PMID- 36110535 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220917 IS - 1663-9812 (Print) IS - 1663-9812 (Electronic) IS - 1663-9812 (Linking) VI - 13 DP - 2022 TI - Co-Treatment With Resveratrol and FGF1 Protects Against Acute Liver Toxicity After Doxorubicin Treatment via the AMPK/NRF2 Pathway. PG - 940406 LID - 10.3389/fphar.2022.940406 [doi] LID - 940406 AB - Doxorubicin (DOX), an anthracycline type of chemotherapy, is an effective therapy for several types of cancer, but serious side effects, such as severe hepatotoxicity, limit its use currently. Accordingly, an effective therapeutic strategy to prevent DOX-related hepatotoxicity is urgently needed. Through the inhibition of oxidative stress, fibroblast growth factor 1 (FGF1) is an effect therapy for a variety of liver diseases, but its use is limited by an increased risk of tumorigenesis due to hyperproliferation. Resveratrol (RES), a natural product, inhibits the growth of many cancer cell lines, including liver, breast, and prostate cancer cells. Therefore, this study explored whether and how RES in combination with FGF1 can alleviate DOX-induced hepatotoxicity. The results showed that RES or FGF1 alone improved DOX-induced hepatic inflammation, apoptosis and oxidative stress, and these adverse effects were further attenuated after treatment with both RES and FGF1. Mechanistically, both in vivo and in vitro results showed that RES/FGF1 reduced oxidative stress and thereby alleviated liver injury by promoting nuclear translocation of nuclear factor erythroid 2-related factor 2 (NRF2) and subsequently upregulating expression of antioxidant proteins in an adenosine monophosphate-activated protein kinase (AMPK)-dependent manner. Together, our results not only demonstrate that co-treatment with RES and FGF1 significantly inhibited DOX-induced hepatic inflammation and apoptosis, but also that co-treatment with RES and FGF1 markedly suppressed DOX-induced hepatic oxidative stress, via targeting the AMPK/NRF2 pathway and subsequently ameliorating hepatic dysfunction. Thus, the combination of RES and FGF1 may provide a new therapeutic strategy for limiting DOX-induced hepatotoxicity. CI - Copyright (c) 2022 Xu, Liu, Li, Xiao, Gao, Zhang, Lu, Wang, Guo, Wen and Gu. FAU - Xu, Xianchou AU - Xu X AD - Department of Breast Surgery, General Surgery, Qilu Hospital of Shandong University, Jinan, China. AD - Department of Gastrointestinal Surgery, Pingyang Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. FAU - Liu, Qingbo AU - Liu Q AD - School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, China. FAU - Li, Jiahao AU - Li J AD - School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, China. FAU - Xiao, Mengjie AU - Xiao M AD - School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, China. FAU - Gao, Ting AU - Gao T AD - School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, China. FAU - Zhang, Xiaohui AU - Zhang X AD - School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, China. FAU - Lu, Guangping AU - Lu G AD - School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, China. FAU - Wang, Jie AU - Wang J AD - School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, China. FAU - Guo, Yuanfang AU - Guo Y AD - School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, China. FAU - Wen, Peinan AU - Wen P AD - Department of Gastrointestinal Surgery, Pingyang Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. FAU - Gu, Junlian AU - Gu J AD - School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, China. LA - eng PT - Journal Article DEP - 20220830 PL - Switzerland TA - Front Pharmacol JT - Frontiers in pharmacology JID - 101548923 PMC - PMC9468578 OTO - NOTNLM OT - AMPK OT - NRF2 OT - doxorubicin OT - hepatotoxicity OT - oxidative stress COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/09/17 06:00 MHDA- 2022/09/17 06:01 PMCR- 2022/08/30 CRDT- 2022/09/16 02:34 PHST- 2022/05/10 00:00 [received] PHST- 2022/06/22 00:00 [accepted] PHST- 2022/09/16 02:34 [entrez] PHST- 2022/09/17 06:00 [pubmed] PHST- 2022/09/17 06:01 [medline] PHST- 2022/08/30 00:00 [pmc-release] AID - 940406 [pii] AID - 10.3389/fphar.2022.940406 [doi] PST - epublish SO - Front Pharmacol. 2022 Aug 30;13:940406. doi: 10.3389/fphar.2022.940406. eCollection 2022.