Protective Effect of CTRP6 on Doxorubicin-induced Cardiomyocyte Injury
Objective To explore the impact of C1q/tumour necrosis factor-related protein 6(CTRP6)on doxorubicin(DOX)-induced apoptosis and oxidative stress injury of cardiomyocytes,along with its associated mechanism of action.Methods The H9C2 car-diomyocyte injury model was established by dividing the subjects into different groups.These groups included the control group(NS group),the DOX(1μmol/L)group,and the DOX(1μmol/L)group supplemented with CTRP6 at concentration gradients of 0.5 µg/ml,1μg/ml,3μg/ml,and 5µg/ml,respectively.After 24hours of culture,the survival rate of the cardiomyocytes was measured,the results showed that the highest increase in cardiomyocyte survival rate was observed at a CTRP6 concentration of 3 µg/ml,which was selected as the optimal concentration.Subsequently,the experimental groups of H9C2 cardiomyocytes consisted of the control group(NS group),the CTRP6 group,the DOX(1μmol/L)group,and the DOX(1μmol/L)group supplemented with CTRP6(3μg/ml)group.The impact of DOX stimulation on the transcriptional and translational levels of CTRP6 was assessed using fluorescence real-time quantitative polymer-ase chain reaction(RT-qPCR)and Western blot assay.Apoptosis levels were measured using Tunel assay,while enzyme-linked im-munosorbent assay(ELISA)kits were was used to detect the activity of cellular total glutathione peroxidase(GSH-Px)and superoxide dismutase(SOD),as well as the levels of malondialdehyde(MDA).Western blot assay was used to detect the any alterations in the lev-els of AdipoR1 protein and the protein expression of the protein kinase B/glycogen synthase kinase-3 β(Akt/GSK-3 β)signaling path-way.Results Compared with the control group(NS group),the expression levels of CTRP6 protein and mRNA were significantly de-creased in the DOX group(46.26%and 67.74%reduction,respectively,P<0.05).In contrast,compared with DOX group,the DOX+CTRP6group showed a significant increase in CTRP6 protein expression levels(P<0.05).Among the different concentrations of CTRP6 added to the DOX+CTRP6group,the survival rate of cardiomyocytes in DOX+3µg/ml CTRP6 treatment group was significantly increased by 26.48%(P<0.05).Tunel staining revealed a decrease in apoptosis and an upregulation of Bcl-2 expression.In addi-tion,GSH-Px and SOD activities increased by 20.49%and 36.89%respectively,while MDA levels were significantly inhibited(de-creased by 47.09%,P<0.05).The levels of AdipoR1 protein was significantly increased(P<0.05).Furthermore,there was a signifi-cant elevation observed in the phosphorylation levels of the Akt/GSK-3β signaling pathway proteins.Conclusion CTRP6 ameliorates DOX-induced apoptosis and oxidative stress injury in cardiomyocytes,possibly through the protective effect of the Akt/GSK-3β signa-ling pathway.