Current Medicinal Chemistry

Current Medicinal Chemistry

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ISSN (Online): 1875-533X

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Research Article

Mechanism Exploration of Astaxanthin in the Treatment of Adriamycin-induced Cardiotoxicity based on Network Pharmacology and Experimental Validation

Author(s): Yu Zhu, Mengyao Chen, Lin Xie, Yijun Pan, Yuntian Yang and Guoxing Wan*

Volume 33, Issue 1, 2026

Published on: 28 October, 2024

Page: [159 - 173] Pages: 15

DOI: 10.2174/0109298673329567241014071914

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Abstract

Introduction: Astaxanthin (AXT), a natural antioxidant recognized for its therapeutic potential in cancer and cardiovascular diseases, holds promise in mitigating adriamycin-induced cardiotoxicity (AIC). Nevertheless, the underlying mechanisms of AXT in AIC mitigation remain to be elucidated. Consequently, this study endeavors to elucidate the mechanism of AXT against AIC, employing an integrated approach.

Methods: Network pharmacology, molecular docking, and molecular dynamics simulations were harnessed to explore the molecular mechanism underlying AXT's action against AIC. Furthermore, the in-vitro AIC model was established with the H9c2 cell to generate transcriptome data for validation.

Results: A total of 533 putative AXT targets and 1478 AIC-related genes were initially screened by database retrieval and bioinformatics analysis. A total of 248 potential targets of AXT against AIC and several signaling pathways were identified by network pharmacology and enrichment analysis. Two core genes (CCL2 and NOS3) and the AGE-RAGE signaling pathway in diabetic complications were further highlighted by transcriptome validation based on the AIC in-vitro model. Additionally, molecular docking and dynamics analyses supported the robust binding affinity of AXT with the core targets.

Conclusion: The study suggested that AXT might ameliorate AIC through the inhibition of CCL2 and NOS3 as well as AGE-RAGE signaling, which provide a theoretical basis for the development of a strategy against AIC.

Keywords: Astaxanthin, adriamycin-induced cardiotoxicity, network pharmacology, transcriptome sequencing, molecular docking, molecular dynamics simulations, cardioprotection.

