Abstract
The cross-tolerance effect of exercise against heart mitochondrial-mediated quality control, remodeling and death-related mechanisms associated with sub-chronic Doxorubicin (DOX) treatment is yet unknown. We therefore analyzed the effects of two distinct chronic exercise models (endurance treadmill training—TM and voluntary free wheel activity—FW) performed during the course of the sub-chronic DOX treatment on mitochondrial susceptibility to permeability transition pore (mPTP), apoptotic and autophagic signaling and mitochondrial dynamics. Male Sprague–Dawley rats were divided into six groups (n = 6 per group): saline sedentary (SAL + SED), SAL + TM (12-weeks treadmill), SAL + FW (12-weeks voluntary free-wheel), DOX + SED [7-weeks sub-chronic DOX treatment (2 mg kg−1 week−1)], DOX + TM and DOX + FW. Apoptotic signaling and mPTP regulation were followed by measuring caspase 3, 8 and 9 activities, Bax, Bcl2, CypD, ANT, and cophilin expression. Mitochondrial dynamics (Mfn1, Mfn2, OPA1 and DRP1) and auto(mito)phagy (LC3, Beclin1, Pink1, Parkin and p62)-related proteins were semi-quantified. DOX treatment results in augmented mPTP susceptibility and apoptotic signaling (caspases 3, 8 and 9 and Bax/Bcl2 ratio). Moreover, DOX decreased the expression of fusion-related proteins (Mfn1, Mfn2, OPA1), increased DRP1 and the activation of auto(mito)phagy signaling. TM and FW prevented DOX-increased mPTP susceptibility and apoptotic signaling, alterations in mitochondrial dynamics and inhibits DOX-induced increases in auto(mito)phagy signaling. Collectively, our results suggest that both used chronic exercise models performed before and during the course of sub-chronic DOX treatment limit cardiac mitochondrial-driven apoptotic signaling and regulate alterations in mitochondrial dynamics and auto(mito)phagy in DOX-treated animals.
Similar content being viewed by others
References
Andreyev, A. Y., Fahy, B., & Fiskum, G. (1998). Cytochrome c release from brain mitochondria is independent of the mitochondrial permeability transition. FEBS Letters, 439, 373–376.
Ascensao, A., Ferreira, R., & Magalhaes, J. (2007). Exercise-induced cardioprotection–biochemical, morphological and functional evidence in whole tissue and isolated mitochondria. International Journal of Cardiology, 117, 16–30.
Ascensao, A., Ferreira, R., Oliveira, P. J., & Magalhaes, J. (2006). Effects of endurance training and acute Doxorubicin treatment on rat heart mitochondrial alterations induced by in vitro anoxia-reoxygenation. Cardiovascular Toxicology, 6, 159–172.
Ascensao, A., Lumini-Oliveira, J., Machado, N. G., Ferreira, R. M., Goncalves, I. O., Moreira, A. C., et al. (2011). Acute exercise protects against calcium-induced cardiac mitochondrial permeability transition pore opening in doxorubicin-treated rats. Clinical science (Lond), 120, 37–49.
Ascensao, A., Lumini-Oliveira, J., Oliveira, P. J., & Magalhaes, J. (2011). Mitochondria as a target for exercise-induced cardioprotection. Current Drug Targets, 12, 860–871.
Ascensao, A., Magalhaes, J., Soares, J., Ferreira, R., Neuparth, M., Marques, F., et al. (2005). Endurance training attenuates doxorubicin-induced cardiac oxidative damage in mice. International Journal of Cardiology, 100, 451–460.
Ascensao, A., Magalhaes, J., Soares, J. M., Ferreira, R., Neuparth, M. J., Marques, F., et al. (2005). Moderate endurance training prevents doxorubicin-induced in vivo mitochondriopathy and reduces the development of cardiac apoptosis. American Journal of Physiology Heart and Circulatory Physiology, 289, H722–H731.
Ascensao, A., Oliveira, P. J., & Magalhaes, J. (2012). Exercise as a beneficial adjunct therapy during Doxorubicin treatment–role of mitochondria in cardioprotection. International Journal of Cardiology, 156, 4–10.
Baines, C. P., Kaiser, R. A., Sheiko, T., Craigen, W. J., & Molkentin, J. D. (2007). Voltage-dependent anion channels are dispensable for mitochondrial-dependent cell death. Nature Cell Biology, 9, 550–555.
Bernstein, B. W., & Bamburg, J. R. (2010). ADF/cofilin: A functional node in cell biology. Trends in Cell Biology, 20, 187–195.
Bhattacharya, S. K., Thakar, J. H., Johnson, P. L., & Shanklin, D. R. (1991). Isolation of skeletal muscle mitochondria from hamsters using an ionic medium containing ethylenediaminetetraacetic acid and nagarse. Analytical Biochemistry, 192, 344–349.
