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Published in: BMC Cardiovascular Disorders 1/2022

Open Access 01-12-2022 | Lung Cancer | Research

Recombinant human endostatin combined with radiotherapy promotes cardiomyocyte apoptosis in rats via TGFβ1/Smads/CTGF signaling pathway

Authors: Weiwei Ouyang, Shimei Fu, Xing Zhao, Shengfa Su, Jun Zhang, Daxian Luo, Lina Liu, Wenjin Ding, Dongdong Cao, Likun Liu, Zhixu He, Bing Lu

Published in: BMC Cardiovascular Disorders | Issue 1/2022

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Abstract

Purpose

The aim of the present study was to investigate the efficacy of recombinant human endostatin (ES) (rh-ES) combined with radiation on rat cardiomyocyte apoptosis and the regulatory mechanism of transforming growth factor beta1 (TGF-β1)/Sma and Mad-related protein 3 (Smad3)/connective tissue growth factor (CTGF) signaling.

Method

The primary cardiomyocytes were isolated from neonatal Sprague–Dawley rats for culture in vitro and divided into blank control group (without treatment), 10 Gy radiation + siTGF-β1 siRNA (gene silencing) group, ES + siTGF-β1 siRNA group, and 10 Gy radiation + ES + siTGF-β1 siRNA group. Methyl thiazolyl tetrazolium assay was used to calculate the half-maximal inhibitory concentration (IC50) of rh-ES on cardiomyocytes. Adenoviral vector was constructed for virus packaging to silence TGF-β1 expression in cardiomyocytes. Quantitative real-time polymerase chain reaction and Western blot were carried out to analyze TGF-β1, Smad2, Smad3 and CTGF expression at both gene and protein levels. Flow cytometry and electron microscope were used to examine cell apoptosis.

Results

ES had a dose-dependent inhibitory effect on the proliferation of primary rat cardiomyocytes. ES combined with radiotherapy significantly inhibited cardiomyocyte proliferation and promoted cell apoptosis (P < 0.01). The gene and protein expression of TGF-β1, Smad2, Smad3 and CTGF were significantly up-regulated in primary cardiomyocytes transfected with TGF-β1 gene (P < 0.05).