[1]
Wang, Z.; Chen, Y.; Gu, M.; Wu, Z.; Ding, B.; Yang, W.; Wu, X.; Wang, C.; Gao, X.; Yang, Y.; Yin, G. Protective effects and mechanisms of lycorine against adriamycin-induced cardiotoxicity. Phytomedicine, 2022, 102, 154178.
[http://dx.doi.org/10.1016/j.phymed.2022.154178] [PMID: 35617889]
[2]
Khadka, D.; Kim, H.J.; Oh, G.S.; Shen, A.; Lee, S.; Lee, S.B.; Sharma, S.; Kim, S.Y.; Pandit, A.; Choe, S.K.; Kwak, T.H.; Yang, S.H.; Sim, H.; Eom, G.H.; Park, R.; So, H.S. Augmentation of NAD+ levels by enzymatic action of NAD(P)H quinone oxidoreductase 1 attenuates adriamycin-induced cardiac dysfunction in mice. J. Mol. Cell. Cardiol., 2018, 124, 45-57.
[http://dx.doi.org/10.1016/j.yjmcc.2018.10.001] [PMID: 30291911]
[3]
Liang, Z.; Chen, Y.; Wang, Z.; Wu, X.; Deng, C.; Wang, C.; Yang, W.; Tian, Y.; Zhang, S.; Lu, C.; Yang, Y. Protective effects and mechanisms of psoralidin against adriamycin-induced cardiotoxicity. J. Adv. Res., 2022, 40, 249-261.
[http://dx.doi.org/10.1016/j.jare.2021.12.007] [PMID: 36100330]
[4]
Xiao, M.; Tang, Y.; Wang, J.; Lu, G.; Niu, J.; Wang, J.; Li, J.; Liu, Q.; Wang, Z.; Huang, Z.; Guo, Y.; Gao, T.; Zhang, X.; Yue, S.; Gu, J. A new FGF1 variant protects against adriamycin-induced cardiotoxicity via modulating p53 activity. Redox Biol., 2022, 49, 102219.
[http://dx.doi.org/10.1016/j.redox.2021.102219] [PMID: 34990928]
[5]
Berthiaume, J.M.; Wallace, K.B. Adriamycin-induced oxidative mitochondrial cardiotoxicity. Cell Biol. Toxicol., 2007, 23(1), 15-25.
[http://dx.doi.org/10.1007/s10565-006-0140-y] [PMID: 17009097]
[6]
Songbo, M.; Lang, H.; Xinyong, C.; Bin, X.; Ping, Z.; Liang, S. Oxidative stress injury in doxorubicin-induced cardiotoxicity. Toxicol. Lett., 2019, 307, 41-48.
[http://dx.doi.org/10.1016/j.toxlet.2019.02.013] [PMID: 30817977]
[7]
Chow, E.J.; Aplenc, R.; Vrooman, L.M.; Doody, D.R.; Huang, Y.S.V.; Aggarwal, S.; Armenian, S.H.; Baker, K.S.; Bhatia, S.; Constine, L.S.; Freyer, D.R.; Kopp, L.M.; Leisenring, W.M.; Asselin, B.L.; Schwartz, C.L.; Lipshultz, S.E. Late health outcomes after dexrazoxane treatment: A report from the Children’s Oncology Group. Cancer, 2022, 128(4), 788-796.
[http://dx.doi.org/10.1002/cncr.33974] [PMID: 34644414]
[8]
Lipshultz, S.E.; Franco, V.I.; Sallan, S.E.; Adamson, P.C.; Steiner, R.K.; Swain, S.M. Dexrazoxane for reducing anthracycline-related cardiotoxicity in children with cancer: An update of the evidence. Prog. Pediatr. Cardiol., 2014, 36(1/2), 39-49.
[http://dx.doi.org/10.1016/j.ppedcard.2014.09.007]
[9]
Ambati, R.; Phang, S.M.; Ravi, S.; Aswathanarayana, R. Astaxanthin: sources, extraction, stability, biological activities and its commercial applications-a review. Mar. Drugs, 2014, 12(1), 128-152.
[http://dx.doi.org/10.3390/md12010128] [PMID: 24402174]
[10]
Fassett, R.G.; Coombes, J.S. Astaxanthin: A potential therapeutic agent in cardiovascular disease. Mar. Drugs, 2011, 9(3), 447-465.
[http://dx.doi.org/10.3390/md9030447] [PMID: 21556169]
[11]
Pereira, C.; Souza, A.; Vasconcelos, A.; Prado, P.; Name, J. Antioxidant and anti-inflammatory mechanisms of action of astaxanthin in cardiovascular diseases (Review). Int. J. Mol. Med., 2020, 47(1), 37-48.
[http://dx.doi.org/10.3892/ijmm.2020.4783] [PMID: 33155666]
[12]
Donoso, A.; González-Durán, J.; Muñoz, A.A.; González, P.A.; Agurto-Muñoz, C. “Therapeutic uses of natural astaxanthin: An evidence-based review focused on human clinical trials”. Pharmacol. Res., 2021, 166, 105479.
[http://dx.doi.org/10.1016/j.phrs.2021.105479] [PMID: 33549728]
[13]
Zhang, N.; Cao, X.D.; Zhu, H.; Yang, D.D.; Zhao, C.Y.; Wang, X.M.; Zhang, Z.Y. The regulation mechanism of astaxanthin on breast cancer based on network pharmacology. J. Biol., 2021, 38(4), 23-28.
