PMID- 34943000 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220113 IS - 2076-3921 (Print) IS - 2076-3921 (Electronic) IS - 2076-3921 (Linking) VI - 10 IP - 12 DP - 2021 Nov 26 TI - Endoplasmic Reticulum Stress Promotes iNOS/NO and Influences Inflammation in the Development of Doxorubicin-Induced Cardiomyopathy. LID - 10.3390/antiox10121897 [doi] LID - 1897 AB - Doxorubicin (Dox) is known to cause heart failure in some cancer patients. Despite extensive studies over the past half century, the subcellular basis of Dox-induced cardiomyopathy (DIC) is still elusive. Earlier, we suggested that Dox causes a delayed activation of unfolded protein response (UPR) which may promote mitochondrial Bax activity leading to cardiomyocyte death. As a follow up, using NO donor, S-Nitroso-N-acetyl-d,l-penicillamine (SNAP), and/or NOS inhibitor, N(omega)-nitro-L-arginine methyl ester (L-NAME), we now show that endoplasmic reticulum (ER) stress promotes inflammation through iNOS/NO-induced TLR2 activation. In vivo Dox treatment increased mitochondrial iNOS to promote ER stress as there was an increase in Bip (Grp78) response, proapoptotic CHOP (DDIT3) and ER-mediated Caspase 12 activation. Increased iNOS activity is associated with an increase in TLR2 and TNF-alpha receptor associated factor 2 (TRAF2). These two together with NF-kappaB p105/50 expression and a synergistic support through ER stress, promote inflammatory response in the myocardium leading to cell death and ultimately fostering DIC conditions. In the presence of NOS inhibitor, such detrimental effects of Dox were inhibited, suggesting iNOS/NO as key mediators of Dox-induced inflammatory as well as apoptotic responses. FAU - Bagchi, Ashim K AU - Bagchi AK AD - St. Boniface Hospital Albrechtsen Research Centre, Department of Physiology and Pathophysiology, Institute of Cardiovascular Sciences, University of Manitoba, Winnipeg, MB R2H 2A6, Canada. FAU - Malik, Akshi AU - Malik A AD - St. Boniface Hospital Albrechtsen Research Centre, Department of Physiology and Pathophysiology, Institute of Cardiovascular Sciences, University of Manitoba, Winnipeg, MB R2H 2A6, Canada. FAU - Akolkar, Gauri AU - Akolkar G AD - Cardio-Renal Division, Therapeutic Products Directorate, Ottawa, ON K1A 0K9, Canada. FAU - Jassal, Davinder S AU - Jassal DS AD - St. Boniface Hospital Albrechtsen Research Centre, Department of Physiology and Pathophysiology, Institute of Cardiovascular Sciences, University of Manitoba, Winnipeg, MB R2H 2A6, Canada. AD - Section of Cardiology, Department of Internal Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB R2H 2A6, Canada. FAU - Singal, Pawan K AU - Singal PK AD - St. Boniface Hospital Albrechtsen Research Centre, Department of Physiology and Pathophysiology, Institute of Cardiovascular Sciences, University of Manitoba, Winnipeg, MB R2H 2A6, Canada. LA - eng GR - n/a/Heart and Stroke Foundation/ GR - n/a/Molson Women's Heart Health Grant/ PT - Journal Article DEP - 20211126 PL - Switzerland TA - Antioxidants (Basel) JT - Antioxidants (Basel, Switzerland) JID - 101668981 PMC - PMC8750247 OTO - NOTNLM OT - Dox-induced cardiomyopathy OT - ER stress OT - Toll-like receptor 2 OT - apoptosis OT - inducible nitric oxide synthase COIS- Authors declare no conflict of interest. EDAT- 2021/12/25 06:00 MHDA- 2021/12/25 06:01 PMCR- 2021/11/26 CRDT- 2021/12/24 01:01 PHST- 2021/10/19 00:00 [received] PHST- 2021/11/18 00:00 [revised] PHST- 2021/11/23 00:00 [accepted] PHST- 2021/12/24 01:01 [entrez] PHST- 2021/12/25 06:00 [pubmed] PHST- 2021/12/25 06:01 [medline] PHST- 2021/11/26 00:00 [pmc-release] AID - antiox10121897 [pii] AID - antioxidants-10-01897 [pii] AID - 10.3390/antiox10121897 [doi] PST - epublish SO - Antioxidants (Basel). 2021 Nov 26;10(12):1897. doi: 10.3390/antiox10121897.