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Received for publication August 17, 2004.
Revised January 9, 2005.
Accepted for publication February 10, 2005.
Anthracycline therapy is associated with a life-threatening, but poorly understood, cardiotoxicity. Effects of treatment are consistent with drug-induced disruption of cardiac sarcoplasmic reticulum (SR) calcium homeostasis, including inhibition of calcium release by anthracyclines. This effect, which depends on lumenal SR calcium concentration, is hypothesized to involve interactions of anthracyclines with the calcium binding protein, calsequestrin (CSQ). This study was designed to test the hypothesis that an interaction between CSQ and anthracyclines could be related to alterations in SR calcium release and cardiac function. The effects of the anthracycline, daunorubicin, and its metabolite, daunorubicinol, were compared to those of a known CSQ inhibitor, trifluoperazine (TFP). Protein fluorescence quenching studies demonstrated that TFP, daunorubicin, and daunorubicinol bind to CSQ with apparent binding affinities in the low micromolar range. The presence of calcium decreases the drug-dependent fluorescence quenching, probably due to calcium-induced CSQ conformational changes. TFP also inhibited SR calcium release. While the TFP IC50 value is somewhat larger than for anthracyclines, the TFP effect is also dependent on lumenal SR calcium concentration. In a muscle preparation, micromolar TFP decreased cardiac contractility in a manner that implicates the involvement of SR calcium and resembles the effects of anthracyclines. These data are consistent with a mechanism in which TFP or anthracyclines impair SR calcium release and cardiac function through a mechanism involving disruption of CSQ function. Such a mechanism may contribute to anthracycline cardiotoxicity.
Key words:
Structure determinations, Structure-activity relationships and modeling, Fluorescence techniques, Protein targets
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