[http://dx.doi.org/10.3969/j.issn.2095-1736.2021.04.023]
[14]
Zhang, S.H.; Qiu, L.Q.; Ding, S.F.; Shen, M.S.; Ruan, Y.P. Effect of astaxanthin on doxorubicin—induced heart injury in rats. Chinese J. New Drugs, 2018, 27(5), 591-595.
[15]
Fan, C.; Sun, J.; Fu, X.; Hou, Y.; Li, Y.; Yang, M.; Fu, X.; Sun, B. Astaxanthin attenuates homocysteine-induced cardiotoxicity in vitro and in vivo by inhibiting mitochondrial dysfunction and oxidative damage. Front. Physiol., 2017, 8, 1041.
[http://dx.doi.org/10.3389/fphys.2017.01041] [PMID: 29311972]
[16]
Kamel, S.S.; Baky, N.A.A.; Karkeet, R.M.; Osman, A.M.M.; Sayed-Ahmed, M.M.; Fouad, M.A. Astaxanthin extenuates the inhibition of aldehyde dehydrogenase and Klotho protein expression in cyclophosphamide-induced acute cardiomyopathic rat model. Clin. Exp. Pharmacol. Physiol., 2022, 49(2), 291-301.
[http://dx.doi.org/10.1111/1440-1681.13598] [PMID: 34597426]
[17]
Dai, Q.; Pan, Y.; Zhu, X.; Chen, M.; Xie, L.; Zhu, Y.; Wan, G. Network pharmacology along with molecular docking to explore the mechanism of danshen injection against anthracycline-induced cardiotoxicity and transcriptome validation. Curr. Pharm. Des., 2024, 30(12), 952-967.
[http://dx.doi.org/10.2174/0113816128289845240305070522] [PMID: 38482629]
[18]
Patil, A.D.; Kasabe, P.J.; Dandge, P.B. Pharmaceutical and nutraceutical potential of natural bioactive pigment: Astaxanthin. Nat. Prod. Bioprospect., 2022, 12(1), 25.
[http://dx.doi.org/10.1007/s13659-022-00347-y] [PMID: 35794254]
[19]
Faraone, I.; Sinisgalli, C.; Ostuni, A.; Armentano, M.F.; Carmosino, M.; Milella, L.; Russo, D.; Labanca, F.; Khan, H. Astaxanthin anticancer effects are mediated through multiple molecular mechanisms: A systematic review. Pharmacol. Res., 2020, 155, 104689.
[http://dx.doi.org/10.1016/j.phrs.2020.104689] [PMID: 32057895]
[20]
Yoshida, K.; Sakai, O.; Honda, T.; Kikuya, T.; Takeda, R.; Sawabe, A.; Inaba, M.; Koike, C. Effects of astaxanthin, lutein, and zeaxanthin on eye–hand coordination and smooth-pursuit eye movement after visual display terminal operation in healthy subjects: A randomized, double-blind placebo-controlled intergroup trial. Nutrients, 2023, 15(6), 1459.
[http://dx.doi.org/10.3390/nu15061459] [PMID: 36986186]
[21]
Zhu, X.; Chen, Y.; Chen, Q.; Yang, H.; Xie, X. Astaxanthin promotes Nrf2/ARE signaling to alleviate renal fibronectin and collagen IV accumulation in diabetic rats. J. Diabetes Res., 2018, 2018, 1-7.
[http://dx.doi.org/10.1155/2018/6730315] [PMID: 29744366]
[22]
Ma, H.; Chen, S.; Xiong, H.; Wang, M.; Hang, W.; Zhu, X.; Zheng, Y.; Ge, B.; Li, R.; Cui, H. Astaxanthin from Haematococcus pluvialis ameliorates the chemotherapeutic drug (doxorubicin) induced liver injury through the Keap1/Nrf2/HO-1 pathway in mice. Food Funct., 2020, 11(5), 4659-4671.
[http://dx.doi.org/10.1039/C9FO02429H] [PMID: 32405635]
[23]
El-Agamy, S.E.; Abdel-Aziz, A.K.; Wahdan, S.; Esmat, A.; Azab, S.S. Astaxanthin ameliorates doxorubicin-induced cognitive impairment (chemobrain) in experimental rat model: Impact on oxidative, inflammatory, and apoptotic machineries. Mol. Neurobiol., 2018, 55(7), 5727-5740.
[http://dx.doi.org/10.1007/s12035-017-0797-7] [PMID: 29039023]
[24]
Kumar, R.; Salwe, K.J.; Kumarappan, M. Evaluation of antioxidant, hypolipidemic, and antiatherogenic property of lycopene and astaxanthin in atherosclerosis-induced rats. Pharmacognosy Res., 2017, 9(2), 161-167.
[http://dx.doi.org/10.4103/0974-8490.204654] [PMID: 28539740]
[25]
Kato, T.; Kasai, T.; Sato, A.; Ishiwata, S.; Yatsu, S.; Matsumoto, H.; Shitara, J.; Murata, A.; Shimizu, M.; Suda, S.; Hiki, M.; Naito, R.; Daida, H. Effects of 3-month astaxanthin supplementation on cardiac function in heart failure patients with left ventricular systolic dysfunction-a pilot study. Nutrients, 2020, 12(6), 1896.