Conclusion

The combination therapy with rh-ES and radiation can promote cardiomyocyte apoptosis and aggravate myocardial cell damage via TGF-β1/Smad3/CTGF signaling pathway.
Appendix
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Literature
1.
go back to reference Charununtakorn ST, Shinlapawittayatorn K, Chattipakorn SC, Chattipakorn N. Potential roles of humanin on apoptosis in the heart. Cardiovasc Ther. 2016;34(2):107–14.CrossRef Charununtakorn ST, Shinlapawittayatorn K, Chattipakorn SC, Chattipakorn N. Potential roles of humanin on apoptosis in the heart. Cardiovasc Ther. 2016;34(2):107–14.CrossRef
2.
go back to reference Zhu W, Cui Y, Feng X, Li Y, Zhang W, Xu J, et al. The apoptotic effect and the plausible mechanism of microwave radiation on rat myocardial cells. Can J Physiol Pharmacol. 2016;94(8):849–57.CrossRef Zhu W, Cui Y, Feng X, Li Y, Zhang W, Xu J, et al. The apoptotic effect and the plausible mechanism of microwave radiation on rat myocardial cells. Can J Physiol Pharmacol. 2016;94(8):849–57.CrossRef
3.
go back to reference Sharma UC, Sonkawade SD, Spernyak JA, Sexton S, Nguyen J, Dahal S, et al. A small peptide Ac-SDKP inhibits radiation-induced cardiomyopathy. Circ Heart Fail. 2018;11(8):e004867.CrossRef Sharma UC, Sonkawade SD, Spernyak JA, Sexton S, Nguyen J, Dahal S, et al. A small peptide Ac-SDKP inhibits radiation-induced cardiomyopathy. Circ Heart Fail. 2018;11(8):e004867.CrossRef
4.
go back to reference Madan R, Benson R, Sharma DN, Julka PK, Rath GK. Radiation induced heart disease: pathogenesis, management and review literature. J Egypt Natl Canc Inst. 2015;27(4):187–93.CrossRef Madan R, Benson R, Sharma DN, Julka PK, Rath GK. Radiation induced heart disease: pathogenesis, management and review literature. J Egypt Natl Canc Inst. 2015;27(4):187–93.CrossRef
5.
go back to reference Zhang P, Hu X, Yue J, Meng X, Han D, Sun X, et al. Early detection of radiation-induced heart disease using (99m) Tc-MIBI SPECT gated myocardial perfusion imaging in patients with oesophageal cancer during radiotherapy. Radiother Oncol. 2015;115(2):171–8.CrossRef Zhang P, Hu X, Yue J, Meng X, Han D, Sun X, et al. Early detection of radiation-induced heart disease using (99m) Tc-MIBI SPECT gated myocardial perfusion imaging in patients with oesophageal cancer during radiotherapy. Radiother Oncol. 2015;115(2):171–8.CrossRef
6.
go back to reference Xing P, Hao X, Hu X, Wang Y, Li J. Recombinant human endostatin in the treatment of advanced lung squamous cell carcinoma. Zhongguo Fei Ai Za Zhi. 2016;19(10):670–4.PubMed Xing P, Hao X, Hu X, Wang Y, Li J. Recombinant human endostatin in the treatment of advanced lung squamous cell carcinoma. Zhongguo Fei Ai Za Zhi. 2016;19(10):670–4.PubMed
7.
go back to reference Li X, Gu G, Soliman F, Sanders AJ, Wang X, Liu C. The evaluation of durative transfusion of endostar combined with chemotherapy in patients with advanced non-small cell lung cancer. Chemotherapy. 2018;63(4):214–9.CrossRef Li X, Gu G, Soliman F, Sanders AJ, Wang X, Liu C. The evaluation of durative transfusion of endostar combined with chemotherapy in patients with advanced non-small cell lung cancer. Chemotherapy. 2018;63(4):214–9.CrossRef
8.
go back to reference Qin J. Cardiotoxicity of recombinant human endostatin and its mechanism [in Chinese]. Southern Medical University. 2008; 1–101. Qin J. Cardiotoxicity of recombinant human endostatin and its mechanism [in Chinese]. Southern Medical University. 2008; 1–101.
9.
go back to reference Andratschke N, Maurer J, Molls M, Trott KR. Late radiation-induced heart disease after radiotherapy Clinical importance, radiobiological mechanisms and strategies of prevention. Radiother Oncol. 2011; 100(2): 160–6. Andratschke N, Maurer J, Molls M, Trott KR. Late radiation-induced heart disease after radiotherapy Clinical importance, radiobiological mechanisms and strategies of prevention. Radiother Oncol. 2011; 100(2): 160–6.
