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NAD(+) administration decreases doxorubicin-induced liver damage of mice by enhancing antioxidation capacity and decreasing DNA damage.

Abstract
One of the major obstacles for cancer treatment is the toxic side effects of anti-cancer drugs. Doxorubicin (DOX) is one of the most widely used anti-cancer drugs, which produces significant toxic side effects on the heart and such organs as the liver. Because NAD(+) can decrease cellular or tissue damage under multiple conditions, we hypothesized that NAD(+) administration may decrease DOX-induced hepatotoxicity. In this study we tested this hypothesis by using a mouse model, showing that NAD(+) administration can significantly attenuate DOX-induced increase in serum glutamate oxaloacetate transaminase activity and decrease in liver weight. The NAD(+) administration also attenuated the DOX-induced increases in the levels of double-strand DNA (dsDNA) damage, TUNEL signals, and active caspase-3. Furthermore, our data has suggested that the NAD(+) administration could produce protective effects at least partially by restoring the antioxidation capacity of the liver, because NAD(+) administration can attenuate the decreases in both the GSH levels and the glutathione reductase activity of the DOX-treated liver, which could play a significant role in the DOX-induced hepatotoxicity. This finding has provided the first evidence indicating that NAD(+) is capable of increasing the antioxidation capacity of tissues. Collectively, our study has found that NAD(+) can significantly decrease DOX-induced liver damage at least partially by enhancing antioxidation capacity and decreasing dsDNA damage. Because it can also selectively decrease tumor cell survival, NAD(+) may have significant merits over antioxidants for applying jointly with DOX to decrease the toxic side effects of DOX.
AuthorsBan Wang, Yingxin Ma, Xiaoni Kong, Xianting Ding, Hongchen Gu, Tianqing Chu, Weihai Ying
JournalChemico-biological interactions (Chem Biol Interact) Vol. 212 Pg. 65-71 (Apr 05 2014) ISSN: 1872-7786 [Electronic] Ireland
PMID24491677 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
CopyrightCopyright © 2014 Elsevier Ireland Ltd. All rights reserved.
Chemical References
  • Antineoplastic Agents
  • Antioxidants
  • NAD
  • Doxorubicin
  • Aspartate Aminotransferases
  • Acetylcysteine
Topics
  • Acetylcysteine (administration & dosage, pharmacology)
  • Animals
  • Antineoplastic Agents (adverse effects)
  • Antioxidants (metabolism)
  • Apoptosis (drug effects)
  • Aspartate Aminotransferases (blood)
  • Body Weight (drug effects)
  • Cytoprotection (drug effects)
  • DNA Damage
  • Doxorubicin (adverse effects)
  • Liver (anatomy & histology, cytology, drug effects, metabolism)
  • Male
  • Mice
  • Mice, Inbred ICR
  • NAD (administration & dosage, metabolism, pharmacology)
  • Organ Size (drug effects)

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