[http://dx.doi.org/10.3390/nu12061896] [PMID: 32604721]
[26]
Duan, F.; Li, H.; Lu, H. In vivo and molecular docking studies of the pathological mechanism underlying adriamycin cardiotoxicity. Ecotoxicol. Environ. Saf., 2023, 256, 114778.
[http://dx.doi.org/10.1016/j.ecoenv.2023.114778] [PMID: 36989556]
[27]
Hanna, A.; Frangogiannis, N.G. Inflammatory cytokines and chemokines as therapeutic targets in heart failure. Cardiovasc. Drugs Ther., 2020, 34(6), 849-863.
[http://dx.doi.org/10.1007/s10557-020-07071-0] [PMID: 32902739]
[28]
Shen, S.; Xu, J.; Cheng, C.; Xiang, X.; Hong, B.; Zhang, M.; Gong, C.; Ma, L. Macrophages promote the transition from myocardial ischemia reperfusion injury to cardiac fibrosis in mice through GMCSF/CCL2/CCR2 and phenotype switching. Acta Pharmacol. Sin., 2024, 45(5), 959-974.
[http://dx.doi.org/10.1038/s41401-023-01222-3] [PMID: 38225394]
[29]
Zhang, H.; Yang, K.; Chen, F.; Liu, Q.; Ni, J.; Cao, W.; Hua, Y.; He, F.; Liu, Z.; Li, L.; Fan, G. Role of the CCL2-CCR2 axis in cardiovascular disease: Pathogenesis and clinical implications. Front. Immunol., 2022, 13, 975367.
[http://dx.doi.org/10.3389/fimmu.2022.975367] [PMID: 36110847]
[30]
Zhang, Q.; Lyu, W.; Yu, M.; Niu, Y. Sulfur dioxide induces vascular relaxation through PI3K/Akt/eNOS and NO/cGMP signaling pathways in rats. Hum. Exp. Toxicol., 2020, 39(8), 1108-1117.
[http://dx.doi.org/10.1177/0960327120911428] [PMID: 32153200]
[31]
Neilan, T.G.; Blake, S.L.; Ichinose, F.; Raher, M.J.; Buys, E.S.; Jassal, D.S.; Furutani, E.; Perez-Sanz, T.M.; Graveline, A.; Janssens, S.P.; Picard, M.H.; Scherrer-Crosbie, M.; Bloch, K.D. Disruption of nitric oxide synthase 3 protects against the cardiac injury, dysfunction, and mortality induced by doxorubicin. Circulation, 2007, 116(5), 506-514.
[http://dx.doi.org/10.1161/CIRCULATIONAHA.106.652339] [PMID: 17638931]
[32]
Burr, S.D.; Stewart, J.A., Jr Extracellular matrix components isolated from diabetic mice alter cardiac fibroblast function through the AGE/RAGE signaling cascade. Life Sci., 2020, 250, 117569.
[http://dx.doi.org/10.1016/j.lfs.2020.117569] [PMID: 32201277]
[33]
Daffu, G.; Del Pozo, C.; O’Shea, K.; Ananthakrishnan, R.; Ramasamy, R.; Schmidt, A. Radical roles for RAGE in the pathogenesis of oxidative stress in cardiovascular diseases and beyond. Int. J. Mol. Sci., 2013, 14(10), 19891-19910.
[http://dx.doi.org/10.3390/ijms141019891] [PMID: 24084731]
[34]
Lijuan, S.; Shu, L.; Yonghua, Z.; Qingmin, X.; Chungang, Z.; Lan, L. Effect of Shenqi Yangxin decoction on high mobility group box 1 and inflammatory signal pathway in a rat model of dilated cardiomyopathy. J. Tradit. Chin. Med., 2018, 38(6), 862-871.
[http://dx.doi.org/10.1016/S0254-6272(18)30985-3] [PMID: 32186133]
[35]
Zhang, H.; Lu, X.; Liu, Z.; Du, K. Rosuvastatin reduces the pro-inflammatory effects of adriamycin on the expression of HMGB1 and RAGE in rats. Int. J. Mol. Med., 2018, 42(6), 3415-3423.
[http://dx.doi.org/10.3892/ijmm.2018.3928] [PMID: 30320373]
[36]
Jafari, Z.; Bigham, A.; Sadeghi, S.; Dehdashti, S.M.; Rabiee, N.; Abedivash, A.; Bagherzadeh, M.; Nasseri, B.; Karimi-Maleh, H.; Sharifi, E.; Varma, R.S.; Makvandi, P. Nanotechnology-abetted astaxanthin formulations in multimodel therapeutic and biomedical applications. J. Med. Chem., 2022, 65(1), 2-36.
[http://dx.doi.org/10.1021/acs.jmedchem.1c01144] [PMID: 34919379]
[37]
Abdelazim, K.; Ghit, A.; Assal, D.; Dorra, N.; Noby, N.; Khattab, S.N.; El Feky, S.E.; Hussein, A. Production and therapeutic use of astaxanthin in the nanotechnology era. Pharmacol. Rep., 2023, 75(4), 771-790.
[http://dx.doi.org/10.1007/s43440-023-00488-y] [PMID: 37179259]

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