Retinoid X receptor alpha is a spatiotemporally predominant therapeutic target for anthracycline-induced cardiotoxicity

Autor: Alexey V. Dvornikov, Yong Wang, Qi Qiu, Xueying Lin, Tzung K. Hsiai, Xiaolei Xu, Yonghe Ding, Maengjo Kim, Zhang Hong, Yue Yu, Nadine Norton, Joerg Herrmann, Matthew R. Lowerison, Stephen C. Ekker, Xiao Ma, Ping Zhu, Zheng Wang
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Science Advances
ISSN: 2375-2548
Popis: RXRA is an endothelial- and early stage–predominant therapeutic target for treating anthracycline-induced cardiotoxicity.
To uncover the genetic basis of anthracycline-induced cardiotoxicity (AIC), we recently established a genetic suppressor screening strategy in zebrafish. Here, we report the molecular and cellular nature of GBT0419, a salutary modifier mutant that affects retinoid x receptor alpha a (rxraa). We showed that endothelial, but not myocardial or epicardial, RXRA activation confers AIC protection. We then identified isotretinoin and bexarotene, two FDA-approved RXRA agonists, which exert cardioprotective effects. The therapeutic effects of these drugs only occur when administered during early, but not late, phase of AIC or as pretreatment. Mechanistically, these spatially- and temporally-predominant benefits of RXRA activation can be ascribed to repair of damaged endothelial cell-barrier via regulating tight-junction protein Zonula occludens-1. Together, our study provides the first in vivo genetic evidence supporting RXRA as the therapeutic target for AIC, and uncovers a previously unrecognized spatiotemporally-predominant mechanism that shall inform future translational efforts.
Databáze: OpenAIRE