PMID- 37262315 OWN - NLM STAT- MEDLINE DCOM- 20230904 LR - 20230904 IS - 2042-7158 (Electronic) IS - 0022-3573 (Linking) VI - 75 IP - 9 DP - 2023 Sep 1 TI - Sacubitril/valsartan cardioprotective effect against cisplatin-induced cardiotoxicity via modulation of VEGF/eNOS and TLR4/TNFalpha/IL6 signalling pathways. PG - 1237-1248 LID - 10.1093/jpp/rgad049 [doi] AB - OBJECTIVES: Drug-induced cardiac injury is a potentially preventable cause of heart failure. Cisplatin (CIS) is a widely used chemotherapeutic agent complicated with cardiotoxicity that limits its clinical application so we aimed to evaluate the suspected cardioprotective effect of sacubitril/valsartan (Sac/Val) against CIS cardiotoxic injury. METHODS: Forty male rats of Wistar albino species were divided into four groups. group I received the vehicle; group II was given the vehicle plus CIS (10 mg/kg) single i.p. on fifth day; group III was given Sac/Val (30 mg/kg/d) orally for 7 days plus CIS (10 mg/kg) single i.p. on fif5th day; group IV was given the same as group III plus nitro-omega-L-arginine (L-NNA) (25 mg/kg/d) orally for 7 days. KEY FINDINGS: CIS-induced cardiotoxicity and L-NNA co-administered group showed significant increases in cardiac enzymes, toxic histopathological features, elevated heart weights, angiotensin II (Ang II), neprilysin, malondialdehyde (MDA), inflammatory mediators, blood pressure (BP) and caspase 3 expressions, but there are significant decreases in the antioxidant parameters, vascular endothelial growth factor (VEGF) and endothelial nitric oxide synthase (eNOS). However, the co-administration of Sac/Val could ameliorate these changes of CIS. CONCLUSION: Sac/Val has an important cardioprotective effect against CIS cardiotoxicity with the involvement of eNOS. CI - (c) The Author(s) 2023. Published by Oxford University Press on behalf of the Royal Pharmaceutical Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Mahmoud Refaie, Marwa Monier AU - Mahmoud Refaie MM AUID- ORCID: 0000-0001-6211-9558 AD - Department of Pharmacology, Faculty of Medicine, Minia University, El-Minia, Egypt. FAU - Ahmed Rifaai, Rehab AU - Ahmed Rifaai R AUID- ORCID: 0000-0002-7481-2656 AD - Department of Histology and Cell Biology, Faculty of Medicine, Minia University, El-Minia, Egypt. FAU - Bayoumi, Asmaa M A AU - Bayoumi AMA AD - Department of Biochemistry, Faculty of Pharmacy, Minia University, El-Minia, Egypt. FAU - Shehata, Sayed AU - Shehata S AD - Department of Cardiology, Faculty of Medicine, Minia University, El-Minia, Egypt. LA - eng PT - Journal Article PL - England TA - J Pharm Pharmacol JT - The Journal of pharmacy and pharmacology JID - 0376363 RN - 0 (Vascular Endothelial Growth Factor A) RN - 17ERJ0MKGI (sacubitril) RN - Q20Q21Q62J (Cisplatin) RN - 0 (Interleukin-6) RN - 0 (Toll-Like Receptor 4) RN - 0 (Tumor Necrosis Factor-alpha) RN - 80M03YXJ7I (Valsartan) RN - EC 1.14.13.39 (Nitric Oxide Synthase) SB - IM MH - Male MH - Rats MH - Animals MH - *Cardiotoxicity/prevention & control MH - *Vascular Endothelial Growth Factor A/therapeutic use MH - Cisplatin/toxicity MH - Interleukin-6 MH - Toll-Like Receptor 4 MH - Tumor Necrosis Factor-alpha MH - Rats, Wistar MH - Valsartan/pharmacology/therapeutic use MH - Nitric Oxide Synthase/metabolism OTO - NOTNLM OT - Toll-like receptor OT - cardiotoxicity OT - cisplatin OT - interleukin 6 EDAT- 2023/06/01 23:42 MHDA- 2023/09/04 06:42 CRDT- 2023/06/01 14:42 PHST- 2023/02/23 00:00 [received] PHST- 2023/05/10 00:00 [accepted] PHST- 2023/09/04 06:42 [medline] PHST- 2023/06/01 23:42 [pubmed] PHST- 2023/06/01 14:42 [entrez] AID - 7188194 [pii] AID - 10.1093/jpp/rgad049 [doi] PST - ppublish SO - J Pharm Pharmacol. 2023 Sep 1;75(9):1237-1248. doi: 10.1093/jpp/rgad049.