CARDIOPROTECTIVE EFFECT OF DATE PALM AGAINST DOXORUBICIN-INDUCED CARDIOTOXICITY

Authors

  • Shimaa Mubarak Department of Biochemistry, Faculty of Science, Ain Shams University, Cairo, Egypt,
  • Shadia Abdel Hamid Department of Biochemistry, Faculty of Science, Ain Shams University, Cairo, Egypt,
  • Abdel Razik Farrag Department of Pathology, National Research Centre,Cairo, Egypt,
  • Nahla Samir Department of Biochemistry, Faculty of Science, Ain Shams University, Cairo, Egypt,
  • Jihan Seid Hussein Department of Medical Biochemistry, National Research Centre, Cairo, Egypt.

DOI:

https://doi.org/10.22159/ajpcr.2018.v11i7.24453

Keywords:

Phoenix dactylifera L, Cardioprotective, Doxorubicin, Cardiotoxicity, 8-hydroxy-2-deoxyguanosine, High-performance liquid chromatography

Abstract

Objective: Doxorubicin (Dox), an anthracycline antibiotic, has been widely used to treat cancer, principally hematological malignancies, and solid tumors. The administration of Dox is a topic of concern in the medical community, as it frequently related to dose-dependent cardiotoxicity. Therefore, the present study was designed to investigate the protective potential of date palm fruit extract on Dox-induced cardiotoxicity.

Methods: A total of 40 female albino rats were used in this study and classified into four groups including control, date palm fruit extract, Dox, and treated date palm fruit extract groups.

Results: Dox produced a significant increase in creatine kinase-MB and lactate dehydrogenase activities. It also decreased the activities of cardiac glutathione peroxidase and superoxide dismutase but increase levels of cardiac malondialdehyde and also of urinary 8-hydroxy-2-deoxyguanosine. Myocardial toxicity of Dox also appeared in the elevation of serum total cholesterol, triglycerides, and low-density lipoprotein cholesterol levels, while level of high-density lipoprotein cholesterol decreased. Histopathological studies revealed alteration of cardiac tissue structure by Dox. Treatment with date palm fruit extract restored the aforementioned parameters.

Conclusion: Date palm fruit exhibits a cardioprotective influence on the heart tissue against toxicity induced by Dox.

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References

Hayward R, Lyen CY, Jensen BT, Hydock DS, Schneider CM. Exercise training mitigates anthracycline–induced chronic cardiotoxicity in a juvenile rat model. Pediatr Blood Cancer 2012;59:149-54.

Maia TN, Araujo GB, Teixeira JA, Alves ED Jr., Dias KP. Cardiotoxicity of doxorubicin treatment and physical activity: A systematic review. Int J Cardiovasc Sci 2017;30:70-80.

Ewer MS, Ewer SM. Cardiotoxicity of anticancer treatments. Nat Rev Cardiol 2015;12:547-58.

Henson KE, McGale P, Taylor C, Darby SC. Radiation-related mortality from heart disease and lung cancer more than 20 years after radiotherapy for breast cancer. Br J Cancer 2013;108:179-82.

Salvatorelli E, Menna P, Cantalupo E, Chello M, Covino E, Wolf FI, et al. The concomitant management of cancer therapy and cardiac therapy. Biochim Biophys Acta 2015;1848:2727-37.

Menna P, Salvatorelli E. Primary prevention strategies for anthracycline cardiotoxicity: A Brief overview. Chemotherapy 2017;62:159-68.

Harake D, Franco VI, Henkel JM, Miller TL, Lipshultz SE. Cardiotoxicity in childhood cancer survivors: Strategies for prevention and management. Future Cardiol 2012;8:647-70.

Argun M, Uzüm K, Sonmez MF, Ozyurt A, Karabulut D, Soyersarıca Z, et al. Cardioprotective effect of metformin against doxorubicin cardiotoxicity in rats. Anatol J Cardiol 2016;16:234-41.

Tocchetti CG, Carpi A, Coppola C, Quintavalle C, Rea D, Campesan M, et al. Ranolazine protects from doxorubicin-induced oxidative stress and cardiac dysfunction. Eur J Heart Fail 2014;16:358-66.

Mukhopadhyay P, Rajesh M, Bátkai S, Kashiwaya Y, Haskó G, Liaudet L, et al. Role of superoxide, nitric oxide, and peroxynitrite in doxorubicin-induced cell death in vivo and in vitro. Am J Physiol Heart Circ Physiol 2009;296:H1466-83.

Singal PK, Li T, Kumar D, Danelisen I, Iliskovic N. Adriamycin-induced heart failure: Mechanisms and modulation. Mol Cell Biochem 2000;207:77-86.

