PMID- 34205494 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210710 IS - 2076-3921 (Print) IS - 2076-3921 (Electronic) IS - 2076-3921 (Linking) VI - 10 IP - 6 DP - 2021 Jun 21 TI - Nerolidol Attenuates Oxidative Stress, Inflammation, and Apoptosis by Modulating Nrf2/MAPK Signaling Pathways in Doxorubicin-Induced Acute Cardiotoxicity in Rats. LID - 10.3390/antiox10060984 [doi] LID - 984 AB - The clinical usage of doxorubicin (DOX), a potent anthracycline antineoplastic drug, is often limited by its cardiotoxic effects. Thus, for improving usage of DOX, the aim of this study was to assess the cardioprotective effects of nerolidol (NERO) in a rat model of DOX-induced acute cardiotoxicity and examine underlying molecular mechanisms that contribute to these effects. To induce acute cardiotoxicity male albino Wistar rats were injected with single dose intraperitoneal DOX (12.5 mg/kg). The rats were treated with NERO (50 mg/kg, orally) for five days. DOX-injected rats showed elevated levels of cardiac marker enzymes and enhanced oxidative stress markers along with altered Nrf2/Keap1/HO-1 signaling pathways. DOX administration also induced the activation of NF-kappaB/MAPK signaling and increased the levels and expression of pro-inflammatory cytokines (TNF-alpha, IL-6, and IL-1beta) as well as expression of inflammatory mediators (iNOS and COX-2) in the heart. DOX also triggered DNA damage and apoptotic cell death in the myocardium. Additionally, histological studies revealed structural alterations of the myocardium. NERO treatment exhibited protection against the deleterious results of DOX on myocardium, as evidenced by the restoration of altered biochemical parameters, mitigated oxidative stress, inflammation, and apoptosis. The findings of the present study demonstrate that NERO provides cardioprotective effects against DOX-induced acute cardiotoxicity attributed to its potent antioxidant, anti-inflammatory, and antiapoptotic activities through modulating cellular signaling pathways. FAU - Arunachalam, Seenipandi AU - Arunachalam S AD - Department of Pharmacology and Therapeutics, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain 17666, United Arab Emirates. FAU - Nagoor Meeran, M F AU - Nagoor Meeran MF AUID- ORCID: 0000-0001-6863-7372 AD - Department of Pharmacology and Therapeutics, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain 17666, United Arab Emirates. FAU - Azimullah, Sheikh AU - Azimullah S AUID- ORCID: 0000-0002-0788-7164 AD - Department of Pharmacology and Therapeutics, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain 17666, United Arab Emirates. FAU - Sharma, Charu AU - Sharma C AD - Department of Internal Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain 17666, United Arab Emirates. FAU - Goyal, Sameer N AU - Goyal SN AD - Shri Vile Parle Kelavani Mandal's Institute of Pharmacy, Dhule 424001, India. FAU - Ojha, Shreesh AU - Ojha S AUID- ORCID: 0000-0001-7801-2966 AD - Department of Pharmacology and Therapeutics, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain 17666, United Arab Emirates. LA - eng GR - CMHS/CMHS, UAEU/ PT - Journal Article DEP - 20210621 PL - Switzerland TA - Antioxidants (Basel) JT - Antioxidants (Basel, Switzerland) JID - 101668981 PMC - PMC8235529 OTO - NOTNLM OT - acute cardiotoxicity OT - cardioprotective OT - doxorubicin OT - inflammation OT - nerolidol OT - oxidative stress OT - sesquiterpene COIS- The authors have no competing interests to declare. The funders of the research grant have no role in study design, interpretation, and publication. The received funding did not lead to any conflict of interests regarding the publication of this manuscript. EDAT- 2021/07/03 06:00 MHDA- 2021/07/03 06:01 PMCR- 2021/06/21 CRDT- 2021/07/02 01:24 PHST- 2021/04/08 00:00 [received] PHST- 2021/05/06 00:00 [revised] PHST- 2021/05/13 00:00 [accepted] PHST- 2021/07/02 01:24 [entrez] PHST- 2021/07/03 06:00 [pubmed] PHST- 2021/07/03 06:01 [medline] PHST- 2021/06/21 00:00 [pmc-release] AID - antiox10060984 [pii] AID - antioxidants-10-00984 [pii] AID - 10.3390/antiox10060984 [doi] PST - epublish SO - Antioxidants (Basel). 2021 Jun 21;10(6):984. doi: 10.3390/antiox10060984.