Broekemeier, K. M., Dempsey, M. E., & Pfeiffer, D. R. (1989). Cyclosporin A is a potent inhibitor of the inner membrane permeability transition in liver mitochondria. Journal of Biological Chemistry, 264, 7826–7830.
Campello, S., & Scorrano, L. (2010). Mitochondrial shape changes: Orchestrating cell pathophysiology. EMBO Reports, 11, 678–684.
Carreira, R. S., Lee, Y., Ghochani, M., Gustafsson, A. B., & Gottlieb, R. A. (2010). Cyclophilin D is required for mitochondrial removal by autophagy in cardiac cells. Autophagy, 6, 462–472.
Carvalho, F. S., Burgeiro, A., Garcia, R., Moreno, A. J., Carvalho, R. A., & Oliveira, P. J. (2014). Doxorubicin-induced cardiotoxicity: From bioenergetic failure and cell death to cardiomyopathy. Medicinal Research Reviews, 34, 106–135.
Chan, D. C. (2006). Mitochondria: Dynamic organelles in disease, aging, and development. Cell, 125, 1241–1252.
Chan, D. C. (2006). Mitochondrial fusion and fission in mammals. Annual Review of Cell and Developmental Biology, 22, 79–99.
Cheng, E. H., Sheiko, T. V., Fisher, J. K., Craigen, W. J., & Korsmeyer, S. J. (2003). VDAC2 inhibits BAK activation and mitochondrial apoptosis. Science, 301, 513–517.
Childs, A. C., Phaneuf, S. L., Dirks, A. J., Phillips, T., & Leeuwenburgh, C. (2002). Doxorubicin treatment in vivo causes cytochrome C release and cardiomyocyte apoptosis, as well as increased mitochondrial efficiency, superoxide dismutase activity, and Bcl-2: Bax ratio. Cancer Research, 62, 4592–4598.
Clark, I. E., Dodson, M. W., Jiang, C., Cao, J. H., Huh, J. R., Seol, J. H., et al. (2006). Drosophila pink1 is required for mitochondrial function and interacts genetically with parkin. Nature, 441, 1162–1166.
Dimitrakis, P., Romay-Ogando, M. I., Timolati, F., Suter, T. M., & Zuppinger, C. (2012). Effects of doxorubicin cancer therapy on autophagy and the ubiquitin-proteasome system in long-term cultured adult rat cardiomyocytes. Cell and Tissue Research, 350, 361–372.
Dolinsky, V. W., Rogan, K. J., Sung, M. M., Zordoky, B. N., Haykowsky, M. J., Young, M. E., et al. (2013). Both aerobic exercise and resveratrol supplementation attenuate doxorubicin-induced cardiac injury in mice. American journal of physiology. Endocrinology and metabolism, 305, E243–E253.
Fontaine, E., Eriksson, O., Ichas, F., & Bernardi, P. (1998). Regulation of the permeability transition pore in skeletal muscle mitochondria. Modulation By electron flow through the respiratory chain complex I. Journal of Biological Chemistry, 273, 12662–12668.
Frank, S., Gaume, B., Bergmann-Leitner, E. S., Leitner, W. W., Robert, E. G., Catez, F., et al. (2001). The role of dynamin-related protein 1, a mediator of mitochondrial fission, in apoptosis. Developmental Cell, 1, 515–525.
Gharanei, M., Hussain, A., Janneh, O., & Maddock, H. (2013). Attenuation of doxorubicin-induced cardiotoxicity by mdivi-1: A mitochondrial division/mitophagy inhibitor. PLoS ONE, 8, e77713.
Gomes, L. C., & Scorrano, L. (2008). High levels of Fis1, a pro-fission mitochondrial protein, trigger autophagy. Biochimica et Biophysica Acta, 1777, 860–866.
Gornall, A. G., Bardawill, C. J., & David, M. M. (1949). Determination of serum proteins by means of the biuret reaction. Journal of Biological Chemistry, 177, 751–766.
Gottlieb, R. A., & Carreira, R. S. (2010). Autophagy in health and disease. 5. Mitophagy as a way of life. American Journal of Physiology. Cell Physiology, 299, C203–C210.
Green, P. S., & Leeuwenburgh, C. (2002). Mitochondrial dysfunction is an early indicator of doxorubicin-induced apoptosis. Biochimica et Biophysica Acta, 1588, 94–101.
Gustafsson, A. B., & Gottlieb, R. A. (2008). Heart mitochondria: Gates of life and death. Cardiovascular Research, 77, 334–343.
Hoshino, A., Mita, Y., Okawa, Y., Ariyoshi, M., Iwai-Kanai, E., Ueyama, T., et al. (2013). Cytosolic p53 inhibits Parkin-mediated mitophagy and promotes mitochondrial dysfunction in the mouse heart. Nature Communications, 4, 2308.
