PMID- 17005195 OWN - NLM STAT- MEDLINE DCOM- 20070227 LR - 20220317 IS - 0022-2828 (Print) IS - 0022-2828 (Linking) VI - 41 IP - 5 DP - 2006 Nov TI - Neuregulin-1 beta attenuates doxorubicin-induced alterations of excitation-contraction coupling and reduces oxidative stress in adult rat cardiomyocytes. PG - 845-54 AB - Treatment of metastatic breast cancer with doxorubicin (Doxo) in combination with trastuzumab, an antibody targeting the ErbB2 receptor, results in an increased incidence of heart failure. Doxo therapy induces reactive oxygen species (ROS) and alterations of calcium homeostasis. Therefore, we hypothesized that neuregulin-1 beta (NRG), a ligand of the cardiac ErbB receptors, reduces Doxo-induced alterations of EC coupling by triggering antioxidant mechanisms. Adult rat ventricular cardiomyocytes (ARVM) were isolated and treated for 18-48 h. SERCA protein was analyzed by Western blot, EC coupling parameters by fura-2 and video edge detection, gene expression by RT-PCR, and ROS by DCF-fluorescence microscopy. At clinically relevant doses Doxo reduced cardiomyocytes contractility, SERCA protein and SR calcium content. NRG, similarly as the antioxidant N-acetylcystein (NAC), did not affect EC coupling alone, but protected against Doxo-induced damage. NRG and Doxo showed an opposite modulation of glutathione reductase gene expression. NRG, similarly as NAC, reduced peroxide- or Doxo-induced oxidative stress. Specific inhibitors showed, that the antioxidant action of NRG depended on signaling via the ErbB2 receptor and on the Akt- and not on the MAPK-pathway. Therefore, NRG attenuates Doxo-induced alterations of EC coupling and reduces oxidative stress in ARVM. Inhibition of the ErbB2/NRG signaling pathway by trastuzumab in patients concomitantly treated with Doxo might prevent beneficial effects of NRG in the myocardium. FAU - Timolati, Francesco AU - Timolati F AD - Swiss Cardiovascular Center, University Hospital, CH-3010 Bern, Switzerland. FAU - Ott, Daniel AU - Ott D FAU - Pentassuglia, Laura AU - Pentassuglia L FAU - Giraud, Marie-Noelle AU - Giraud MN FAU - Perriard, Jean-Claude AU - Perriard JC FAU - Suter, Thomas M AU - Suter TM FAU - Zuppinger, Christian AU - Zuppinger C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20060926 PL - England TA - J Mol Cell Cardiol JT - Journal of molecular and cellular cardiology JID - 0262322 RN - 0 (Antibiotics, Antineoplastic) RN - 0 (Neuregulin-1) RN - 0 (neuregulin beta) RN - 80168379AG (Doxorubicin) RN - BBX060AN9V (Hydrogen Peroxide) RN - EC 2.7.1.- (Phosphatidylinositol 3-Kinases) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 3.6.3.8 (Sarcoplasmic Reticulum Calcium-Transporting ATPases) RN - SY7Q814VUP (Calcium) RN - WYQ7N0BPYC (Acetylcysteine) SB - IM MH - Acetylcysteine/pharmacology MH - Animals MH - Antibiotics, Antineoplastic/pharmacology MH - Calcium/metabolism MH - Doxorubicin/antagonists & inhibitors/*pharmacology MH - Hydrogen Peroxide/pharmacology MH - Male MH - Myocardial Contraction/*drug effects MH - Myocytes, Cardiac/*drug effects/physiology MH - Neuregulin-1/*pharmacology MH - *Oxidative Stress MH - Phosphatidylinositol 3-Kinases/metabolism MH - Proto-Oncogene Proteins c-akt/metabolism MH - Rats MH - Rats, Wistar MH - Receptor, ErbB-2/metabolism MH - Sarcoplasmic Reticulum Calcium-Transporting ATPases MH - Signal Transduction MH - Ventricular Function EDAT- 2006/09/29 09:00 MHDA- 2007/02/28 09:00 CRDT- 2006/09/29 09:00 PHST- 2006/04/27 00:00 [received] PHST- 2006/07/11 00:00 [revised] PHST- 2006/08/04 00:00 [accepted] PHST- 2006/09/29 09:00 [pubmed] PHST- 2007/02/28 09:00 [medline] PHST- 2006/09/29 09:00 [entrez] AID - S0022-2828(06)00759-0 [pii] AID - 10.1016/j.yjmcc.2006.08.002 [doi] PST - ppublish SO - J Mol Cell Cardiol. 2006 Nov;41(5):845-54. doi: 10.1016/j.yjmcc.2006.08.002. Epub 2006 Sep 26.