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Repurposing lurasidone to alleviate doxorubicin-induced cardiotoxicity and neurotoxicity via BDNF/TrkB/PI3K/Akt/CREB and miR-34a-5p/PGC-1α pathways.

PMID: 41912655 · DOI: 10.1007/s00210-026-05019-z · Naunyn-Schmiedeberg's archives of pharmacology, 2026 · Nermeen A Bayoumy, Abeer Elkhoely, Shimaa K Mohamed
📄 Abstract

Doxorubicin (Dox) is a potent cytotoxic medication, yet its adverse properties are undeniable obstacles to its clinical use. The objective of the existing research was to inspect the potential beneficial actions of lurasidone (Lura) against the neurotoxicity and cardiotoxicity triggered by Dox in rats. Sixty rats were equally allocated to four groups: Control group; Dox group; Lur (1 mg/kg) + Dox group; Lura (3 mg/kg) + Dox group. For 18 days, Lura (1 and 3 mg/kg) was given orally, starting 7 days before giving six doses of Dox (2.5 mg/kg every other day, i.p). Lura attenuated Dox-instigated cardiac injury as assured by the decrease in cardiac troponin-I (cTn-I), kg) and creatine kinase MB (CK-MB) levels. In addition, Lura remarkably declined Dox-triggered neuronal dysfunction, as confirmed by diminished anxiety and depression-alike behaviors in the open field (OFT) and forced swimming (FST) tests, respectively. Furthermore, Lura replenished cardiac and brain antioxidant markers, mitochondrial modulator, PGC-1α, and significantly decreased inflammatory mediators, miR34a-5p, and pro-apoptotic caspase-3 levels. In the brain, Lura also mitigated the induction of glial fibrillary acidic protein (GFAP) and ionized calcium binding adaptor-1 (Iba-1). In the same context, Lura pretreatment upregulated the brain-derived neurotrophic factor (BDNF)/tropomyosin receptor kinase B (TrkB)/phosphoinositide 3-kinase (PI

Confidence: 0.16 · 8 полей извлечено
Идентификация (6 полей)
Target
Brain-derived neurotrophic factor
0.95
Alt. target
BDNF
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Protein family
Neurotrophin
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Functional class
Growth factor
0.80
Subcellular loc.
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Isoforms (metab/obesity)
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Механизм действия (21 полей)
Mechanism
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Mutations (obesity/lean)
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Activity (obesity)
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Activity temporal
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Energy balance
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Appetite
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Fat metabolism
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Lipolysis
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Thermogenesis
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Muscle metabolism
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Inflammation
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Glucose metabolism
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AA metabolism
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Hormonal pathways
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Cell death
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Adipocyte fibrosis
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Upstream (biochem)
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Upstream (physiol)
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Downstream (biochem)
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Downstream (physiol)
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PTMs
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Экспрессия (8 полей)
Tissue expression
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In vitro
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In vivo
Lurasidone pretreatment in doxorubicin-treated rats attenuated cardiac injury (decreased cTn-I and CK-MB) and neuronal dysfunction (reduced anxiety and depression-like behaviors in OFT and FST). It replenished cardiac and brain antioxidant markers, PGC-1α, decreased inflammatory mediators, miR34a-5p, caspase-3, and in brain mitigated GFAP and Iba-1 induction. Lurasidone upregulated BDNF/TrkB/PI3K/Akt/CREB pathway.
0.95
In silico
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Genetic association
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Ex vivo
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Animal model
Rats
0.95
Diet/model
Doxorubicin-induced cardiotoxicity and neurotoxicity model in rats
0.95
Клиника (11 полей)
Drug
lurasidone
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Indication
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Patient subgroups
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Safety concerns
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Off-target
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Trial stage
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Pharma competitors
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AE severity
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MOA weight loss
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Endpoints
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Approved
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