PUBLICATION

Aspirin reduces Ponatinib-induced cardiovascular toxic phenotypes and death in zebrafish

Authors
Yu, R., Ai, N., Huang, C., Wang, D., Bian, C., Ge, W., Chong, C.M.
ID
ZDB-PUB-241003-4
Date
2024
Source
Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie   180: 117503117503 (Journal)
Registered Authors
Ai, Nana, Ge, Wei
Keywords
Aspirin, COX-1, Cardiovascular toxicity, Ponatinib, Thrombosis, Zebrafish
MeSH Terms
  • Imidazoles*/pharmacology
  • Thrombosis/chemically induced
  • Thrombosis/drug therapy
  • Thrombosis/prevention & control
  • Aspirin*/pharmacology
  • Phenotype
  • Cardiovascular Diseases/chemically induced
  • Cardiovascular Diseases/drug therapy
  • Cardiovascular Diseases/prevention & control
  • Cardiovascular System/drug effects
  • Animals, Genetically Modified*
  • Cyclooxygenase 1/genetics
  • Cyclooxygenase 1/metabolism
  • Animals
  • Zebrafish*
  • Pyridazines*/pharmacology
  • Cardiotoxicity/prevention & control
PubMed
39357328 Full text @ Biomed. Pharmacother.
Abstract
Ponatinib (Iclusig) is an oral tyrosine kinase BCR-ABL inhibitor for treating patients with Philadelphia chromosome-positive acute lymphoblastic leukemia (Ph+ ALL) and chronic myeloid leukemia (CML) who are resistant to the therapies with other tyrosine kinase inhibitors. However, adverse cardiovascular events caused by Ponatinib are a serious issue that affects patients' survival rates. Thus, it is necessary to search for candidate drugs to reduce the cardiovascular toxicity of Ponatinib.
To investigate the effects of Aspirin on Ponatinib-induced cardiovascular toxicity in zebrafish.
AB strain of wild type zebrafish (Danio rerio), Tg (cmlc2: GFP) transgenic zebrafish, and Tg (gata1: dsRed) transgenic zebrafish were used as in vivo models to assess survival, blood flow, cardiac morphology, and function. Thrombus formation was detected using O-dianisidine staining. The transcriptome of zebrafish larvae treated with Ponatinib was assessed using RNA sequencing.
Ponatinib not only reduced survival rate but also caused cardiovascular toxic events such as pericardial edema, abnormal heart structure, low heart rate, and thrombosis. In addition, whole-body transcriptome analysis showed that Ponatinib up-regulated the expression of cyclooxygenase-1 (COX-1). Compared with other antithrombotic drugs, a COX-1 inhibitor Aspirin more effectively reduced ponatinib-induced cardiovascular toxicity events and improved the survival rate of zebrafish larvae.
Our findings suggest that Aspirin exhibits the potential to reduce Ponatinib-induced cardiovascular toxicity.
Genes / Markers
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