10.
go back to reference Li A, Zhang J, Zhang X, Wang J, Wang S, Xiao X, et al. Angiotensin II induces connective tissue growth factor expression in human hepatic stellate cells by a transforming growth factor beta-independent mechanism. Sci Rep. 2017;7(1):7841.CrossRef Li A, Zhang J, Zhang X, Wang J, Wang S, Xiao X, et al. Angiotensin II induces connective tissue growth factor expression in human hepatic stellate cells by a transforming growth factor beta-independent mechanism. Sci Rep. 2017;7(1):7841.CrossRef
11.
go back to reference Wan Y, Ouyang W, Shengfa Su, Zhang J, Li Q, Ma Z, Geng Y, Yang Y, Shilin Xu, Bing Lu. Endor exacerbates the development of radiation myocardial fibrosis through the TGF-Β1/SMAD signaling pathway. Acta Medica Mediterranea. 2020;3(36):1993. Wan Y, Ouyang W, Shengfa Su, Zhang J, Li Q, Ma Z, Geng Y, Yang Y, Shilin Xu, Bing Lu. Endor exacerbates the development of radiation myocardial fibrosis through the TGF-Β1/SMAD signaling pathway. Acta Medica Mediterranea. 2020;3(36):1993.
12.
go back to reference Dorn LE, Lasman L, Chen J, Xu X, Hund TJ, Medvedovic M, et al. The N(6)-Methyladenosine mRNA Methylase METTL3 controls cardiac homeostasis and hypertrophy. Circulation. 2019;139(4):533–45.CrossRef Dorn LE, Lasman L, Chen J, Xu X, Hund TJ, Medvedovic M, et al. The N(6)-Methyladenosine mRNA Methylase METTL3 controls cardiac homeostasis and hypertrophy. Circulation. 2019;139(4):533–45.CrossRef
13.
go back to reference Gao G, Chen W, Yan M, Liu J, Luo H, Wang C, et al. Rapamycin regulates the balance between cardiomyocyte apoptosis and autophagy in chronic heart failure by inhibiting mTOR signaling. Int J Mol Med. 2020;45(1):195–209.PubMed Gao G, Chen W, Yan M, Liu J, Luo H, Wang C, et al. Rapamycin regulates the balance between cardiomyocyte apoptosis and autophagy in chronic heart failure by inhibiting mTOR signaling. Int J Mol Med. 2020;45(1):195–209.PubMed
14.
go back to reference Feng S, Gao L, Zhang D, Tian X, Kong L, Shi H, et al. MiR-93 regulates vascular smooth muscle cell proliferation, and neointimal formation through targeting Mfn2. Int J Biol Sci. 2019;15(12):2615–26.CrossRef Feng S, Gao L, Zhang D, Tian X, Kong L, Shi H, et al. MiR-93 regulates vascular smooth muscle cell proliferation, and neointimal formation through targeting Mfn2. Int J Biol Sci. 2019;15(12):2615–26.CrossRef
15.
go back to reference Zhang J, Li Z, Chen F, Liu H, Wang H, Li X, et al. TGF-beta1 suppresses CCL3/4 expression through the ERK signaling pathway and inhibits intervertebral disc degeneration and inflammation-related pain in a rat model. Exp Mol Med. 2017;49(9):e379.CrossRef Zhang J, Li Z, Chen F, Liu H, Wang H, Li X, et al. TGF-beta1 suppresses CCL3/4 expression through the ERK signaling pathway and inhibits intervertebral disc degeneration and inflammation-related pain in a rat model. Exp Mol Med. 2017;49(9):e379.CrossRef
16.
go back to reference Wong SSY, Yip CCY, Sridhar S, Leung KH, Cheng AKW, Fung AMY, et al. Comparative evaluation of a laboratory-developed real-time PCR assay and RealStar(R) Adenovirus PCR Kit for quantitative detection of human adenovirus. Virol J. 2018;15(1):149.CrossRef Wong SSY, Yip CCY, Sridhar S, Leung KH, Cheng AKW, Fung AMY, et al. Comparative evaluation of a laboratory-developed real-time PCR assay and RealStar(R) Adenovirus PCR Kit for quantitative detection of human adenovirus. Virol J. 2018;15(1):149.CrossRef
17.
go back to reference Qiu Z, He Y, Ming H, Lei S, Leng Y, Xia ZY. Lipopolysaccharide (LPS) Aggravates High Glucose- and Hypoxia/Reoxygenation-Induced Injury through Activating ROS-Dependent NLRP3 Inflammasome-Mediated Pyroptosis in H9C2 Cardiomyocytes. J Diabetes Res. 2019;2019:8151836.PubMedPubMedCentral Qiu Z, He Y, Ming H, Lei S, Leng Y, Xia ZY. Lipopolysaccharide (LPS) Aggravates High Glucose- and Hypoxia/Reoxygenation-Induced Injury through Activating ROS-Dependent NLRP3 Inflammasome-Mediated Pyroptosis in H9C2 Cardiomyocytes. J Diabetes Res. 2019;2019:8151836.PubMedPubMedCentral