Jang, Y. M., Kendaiah, S., Drew, B., Phillips, T., Selman, C., Julian, D., et al. (2004). Doxorubicin treatment in vivo activates caspase-12 mediated cardiac apoptosis in both male and female rats. FEBS Letters, 577, 483–490.
Klamt, F., Zdanov, S., Levine, R. L., Pariser, A., Zhang, Y., Zhang, B., et al. (2009). Oxidant-induced apoptosis is mediated by oxidation of the actin-regulatory protein cofilin. Nature Cell Biology, 11, 1241–1246.
Klionsky, D. J., et al. (2016). Guidelines for the use and interpretation of assays for monitoring autophagy. Autophagy, 12, 1–222.
Kobayashi, S., Volden, P., Timm, D., Mao, K., Xu, X., & Liang, Q. (2010). Transcription factor GATA4 inhibits doxorubicin-induced autophagy and cardiomyocyte death. Journal of Biological Chemistry, 285, 793–804.
Krauskopf, A., Eriksson, O., Craigen, W. J., Forte, M. A., & Bernardi, P. (2006). Properties of the permeability transition in VDAC1(-/-) mitochondria. Biochimica et Biophysica Acta, 1757, 590–595.
Kubli, D. A., & Gustafsson, A. B. (2012). Mitochondria and mitophagy: The yin and yang of cell death control. Circulation Research, 111, 1208–1221.
Kumar, D., Kirshenbaum, L. A., Li, T., Danelisen, I., & Singal, P. K. (2001). Apoptosis in adriamycin cardiomyopathy and its modulation by probucol. Antioxidants & Redox Signaling, 3, 135–145.
Laemmli, U. K. (1970). Cleavage of structural proteins during the assembly of the head of bacteriophage T4. Nature, 227, 680–685.
Lee, Y., Lee, H. Y., Hanna, R. A., & Gustafsson, A. B. (2011). Mitochondrial autophagy by Bnip3 involves Drp1-mediated mitochondrial fission and recruitment of Parkin in cardiac myocytes. American Journal of Physiology Heart and Circulatory Physiology, 301, H1924–H1931.
Lee, Y. J., Jeong, S. Y., Karbowski, M., Smith, C. L., & Youle, R. J. (2004). Roles of the mammalian mitochondrial fission and fusion mediators Fis1, Drp1, and Opa1 in apoptosis. Molecular Biology of the Cell, 15, 5001–5011.
Liesa, M., Palacin, M., & Zorzano, A. (2009). Mitochondrial dynamics in mammalian health and disease. Physiological Reviews, 89, 799–845.
Lin, S. T., Chou, H. C., Chen, Y. W., & Chan, H. L. (2013). Redox-proteomic analysis of doxorubicin-induced altered thiol activity in cardiomyocytes. Molecular BioSystems, 9, 447–456.
Locke, M., Noble, E. G., & Atkinson, B. G. (1990). Exercising mammals synthesize stress proteins. American Journal of Physiology, 258, C723–C729.
Lu, L., Wu, W., Yan, J., Li, X., Yu, H., & Yu, X. (2009). Adriamycin-induced autophagic cardiomyocyte death plays a pathogenic role in a rat model of heart failure. International Journal of Cardiology, 134, 82–90.
Lumini-Oliveira, J., Magalhaes, J., Pereira, C. V., Moreira, A. C., Oliveira, P. J., & Ascensao, A. (2011). Endurance training reverts heart mitochondrial dysfunction, permeability transition and apoptotic signaling in long-term severe hyperglycemia. Mitochondrion, 11, 54–63.
Marechal, X., Montaigne, D., Marciniak, C., Marchetti, P., Hassoun, S. M., Beauvillain, J. C., et al. (2011). Doxorubicin-induced cardiac dysfunction is attenuated by ciclosporin treatment in mice through improvements in mitochondrial bioenergetics. Clinical science (London), 121, 405–413.
Marques-Aleixo, I., Santos-Alves, E., Mariani, D., Rizo-Roca, D., Padrao, A. I., Rocha-Rodrigues, S., et al. (2015). Physical exercise prior and during treatment reduces sub-chronic doxorubicin-induced mitochondrial toxicity and oxidative stress. Mitochondrion, 20, 22–33.
Marquez, R. T., & Xu, L. (2012). Bcl-2: Beclin 1 complex: Multiple, mechanisms regulating autophagy/apoptosis toggle switch. American Journal of Cancer Research, 2, 214–221.
Narendra, D., Kane, L. A., Hauser, D. N., Fearnley, I. M., & Youle, R. J. (2010). p62/SQSTM1 is required for Parkin-induced mitochondrial clustering but not mitophagy; VDAC1 is dispensable for both. Autophagy, 6, 1090–1106.
