Doxorubicin (DOX) is one of the most effective chemotherapeutic drugs; however, its incidence of
cardiotoxicity compromises its therapeutic index.
Chrysin, a natural
flavone, possesses multiple
biological activities, such as
antioxidant, anti-inflammatory and anti-
cancer. The present study was designed to investigate whether
chrysin could protect against DOX-induced acute
cardiotoxicity; and if so, unravel the molecular mechanisms of this protective effect.
Chrysin was administered to male albino rats once daily for 12 consecutive days at doses of 25 and 50mg/kg orally. DOX (15 mg/kg; i.p.) was administered on day 12.
Chrysin pretreatment significantly protected against DOX-induced myocardial damage which was characterized by conduction abnormalities, increased serum
creatine kinase isoenzyme-MB (CK-MB), and
lactate dehydrogenase (LDH) and myofibrillar disarrangement. As indicators of oxidative stress, DOX caused significant
glutathione depletion, lipid peroxidation and reduction in activities of
antioxidant enzymes;
catalase (CAT) and
superoxide dismutase (SOD).
Chrysin pretreatment significantly attenuated DOX-induced oxidative injury. Additionally, DOX provoked inflammatory responses by increasing the expressions of
nuclear factor kappa-B (NF-κB),
inducible nitric oxide synthase (iNOS) and
cyclooxygenase-2 (COX-2) and the levels of
tumor necrosis factor-alpha (TNF-α) and
nitric oxide while
chrysin pretreatment significantly inhibited these inflammatory responses. Furthermore, DOX induced apoptotic tissue damage by increasing Bax and
cytochrome c expressions and
caspase-3 activity while decreasing the expression of Bcl-2.
Chrysin pretreatment significantly ameliorated these apoptotic actions of DOX. Collectively, these findings indicate that
chrysin possesses a potent protective effect against DOX-induced acute
cardiotoxicity via suppressing oxidative stress,
inflammation and apoptotic tissue damage.