1. Retinoid X receptor alpha is a spatiotemporally predominant therapeutic target for anthracycline-induced cardiotoxicity
- Author
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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, and Zheng Wang
- Subjects
Cardiotonic Agents ,Mutant ,030204 cardiovascular system & hematology ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,In vivo ,law ,Neoplasms ,Genetics ,Medicine ,Animals ,Humans ,Health and Medicine ,Isotretinoin ,Zebrafish ,Research Articles ,030304 developmental biology ,Bexarotene ,0303 health sciences ,Cardiotoxicity ,Multidisciplinary ,Retinoid X Receptor alpha ,Retinoid X receptor alpha ,biology ,business.industry ,Myocardium ,SciAdv r-articles ,Endothelial Cells ,Heart ,biology.organism_classification ,3. Good health ,Disease Models, Animal ,Cancer research ,Zonula Occludens-1 Protein ,Suppressor ,business ,Pericardium ,medicine.drug ,Research Article - Abstract
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.
- Published
- 2020