-induced cardiotoxicity in long-term survivors of pediatric cancer: A population-based cohort study. Ped Hem Oncol J, Journal pre-proof, DOI: https://doi.org/10.1016/j.phoj.2022.06.004.
Nonaka M., Hosoda H., & Uezono Y. (2021). Cancer treatment-related cardiovascular disease: Current status and future research priorities. Biochem Pharmacol, 190, 114599.
Rana A., Samtiya M., Dhewa T., Mishra V., & Aluko R.E. (2022). Health benefits of polyphenols: a concise review, J Food Biochem, e14264.
Salvatici M., & Sandri M.T. (2015). Identifying cancer patients at risk for cardiotoxicity. Future Oncol, 11(14), 2077-2091.
Scott J.M., Khakoo A., Mackey J.R., Haykowsky M.J., Douglas P.S., & Jones L.W. (2011). Modulation of anthracycline-induced cardiotoxicity by aerobic exercise in breast cancer: Current evidence and underlying mechanisms. Circulation, 124(5), 642-650.
Shabalala S., Muller C.J.F., Louw J., & Johnson R. (2017). Polyphenols, autophagy and doxorubicin-induced cardiotoxicity. Life Sci, 180, 160-170.
Shapiro C.L. (2018). Cancer survivorship. N Engl J Med, 379(25), 2438-2450.
Sin T.K., Tam B.T., Yung B.Y., Yip S.P., Chan L.W., & Wong C.S. (2015). Resveratrol protects against doxorubicin-induced cardiotoxicity in aged hearts through the SIRT1-USP7 axis. J Physiol, 593(8), 1887-1899.
Smuder A.J., Kavazis A.N., Min K., & Powers S.K. (2013). Doxorubicin-induced markers of myocardial autophagic signaling in sedentary and exercise trained animals. J Appl Physiol, 115(2), 176-185.
Sritharan S., & Sivalingham N. (2021). A comprehensive review on time-tested anticancer drug doxorubicin. Life Sci, 278, 119527.
Stanić Z. (2017). Curcumin, a compound from natural sources, a true Scientific challenge - A review. Plant Foods Hum Nutr, 72(1), 1-12.
Tatlidede E., Sehirli O., Velioğlu-Oğünc A., Cetinel S., Yeğen B.C., & Yarat A. (2009). Resveratrol treatment protects against doxorubicin-induced cardiotoxicity by alleviating oxidative damage. Free Radic Res, 43(3), 195-205.
Wallace K.B. (2003). Doxorubicin-induced cardiac mitochondrionopathy. Pharmacol Toxicol, 93(3), 105-115.
Wang G., Zhang J., Liu L., Sharma S., & Dong Q. (2012). Quercetin potentiates doxorubicin mediated antitumor effects against liver cancer through p53/Bcl-xl. PLoS One, 7(12):e51764.
WCRF/AICR. (2007). Food, Nutrition, Physical Activity, and the Prevention of Cancer: a Global Perspective, AICR, Washington, DC.
Werner C., Hanhoun M., Widmann T., Kazakov A., Semenov A., & Pöss J. (2008). Effects of physical exercise on myocardial telomere-regulating proteins, survival pathways, and apoptosis. J Am Coll Cardiol, 52(6), 470-482.
Xing J.J., Hou J.G., Liu Y., Zhang R.B., Jiang S., & Ren S. (2019). Supplementation of saponins from leaves of Panax quinquefolius mitigates cisplatin-evoked cardiotoxicity via inhibiting oxidative stress-associated inflammation and apoptosis in mice. Antioxidants (Basel), 8(9).
Yu J., Wang C., Kong Q., Wu X., Lu J.J., & Chen X. (2018). Recent progress in doxorubicin-induced cardiotoxicity and protective potential of natural products. Phytomedicine, 40, 125-139.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Studia Universitatis Babeș-Bolyai Biologia
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.