Atypical G Protein β5 Promotes Cardiac Oxidative Stress, Apoptosis, and Fibrotic Remodeling in Response to Multiple Cancer Chemotherapeutics.
TL;DR: The experiments suggest that inhibition of Gβ5 might represent a novel means to circumvent cardiotoxicity in cancer patients whose treatment regimens include anthracyclines, taxanes, or fluoropyrimidines.
Abstract: The clinical use of multiple classes of cancer chemotherapeutics is limited by irreversible, dose-dependent, and sometimes life-threatening cardiotoxicity. Though distinct in their mechanisms of action, doxorubicin, paclitaxel, and 5-FU all induce rapid and robust upregulation of atypical G protein Gβ5 in the myocardium correlating with oxidative stress, myocyte apoptosis, and the accumulation of proinflammatory and profibrotic cytokines. In ventricular cardiac myocytes (VCM), Gβ5 deficiency provided substantial protection against the cytotoxic actions of chemotherapeutics, including reductions in oxidative stress and simultaneous attenuation of ROS-dependent activation of the ATM and CaMKII proapoptotic signaling cascades. In addition, Gβ5 loss allowed for maintenance of Δψm, basal mitochondrial calcium uniporter expression, and mitochondrial Ca2+ levels, effects likely to preserve functional myocyte excitation-contraction coupling. The deleterious effects of Gβ5 are not restricted to VCM, however, as Gβ5 knockdown also reduces chemotherapy-induced release of proinflammatory cytokines (e.g., TNFα), hypertrophic factors (e.g., ANP), and profibrotic factors (e.g., TGFβ1) from both VCM and ventricular cardiac fibroblasts, with the most dramatic reduction occurring in cocultured cells. Our experiments suggest that Gβ5 facilitates the myofibroblast transition, the persistence of which contributes to pathologic remodeling and heart failure. The convergence of Gβ5-mediated, ROS-dependent signaling pathways in both cell types represents a critical etiological factor in the pathogenesis of chemotherapy-induced cardiotoxicity. Indeed, intracardiac injection of Gβ5-targeted shRNA allowed for heart-specific protection against the damaging impact of chronic chemotherapy. Together, our results suggest that inhibition of Gβ5 might represent a novel means to circumvent cardiotoxicity in cancer patients whose treatment regimens include anthracyclines, taxanes, or fluoropyrimidines.Significance: These findings suggest that inhibiting an atypical G-protein might provide a strategy to limit the cardiotoxicity in cancer patients treated with anthracyclines, taxanes, or fluoropyrimidines. Cancer Res; 78(2); 528-41. ©2017 AACR.
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Cites background from "Atypical G Protein β5 Promotes Card..."
...Cardiotoxicity in cancer patients Inhibition of Gβ5 could prevent cardiotoxicity in cancer patients treated with anthracyclines, taxanes, or fluoropyrimidines Gβ5-loss maintains membrane potential, basal MCU expression, and mCa levels, allowing functional myocyte activity [14]...
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Cites background from "Atypical G Protein β5 Promotes Card..."
...Of these, cardiomyocyte inflammation and fibrosis are ordinary pathological mechanisms of myocardial remodelling in DOX-induced CHF (Liu et al. 2016; Chakraborti et al. 2018)....
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...Cardiac extracellular matrix remodelling is an important mechanism of left ventricular dysfunction and adverse outcome after DOX treatment (Liu et al. 2016; Shabalala et al. 2017; Zhang et al. 2017; Chakraborti et al. 2018)....
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...However, its clinical use is severely limited by its side effects including cardiotoxicity, cardiac remodelling, and chronic heart failure (Lipshultz et al. 2012; Liu et al. 2016; Shabalala et al. 2017; Zhang et al. 2017; Chakraborti et al. 2018)....
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References
4,000 citations
"Atypical G Protein β5 Promotes Card..." refers methods in this paper
...GPX activity was measured using the method of Flohe and Gunzler(30)....
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3,054 citations
"Atypical G Protein β5 Promotes Card..." refers background in this paper
...Gβ5 promotes chemotherapeutic-induced activation of DNA damage signaling– Multiple apoptotic signaling cascades are believed to mediate ROS-induced cardiac damage including the ATM/p53 pathway(32)....
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1,249 citations
"Atypical G Protein β5 Promotes Card..." refers background in this paper
...Because there are several limitations to the use of CM-H2DCFDA fluorescent probes in detecting total ROS from cells or tissue(31), amongst them an inability to differentiate between the various reactive species, we extended our analysis of Gβ5-dependent ROS generation to include direct measurement of H2O2....
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895 citations
"Atypical G Protein β5 Promotes Card..." refers background in this paper
...The pro-apoptotic actions of ATM and CaMKII following chemotherapy exposure require Gβ5and ROS– Based on the recent emergence of oxidative mechanisms of activation for both CaMKII(35) and ATM(36), we suspected that the ability of Gβ5 to promote activation of both kinases required Gβ5-dependent ROS generation....
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...Because it was recently discovered that CaMKII can be directly activated by oxidation of the enzyme’s regulatory domain(35), we hypothesized that the link between Gβ5 and mitochondria might lie in ROS-dependent CaMKII activation....
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872 citations
"Atypical G Protein β5 Promotes Card..." refers background in this paper
...The pro-apoptotic actions of ATM and CaMKII following chemotherapy exposure require Gβ5and ROS– Based on the recent emergence of oxidative mechanisms of activation for both CaMKII(35) and ATM(36), we suspected that the ability of Gβ5 to promote activation of both kinases required Gβ5-dependent ROS generation....
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