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European Journal of Heart Failure 2008 10(1):39-46; doi:10.1016/j.ejheart.2007.11.002
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© 2008 European Society of Cardiology

The volume-sensitive chloride channel inhibitors prevent both contractile dysfunction and apoptosis induced by doxorubicin through PI3kinase, Akt and Erk 1/2

Alexandra d'Anglemont de Tassignya,b,c, Alain Berdeauxa,b,c,d, Rachid Souktanib, Patrick Henrye and Bijan Ghaleha,b,c,d,*

a INSERM U841 Equipe 3, Créteil, F-94010, France
b Université Paris 12, Faculté de Médecine, Institut Mondor de Médecine Moléculaire (IFR 10) Créteil, F-94010, France
c Ecole Nationale Vétérinaire d'Alfort Maisons-Alfort, F-94700, France
d Fédération de Cardiologie, Groupe Hospitalier Albert Chenevier - Henri Mondor Créteil, F-94010, France
e Service de Cardiologie, Hôpital Lariboisièe and INSERM U572 75010 Paris, France

* Corresponding author. Laboratoire de Pharmacologie, INSERM U841 Eq 3, Faculté de Médecine de Créteil, 8, rue Général Sarrail, 94010 CRETEIL Cedex, France. Tel.: +33 1 49 81 35 93; fax: +33 1 49 98 36 61. E-mail address: bijan.ghaleh{at}creteil.inserm.fr (B. Ghaleh).


   Abstract

Contractile dysfunction and cardiomyopathies secondary to apoptotic cell death are limiting factors for treating cancer with doxorubicin. Inhibition of volume-sensitive chloride currents (ICl,vol) has been reported to blunt doxorubicin-induced apoptosis in cardiomyocytes. To investigate cellular contractility during acute induction of apoptosis by doxorubicin and to determine whether ICl,vol inhibitors are able to prevent the subsequent contractile dysfunction, electrically paced ventricular myocytes freshly isolated from adult rabbits were acutely exposed to doxorubicin in the presence and absence of ICl,vol inhibitors IAA-94 or DIDS. Doxorubicin induced increases in both annexin V labelling and caspase-3 activity and decreases in cell volume. Alteration in cardiac contractility was observed after doxorubicin exposure. Both IAA-94 and DIDS abolished the doxorubicin-induced decreases in peak shortening and cell volume as well as the increases in caspase-3 activity and annexin V labelling. These protective effects of ICl,vol inhibitors were abolished by previous inhibition of PI3kinase, Akt and Erk 1/2. Thus, ICl,vol inhibitors prevent doxorubicin-induced apoptosis and subsequent contractile dysfunction through PI3kinase/Akt and Erk 1/2. Inhibition of ICl,vol may represent a new pharmacological strategy for developing cytoprotective drugs against apoptotic cell death and contractile dysfunction.

Key Words: Volume-sensitive chloride channels • Cardiomyocyte • Contractility • Apoptosis • Doxorubicin

Received February 19, 2007; Revised October 17, 2007; Accepted November 12, 2007


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