Chitra V, Bhagyasri DK, Lokesh AG, Rajalakshmi V. Pharmacodynamic interaction of aqueous extract of garlic with atorvastatin in doxorubicin-induced cardiotoxicity in rats. Int J Pharm Pharm Sci 2013;5:440-9.

Zhang M, Ma J, Bi H, Song J, Yang H, Xia Z, et al. Characterization and cardioprotective activity of anthocyanins from Nitraria tangutorum bobr. By-products. Food Funct 2017;8:2771-82.

Hazzouri KM, Flowers JM, Visser HJ, Khierallah HS, Rosas U, Pham GM, et al. Whole genome re-sequencing of date palms yields insights into diversification of a fruit tree crop. Nat Commun 2015;6:8824.

Al-Alawi RA, Al-Mashiqri JH, Al-Nadabi JSM, Al-Shihi BI, Baqi Y. Date palm tree (Phoenix dactylifera L.): Natural products and therapeutic options. Front Plant Sci 2017;8:845.

Al-Harrasi A, Rehman NU, Hussain J, Khan AL, Al-Rawahi A, Gilani SA, et al. Nutritional assessment and antioxidant analysis of 22 date palm (Phoenix dactylifera) varieties growing in sultanate of Oman. Asian Pac J Trop Med 2014;7S1:S591-8.

El-Far AH, Shaheen HM, Abdel-Daim MM, Al Jaouni SK, Mousa SA. Date palm (Phoenix dactylifera): Protection and remedy food. Curr Trends Nutraceuticals 2016;1:2-9.

Baliga MS, Baliga BR, Kandathil SM, Bhat HP, Vayalil PK. A review of the chemistry and pharmacology of the date fruits (Phoenix dactylifera L.). Food Res Int 2011;44:1812-22.

Vayalil PK. Antioxidant and antimutagenic properties of aqueous extract of date fruit (Phoenix dactylifera L. Arecaceae). J Agric Food Chem 2002;50:610-7.

Chabner BA, Ryan DP, Paz-Ares L, Garcia-Carbonevo R, Calabresi P. Antineoplastic agents. In: Hardman JG, Limbird LE, Gilman AG, editors. Goodman and Gilman’s the Parmacological Basis of Therapeutics. USA: McGraw-Hill Companies Inc.; 2001. p. 1389-459.

Madway W, Prier LE, Wilkinson JS. A Textbook of Veterinary Clinical Pathology. Battimore: The Willims and Wilking Co.; 1969.

Hussein J, Abo El-matty D, El-Khayat Z, Abdel-Latif Y. Therapeutic role of coenzyme Q10 in brain injury during experimental diabetes. J Appl Pharm Sci 2013;3:213-7.

Jacobs NJ, Vandemark PJ. The purification and properties of the α-glycerophosphate-oxidizing enzyme of Streptococcus faecalis 10C1. Arch Biochem Biophys 1960;88:250-5.

Allain CC, Poon LS, Chan CS, Richmond W, Fu PC. Enzymatic determination of total serum cholesterol. Clin Chem 1974;20:470-5.

Fruchart JC, Kora I, Cachera C, Clavey V, Duthilleul P, Moschetto Y. Simultaneous measurement of plasma apolipoproteins A-I and B by electro-immunoassay. Clin Chem 1982;28:59-62.

Friedewald WT, Levy RI, Fredrickso DS. Estimation of the concentration of low density lipoprotein cholesterol in plasma without use of preparative ultracentrifuge. Clin Chem 1972;18:499-502.

Pagalia DE, Valentine WN. Studies on the quantitative and qualitative characterization of erythrocyte glutathione peroxidase. J Lab Clin Med 1967;70:158-69.

Nishikimi M, Roa NA, Yogi K. Measurement of superoxide dismutase. Biochem Biophys Res Common 1972;46:849-54.

Ohkawa H, Ohishi N, Yagi K. Assay for lipid peroxides in animal tissues by thiobarbituric acid reaction. Anal Biochem 1979;95:351-8.

Kim M, Moon H, Hong S. Determination of urinary 8-hydroxy-2- deoxyguanosine as a DNA damage marker. Am Clin Lab 2001;2001:42-5.

Hussein J, El-Khayat Z, Taha M, Morsy S, Drees E, Khateeb S. Insulin resistance and oxidative stress in diabetic rats treated with flaxseed oil. J Med Plant Res 2012;6:5499-506.

Larsen K. Creatinine assay by a reaction-kinetic principle. Clin Chim Acta 1972;41:209-17.

Drury RA, Wallington EA. Carleton’s Histological Technique. 4th ed. New York: Oxford University Press; 1980.