Nogueira, V., Devin, A., Walter, L., Rigoulet, M., Leverve, X., & Fontaine, E. (2005). Effects of decreasing mitochondrial volume on the regulation of the permeability transition pore. Journal of Bioenergetics and Biomembranes, 37, 25–33.
Oliveira, P. J., Bjork, J. A., Santos, M. S., Leino, R. L., Froberg, M. K., Moreno, A. J., et al. (2004). Carvedilol-mediated antioxidant protection against doxorubicin-induced cardiac mitochondrial toxicity. Toxicology and Applied Pharmacology, 200, 159–168.
Oliveira, P. J., & Wallace, K. B. (2006). Depletion of adenine nucleotide translocator protein in heart mitochondria from doxorubicin-treated rats–relevance for mitochondrial dysfunction. Toxicology, 220, 160–168.
Ong, S. B., Subrayan, S., Lim, S. Y., Yellon, D. M., Davidson, S. M., & Hausenloy, D. J. (2010). Inhibiting mitochondrial fission protects the heart against ischemia/reperfusion injury. Circulation, 121, 2012–2022.
Papanicolaou, K. N., Khairallah, R. J., Ngoh, G. A., Chikando, A., Luptak, I., O’Shea, K. M., et al. (2011). Mitofusin-2 maintains mitochondrial structure and contributes to stress-induced permeability transition in cardiac myocytes. Molecular and Cellular Biology, 31, 1309–1328.
Papanicolaou, K. N., Ngoh, G. A., Dabkowski, E. R., O’Connell, K. A., Ribeiro, R. F., Jr., Stanley, W. C., et al. (2012). Cardiomyocyte deletion of mitofusin-1 leads to mitochondrial fragmentation and improves tolerance to ROS-induced mitochondrial dysfunction and cell death. American Journal of Physiology Heart and Circulatory Physiology, 302, H167–H179.
Papanicolaou, K. N., Phillippo, M. M., & Walsh, K. (2012). Mitofusins and the mitochondrial permeability transition: the potential downside of mitochondrial fusion. American Journal of Physiology Heart and Circulatory Physiology, 303, H243–H255.
Parone, P. A., James, D. I., Da Cruz, S., Mattenberger, Y., Donze, O., Barja, F., et al. (2006). Inhibiting the mitochondrial fission machinery does not prevent Bax/Bak-dependent apoptosis. Molecular and Cellular Biology, 26, 7397–7408.
Parra, V., Eisner, V., Chiong, M., Criollo, A., Moraga, F., Garcia, A., et al. (2008). Changes in mitochondrial dynamics during ceramide-induced cardiomyocyte early apoptosis. Cardiovascular Research, 77, 387–397.
Pereira, G. C., Pereira, S. P., Pereira, C. V., Lumini, J. A., Magalhaes, J., Ascensao, A., et al. (2012). Mitochondrionopathy phenotype in doxorubicin-treated Wistar rats depends on treatment protocol and is cardiac-specific. PLoS ONE, 7, e38867.
Pereira, G. C., Silva, A. M., Diogo, C. V., Carvalho, F. S., Monteiro, P., & Oliveira, P. J. (2011). Drug-induced cardiac mitochondrial toxicity and protection: From doxorubicin to carvedilol. Current Pharmaceutical Design, 17, 2113–2129.
Pich, S., Bach, D., Briones, P., Liesa, M., Camps, M., Testar, X., et al. (2005). The Charcot-Marie-Tooth type 2A gene product, Mfn2, up-regulates fuel oxidation through expression of OXPHOS system. Human Molecular Genetics, 14, 1405–1415.
Piquereau, J., Caffin, F., Novotova, M., Lemaire, C., Veksler, V., Garnier, A., et al. (2013). Mitochondrial dynamics in the adult cardiomyocytes: Which roles for a highly specialized cell? Frontiers in Physiology, 4, 102.
Piquereau, J., Caffin, F., Novotova, M., Prola, A., Garnier, A., Mateo, P., et al. (2012). Down-regulation of OPA1 alters mouse mitochondrial morphology, PTP function, and cardiac adaptation to pressure overload. Cardiovascular Research, 94, 408–417.
Santos, D. L., Moreno, A. J., Leino, R. L., Froberg, M. K., & Wallace, K. B. (2002). Carvedilol protects against doxorubicin-induced mitochondrial cardiomyopathy. Toxicology and Applied Pharmacology, 185, 218–227.
Scherz-Shouval, R., & Elazar, Z. (2011). Regulation of autophagy by ROS: Physiology and pathology. Trends in Biochemical Sciences, 36, 30–38.
Sciarretta, S., Hariharan, N., Monden, Y., Zablocki, D., & Sadoshima, J. (2011). Is autophagy in response to ischemia and reperfusion protective or detrimental for the heart? Pediatric Cardiology, 32, 275–281.
Sishi, B. J., