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Vol. 287, Issue 2, 515-520, November 1998
Departments of Medicine, and Pharmacology and Toxicology,
University of Louisville School of Medicine, Louisville, Kentucky
Cardiotoxicity and acquired drug resistance of tumor cells have been
two impediments for the clinical use of doxorubicin (DOX). Trials are
ongoing using buthionine sulfoximine (BSO) to deplete glutathione (GSH)
content in tumors, whose elevation was found to contribute to the
acquired drug resistance. However, BSO also decreases GSH content in
the heart, enhancing DOX cardiotoxicity. Recent studies have shown that
metallothionein (MT) is an important factor in cardiac protection
against DOX. Our study was undertaken to determine whether MT can
compensate for the loss of protection from GSH depletion in the heart.
Transgenic mice with cardiac MT concentrations about 20-fold higher
than normal, and nontransgenic controls were treated with BSO by i.p.
injection at 5 mmol/kg, two times with a 12-hr interval, before
treatment with DOX at a single dose of 15 mg/kg, lasting for 4 days.
Cardiac GSH was depleted by 60% in both transgenic and non-transgenic
mice. DOXinduced cardiotoxicity, as measured by blood levels of
creatine kinase and malondialdehyde concentrations in the heart, was
dramatically increased in the BSO-treated nontransgenic mice. This
increase was completely inhibited in the BSO-treated transgenic mice.
These results demonstrate that cardiac MT overexpressing transgenic mice are resistant to BSO-enhanced DOX cardiotoxicity. Selective modulations of decreasing DOX resistance in tumors by BSO and of
increasing cardioprotection by MT induction may provide an alternative
approach to improved DOX chemotherapeutic efficacy.
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