Armitage P, Berry G. Comparison of several groups. In: Statistical Methods in Medical Research. 2nd ed. Oxford: Blackwell Scientific Pub; 1987. p. 186-2.

Octavia Y, Tocchetti CG, Gabrielson KL, Janssens S, Crijns HJ, Moens AL, et al. Doxorubicin-induced cardiomyopathy: From molecular mechanisms to therapeutic strategies. J Mol Cell Cardiol 2012;52:1213-25.

Razmaraii N, Babaei H, Mohajjel Nayebi A, Assadnassab G, Ashrafi Helan J, Azarmi Y, et al. Cardioprotective effect of grape seed extract on chronic doxorubicin-induced cardiac toxicity in wistar rats. Adv Pharm Bull 2016;6:423-33.

Abdel-Sattar E, El-Gayed SH, Shehata I, Ashour OM, Nagy AA, Mohamadin AM. Antioxidant and cardioprotective activity of Stachys schimperi Vatke against doxorubicin-induced cardiotoxicity. Bull Fac Pharm Cairo Univ 2012;1:41-7.

Hussein J, El-Bana M, Refaat E, El-Naggar M. Synthesis of carvacrol-based nanoemulsion for treating neurodegenerative disorders in experimental diabetes. J Funct Foods 2017;37:441-8.

Rahmani AH, Aly SM, Ali H, Babiker AY, Srikar S, Khan AA. Therapeutic effects of date fruits (Phoenix dactylifera) in the prevention of diseases via modulation of anti-inflammatory, anti-oxidant and anti-tumor activity. Int J Clin Exp Med 2014;7:483-91.

Abdalla AN, Almaliki WH, Mukhtar MH, Anwar F, Shahid I, Menshawi SA, et al. Ameliorative influence of dietary dates on doxorubicin-induced cardiac toxicity. Pharmacol Pharm 2016;7:343 53.

Kumar MH, Gupta YK. Antioxidant property of Celastrus paniculatus willd.: A possible mechanism in enhancing cognition. Phytomedicine 2002;9:302-11.

Hamza A, Amin A, Daoud S. The protective effect of a purified extract of Withania somnifera against doxorubicin-induced cardiac toxicity in rats. Cell Biol Toxicol 2008;24:63-73.

QuanJun Y, GenJin Y, LiLi W, YongLong H, Yan H, Jie L, et al. Protective effects of dexrazoxane against doxorubicin-induced cardiotoxicity: A Metabolomic study. PLoS One 2017;12:e0169567.

El Arem A, Thouri A, Zekri M, Saafi EB, Ghrairi F, Zakhama A, et al. Nephroprotective effect of date fruit extract against dichloroacetic acid exposure in adult rats. Food Chem Toxicol 2014;65:177-84.

Daoud A, Ben Mefteh F, Mnafgui K, Turki M, Jmal S, Ben Amar R, et al. Cardiopreventive effect of ethanolic extract of date palm pollen against isoproterenol induced myocardial infarction in rats through the inhibition of the angiotensin-converting enzyme. Exp Toxicol Pathol 2017;69:656-65.

Dhana RM, Sarumathy K, Palani S, Sakthivel K. Phytochemical studies by GC-MS and cardioprotective effect of Grewia hirsuta (GH) on doxorubicin induced cardiotoxicity in albino rats. Int J Univ Pharm Life Sci 2011;1:1-18.

Mansouri E, Jangaran A, Ashtari A. Protective effect of pravastatin on doxorubicin-induced hepatotoxicity. Bratisl Lek Listy 2017;118:273-7.

Varadharajan R, Rajalingam D, Palani S. GCMS/MS analysis and cardioprotective potential of Cucumis callosus on doxorubicin induced cardiotoxicity in rats. Int J Pharm Pharm Sci 2016;8:239-45.

Koti BC, Vishwanathswamy AH, Wagawade J, Thippeswamy AH. Cardioprotective effect of lipistat against doxorubicin induced myocardial toxicity in albino rats. Indian J Exp Biol 2009;47:41-6.

Koutinos G, Stathopoulos GP, Dontas I, Perrea-Kotsarelis D, Couris E, Karayannacos PE, et al. The effect of doxorubicin and its analogue mitoxantrone on cardiac muscle and on serum lipids: An experimental study. Anticancer Res 2002;22:815-20.

Alsaif M, Khan LK, Alhamdan AH, Alorf SM, Harfi SH, Abdulaziz MA, et al. Effect of dates and gahwa (Arabian coffee) supplementation on lipids in hyper-cholesterolemic hamsters. India J Pharm 2007;3:123 9.

