PUBLICATION

Role of oxidative stress in clofazimine-induced cardiac dysfunction in a zebrafish model

Authors
Ng, P.C.I., Chan, J.Y.W., Leung, R.K.K., Li, J., Ren, Z., Chan, A.W.H., Xu, Y., Lee, S.S., Wang, R., Ji, X., Zheng, J., Chan, D.P.C., Yew, W.W., Lee, S.M.Y.
ID
ZDB-PUB-201006-10
Date
2020
Source
Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie   132: 110749 (Journal)
Registered Authors
Keywords
Cardiac dysfunction, Clofazimine, Oxidative stress
MeSH Terms
  • Acetylcysteine/pharmacology
  • Animals
  • Antitubercular Agents/toxicity*
  • Clofazimine/toxicity*
  • Disease Models, Animal
  • Gene Expression Profiling
  • Heart Diseases/chemically induced*
  • Heart Diseases/physiopathology
  • Heart Diseases/prevention & control
  • Oxidative Stress/drug effects*
  • Zebrafish
PubMed
33017766 Full text @ Biomed. Pharmacother.
Abstract
Clofazimine (CFZ), a riminophenazine, is now commonly used in the treatment of multidrug-resistant tuberculosis. However, its use may be potentially associated with cardiac dysfunction in some individuals. In this study, the zebrafish heart, by merit of its developmental and genetic characteristics being in homology with that of human, was chosen as an animal model for evaluation of such dysfunction.
Morphological and physiological parameters were used to assess cardiac dysfunction. Transcriptome analysis was performed, followed by validation with real-time quantitative PCR, for delineation of the relevant genomics.
Exposure of 2 dpf zebrafish to 4 mg/L CFZ for 2 days, adversely affected cardiac functions including significant decreases in HR, SV, CO, and FS, with observable pathophysiological developments of pericardial effusion and blood accumulation in the heart, in comparison with the control group. In addition, genes which respond to xenobiotic stimulus, related to oxygen transport, glutathione metabolism and extracellular matrix -receptor interactions, were significantly enriched among the differentially up-regulated genes. Antioxidant response element motif was enriched in the 5000 base pair upstream regions of the differentially expressed genes. Co-administration of N-acetylcysteine was shown to protect zebrafish against the development of CFZ-induced cardiac dysfunction.
This study suggests an important role of oxidative stress as a major pathogenetic mechanism of riminophenazine-induced cardiac dysfunction.
Genes / Markers
Figures
Show all Figures
Expression
Phenotype
Mutations / Transgenics
Human Disease / Model
Sequence Targeting Reagents
Fish
Antibodies
Orthology
Engineered Foreign Genes
Mapping