18.
go back to reference Dahlmann J, Awad G, Dolny C, Weinert S, Richter K, Fischer KD, et al. Generation of functional cardiomyocytes from rat embryonic and induced pluripotent stem cells using feeder-free expansion and differentiation in suspension culture. PLoS One. 2018;13(3):e0192652.CrossRef Dahlmann J, Awad G, Dolny C, Weinert S, Richter K, Fischer KD, et al. Generation of functional cardiomyocytes from rat embryonic and induced pluripotent stem cells using feeder-free expansion and differentiation in suspension culture. PLoS One. 2018;13(3):e0192652.CrossRef
19.
go back to reference Zhang DX, Ma DY, Yao ZQ, Fu CY, Shi YX, Wang QL, et al. ERK1/2/p53 and NF-kappaB dependent-PUMA activation involves in doxorubicin-induced cardiomyocyte apoptosis. Eur Rev Med Pharmacol Sci. 2016;20(11):2435–42.PubMed Zhang DX, Ma DY, Yao ZQ, Fu CY, Shi YX, Wang QL, et al. ERK1/2/p53 and NF-kappaB dependent-PUMA activation involves in doxorubicin-induced cardiomyocyte apoptosis. Eur Rev Med Pharmacol Sci. 2016;20(11):2435–42.PubMed
20.
go back to reference Zhang ZY, Li Y, Li R, Zhang AA, Shang B, Yu J, et al. Tetrahydrobiopterin protects against radiation-induced growth inhibition in H9c2 cardiomyocytes. Chin Med J (Engl). 2016;129(22):2733–40.CrossRef Zhang ZY, Li Y, Li R, Zhang AA, Shang B, Yu J, et al. Tetrahydrobiopterin protects against radiation-induced growth inhibition in H9c2 cardiomyocytes. Chin Med J (Engl). 2016;129(22):2733–40.CrossRef
21.
go back to reference Zhang F, Lin X, Yu L, Li W, Qian D, Cheng P, et al. Low-dose radiation prevents type 1 diabetes-induced cardiomyopathy via activation of AKT mediated anti-apoptotic and anti-oxidant effects. J Cell Mol Med. 2016;20(7):1352–66.CrossRef Zhang F, Lin X, Yu L, Li W, Qian D, Cheng P, et al. Low-dose radiation prevents type 1 diabetes-induced cardiomyopathy via activation of AKT mediated anti-apoptotic and anti-oxidant effects. J Cell Mol Med. 2016;20(7):1352–66.CrossRef
22.
go back to reference Ling Y, Yang Y, Lu N, You QD, Wang S, Gao Y, et al. Endostar, a novel recombinant human endostatin, exerts antiangiogenic effect via blocking VEGF-induced tyrosine phosphorylation of KDR/Flk-1 of endothelial cells. Biochem Biophys Res Commun. 2007;361(1):79–84.CrossRef Ling Y, Yang Y, Lu N, You QD, Wang S, Gao Y, et al. Endostar, a novel recombinant human endostatin, exerts antiangiogenic effect via blocking VEGF-induced tyrosine phosphorylation of KDR/Flk-1 of endothelial cells. Biochem Biophys Res Commun. 2007;361(1):79–84.CrossRef
23.
go back to reference Li DN, Wang L, Wang L, Li S, Wang YB. Expression of inhibitor of differentiation-1 and its effects on angiogenesis in gastric cancer. Cancer Biother Radiopharm. 2016;31(7):233–7.CrossRef Li DN, Wang L, Wang L, Li S, Wang YB. Expression of inhibitor of differentiation-1 and its effects on angiogenesis in gastric cancer. Cancer Biother Radiopharm. 2016;31(7):233–7.CrossRef
24.
go back to reference Xing S, Fan Z, Shi L, Yang Z, Bai Y. Successful treatment of brain radiation necrosis resulting from triple-negative breast cancer with Endostar and short-term hyperbaric oxygen therapy: a case report. Onco Targets Ther. 2019;12:2729–35.CrossRef Xing S, Fan Z, Shi L, Yang Z, Bai Y. Successful treatment of brain radiation necrosis resulting from triple-negative breast cancer with Endostar and short-term hyperbaric oxygen therapy: a case report. Onco Targets Ther. 2019;12:2729–35.CrossRef
25.
go back to reference Li K, Shi M, Qin S. Current status and study progress of recombinant human endostatin in cancer treatment. Oncol Ther. 2018;6(1):21–43.CrossRef Li K, Shi M, Qin S. Current status and study progress of recombinant human endostatin in cancer treatment. Oncol Ther. 2018;6(1):21–43.CrossRef
26.