Hasan NS, Amom ZH, Nor A, Arapoc DJ, Azlan A. The role of dates (Phoenix dactylifera) aqueous extract in improving the plasma lipid profiles of diet-induced hypercholesterolemic rabbits. Res J Biol Sci 2010;5:632-7.

Metwaly MS, Dkhil MA, Al-Quarishy S. Role of Phoenix dactylifera in ameliorating Eimeria papillata-induced hepatic injury in mice. J Med Plant Res 2012;6:3041-7.

Del Rio D, Stewart AJ, Pellegrini N. A review of recent studies on malondialdehyde as toxic molecule and biological marker of oxidative stress. Nutr Metab Cardiovasc Dis 2005;15:316-28.

Menna P, Minotti G, Salvatorelli E. In vitro modeling of the structure-activity determinants of anthracycline cardiotoxicity. Cell Biol Toxicol 2007;23:49-62.

Liu Z, Song XD, Xin Y, Wang XJ, Yu H, Bai YY, et al. Protective effect of chrysoeriol against doxorubicin-induced cardiotoxicity in vitro. Chin Med J (Engl) 2009;122:2652-6.

Chen CT, Wang ZH, Hsu CC, Lin HH, Chen JH. In vivo protective effects of diosgenin against doxorubicin-induced cardiotoxicity. Nutrients 2015;7:4938-54.

Saafi EB, El Arem A, Issaoui M, Hammami M, Achour L. Phenolic content and antioxidant activity of four date palm (Phoenix dactylifera L.) fruit varieties grown in Tunisia. Int J Food Sci Technol 2009;44:2314-9.

El-Gazzar UB, El-Far AH, Hussein AA. The ameliorative effect of Phoenix dactylifera extract on CCl4 hepatotoxicity in New Zealand rabbits. J Appl Sci Res 2009;5:1082-7.

Naskar S, Islam A, Mazumder UK, Saha P, Haldar PK, Gupta M. In vitro and in vivo antioxidant potential of hydromethanolic extract of Phoenix dactylifera fruits. J Sci Res 2010;2:144-57.

Feng Z, Hu W, Marnett LJ, Tang MS. Malondialdehyde, a major endogenous lipid peroxidation product, sensitizes human cells to UV- and BPDE-induced killing and mutagenesis through inhibition of nucleotide excision repair. Mutat Res 2006;601:125-36.

Abdel Hamid OI, Ahmed MG, Hassaneine HM, Rashed HE. Evaluation of the role of captopril on clozapine-induced cardiotoxicity and hematotoxicity in adult male albino rats. Toxicol Res Appl 2017;1:1-11.

Wu LL, Chiou CC, Chang PY, Wu JT. Urinary 8-OHdG: A marker of oxidative stress to DNA and a risk factor for cancer, atherosclerosis and diabetics. Clin Chim Acta 2004;339:1-9.

Valavanidis A, Vlachogianni T, Fiotakis C. 8-hydroxy-2’ -deoxyguanosine (8-OHdG): A critical bio-marker of oxidative stress and carcinogenesis. J Environ Sci Health Carcinog Ecotoxicol Rev 2009;27:120-39.

El-Khayat Z, Rasheed W, Ramzy T, Hussein J, Agaiby M, Morsy S, et al. Protective effect of garlic oil against liver injury in experimental animals. J Med Plant Res 2010;4:2359-69.

Swift LP, Rephaeli A, Nudelman A, Phillips DR, Cutts SM. Doxorubicin-DNA adducts induce a non-topoisomerase II-mediated form of cell death. Cancer Res 2006;66:4863-71.

Coldwel KE, Cutts SM, Ognibene TJ, Henderson PT, Phillips DR. Detection of adriamycin–DNA adducts by accelerator mass spectrometry at clinically relevant Adriamycin concentrations. Nucleic Acids Res 2008;36:e100.

Abd Elbaky NA, Ali AA, Ahmed RA. Cardioprotective effect of simvastatin on doxorubicin induced oxidative cardiotoxicity in rats. J Basic Appl Sci 2010;6:29-38.

Putri H, Nagadi S, Larasati YA, Wulandari N, Hermawan A, Nugroho AE. Cardioprotective and hepatoprotective effects of Citrus hystrix peels extract on rats model. Asian Pac J Trop Biomed 2013;3:371-5.

Published

07-07-2018

How to Cite

Mubarak, S., S. A. Hamid, A. R. Farrag, N. Samir, and J. S. Hussein. “CARDIOPROTECTIVE EFFECT OF DATE PALM AGAINST DOXORUBICIN-INDUCED CARDIOTOXICITY”. Asian Journal of Pharmaceutical and Clinical Research, vol. 11, no. 7, July 2018, pp. 141-6, doi:10.22159/ajpcr.2018.v11i7.24453.

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Original Article(s)