Elsevier

American Heart Journal

Volume 111, Issue 1, January 1986, Pages 95-102
American Heart Journal

Amelioration of adriamycin-induced cardiotoxicity in rabbits by prenylamine and vitamins A and E

https://doi.org/10.1016/0002-8703(86)90559-4Get rights and content

Abstract

The cardioprotective potentials of prenylamine (a calcium antagonist) and of a combination of vitamins A and E (a singlet oxygen quencher and a free radical scavenger, respectively) were evaluated in rabbits given chronically large doses of Adriamycin (ADM) (10.8 mg/kg body weight for 9 to 11 weeks). Among ADM-treated rabbits, 8 of 10 showed post-treatment ECG changes; in rabbits treated with ADM and prenylamine, changes were found in a smaller number (5 of 10); and in animals treated with ADM and vitamins A and E, the incidence was only one in six (p < 0.05). Heart homogenates from ADM-treated rabbits showed an increased hydroperoxide-initiated chemiluminescence (expressed as cpm/mg protein × 10−3) of 77 ± 4 compared to control animals (52 ± 1) (p < 0.01). Prenylamine administration did not alter hydroperoxide-initiated chemiluminescence in ADM-treated rabbits, whereas treatment with a combination of vitamins A and E showed a significant decrease in hydroperoxide-initiated chemiluminescence in control (40 ± 2) and ADM-treated rabbits (42 ± 1). Microscopically, myocardial fibers had mild to severe hydropic vacuolization of sarcoplasm, which led to progressive myocytolysis. A total of 103 ± 13 damaged fibers were detected over 700 counted fibers. Myocardial damage was lowered to 47 ± 16 by administration of prenylamine and to 28 ± 8 by administration of vitamins A and E. It is suggested that ADM leads to myocardial lipid peroxidation (ameliorated by vitamins A and E) with membrane damage and to an increase in calcium permeability, the latter being counteracted by prenylamine.

References (47)

  • V Ferrans

    Overview of cardiac pathology in relation to anthracycline cardiotoxicity

    Cancer Treat Rep

    (1978)
  • CE Myers et al.

    Adriamycin: The role of lipid peroxidation in cardiac toxicity and tumor response

    Science

    (1977)
  • J Milei et al.

    Prenylamine inhibition of Adriamycin-induced cardiomyopathy in mice

    Medicina (B Aires)

    (1982)
  • AL Tappel

    Measurement of and protection from “in vivo” lipid peroxidation

  • JF Van Vleet et al.

    Effect of selenium and vitamin E on adriamycin-induced cardiomyopathy in rabbits

    Am J Vet Res

    (1978)
  • JGS Breed et al.

    Failure of the antioxidant vitamin E to protect against Adriamycin-induced cardiotoxicity in the rabbit

    Cancer Res

    (1980)
  • C Bertazzoli et al.

    Experimental Adriamycin cardiotoxicity prevented by ubiquinone “in vivo” rabbits

    Int Res Commun Syst Med Sci

    (1975)
  • E Cadenas et al.

    Oxygen or organic hydroperoxide-induced chemiluminescence of brain and liver homogenates

    Biochem J

    (1981)
  • ER Weibel

    Principles and methods for the morphometric study of the lung and other organs

    Lab Invest

    (1963)
  • EH Herman et al.

    Influence of vitamin E and ICRF-187 on chronic doxorubicin cardiotoxicity in miniature swine

    Lab Invest

    (1983)
  • VG Panse et al.

    Statistical methods of agricultural workers

  • RS Jaenke

    An anthracycline antibiotic-induced cardiomyopathy in rabbits

    Lab Invest

    (1974)
  • CJ Naik

    Prenylamine in angina pectoris

    Ind Heart J

    (1967)
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