go back to reference Xu HX, Huang XE, Qian ZY, Xu X, Li Y, Li CG. Clinical observation of Endostar(R) combined with chemotherapy in advanced colorectal cancer patients. Asian Pac J Cancer Prev. 2011;12(11):3087–90.PubMed Xu HX, Huang XE, Qian ZY, Xu X, Li Y, Li CG. Clinical observation of Endostar(R) combined with chemotherapy in advanced colorectal cancer patients. Asian Pac J Cancer Prev. 2011;12(11):3087–90.PubMed
27.
go back to reference Qin J, Qian XY, Ai-Min LI, Luo RC, Chemotherapy DO, Hospital ZC, et al. Target and mechanism of cardiotoxicity of recombinant human endostatin. Adverse Drug React J. 2013;015(006):336–41. Qin J, Qian XY, Ai-Min LI, Luo RC, Chemotherapy DO, Hospital ZC, et al. Target and mechanism of cardiotoxicity of recombinant human endostatin. Adverse Drug React J. 2013;015(006):336–41.
28.
go back to reference Chen Q, Chen R, Dong Y. Inhibitory effect of endostar combined with radiotherapy on gastric cancer animal models. World J Surg Oncol. 2020;18(1):165.CrossRef Chen Q, Chen R, Dong Y. Inhibitory effect of endostar combined with radiotherapy on gastric cancer animal models. World J Surg Oncol. 2020;18(1):165.CrossRef
29.
go back to reference You ZY, Zhao Y, Liu F, Zhang YD, Wang JJ. The radiosensitization effects of Endostar on human lung squamous cancer cells H-520. Cancer Cell Int. 2010;10:17.CrossRef You ZY, Zhao Y, Liu F, Zhang YD, Wang JJ. The radiosensitization effects of Endostar on human lung squamous cancer cells H-520. Cancer Cell Int. 2010;10:17.CrossRef
30.
go back to reference Jiang XD, Qiao Y, Dai P, Chen Q, Wu J, Song DA, et al. Enhancement of recombinant human endostatin on the radiosensitivity of human pulmonary adenocarcinoma A549 cells and its mechanism. J Biomed Biotechnol. 2012; 2012: 301931. Jiang XD, Qiao Y, Dai P, Chen Q, Wu J, Song DA, et al. Enhancement of recombinant human endostatin on the radiosensitivity of human pulmonary adenocarcinoma A549 cells and its mechanism. J Biomed Biotechnol. 2012; 2012: 301931.
31.
go back to reference Wang Y, Zong L, Wang X. TGF-beta improves myocardial function and prevents apoptosis induced by anoxia-reoxygenation, through the reduction of endoplasmic reticulum stress. Can J Physiol Pharmacol. 2016;94(1):9–17.CrossRef Wang Y, Zong L, Wang X. TGF-beta improves myocardial function and prevents apoptosis induced by anoxia-reoxygenation, through the reduction of endoplasmic reticulum stress. Can J Physiol Pharmacol. 2016;94(1):9–17.CrossRef
32.
go back to reference Dunker N, Schmitt K, Krieglstein K. TGF-beta is required for programmed cell death in interdigital webs of the developing mouse limb. Mech Dev. 2002;113(2):111–20.CrossRef Dunker N, Schmitt K, Krieglstein K. TGF-beta is required for programmed cell death in interdigital webs of the developing mouse limb. Mech Dev. 2002;113(2):111–20.CrossRef
33.
go back to reference Dooley S, Ten Dijke P. TGF-beta in progression of liver disease. Cell Tissue Res. 2012;347(1):245–56.CrossRef Dooley S, Ten Dijke P. TGF-beta in progression of liver disease. Cell Tissue Res. 2012;347(1):245–56.CrossRef
34.
go back to reference Zhai Y, Gao X, Wu Q, Peng L, Lin J, Zuo Z. Fluvastatin decreases cardiac fibrosis possibly through regulation of TGF-beta(1)/Smad 7 expression in the spontaneously hypertensive rats. Eur J Pharmacol. 2008;587(1–3):196–203.CrossRef Zhai Y, Gao X, Wu Q, Peng L, Lin J, Zuo Z. Fluvastatin decreases cardiac fibrosis possibly through regulation of TGF-beta(1)/Smad 7 expression in the spontaneously hypertensive rats. Eur J Pharmacol. 2008;587(1–3):196–203.CrossRef
Metadata
Title
Recombinant human endostatin combined with radiotherapy promotes cardiomyocyte apoptosis in rats via TGFβ1/Smads/CTGF signaling pathway
Authors
Weiwei Ouyang
Shimei Fu
Xing Zhao
Shengfa Su
Jun Zhang
Daxian Luo
Lina Liu
Wenjin Ding
Dongdong Cao
Likun Liu
Zhixu He
Bing Lu
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Cardiovascular Disorders / Issue 1/2022
Electronic ISSN: 1471-2261
DOI
https://doi.org/10.1186/s12872-022-02499-8

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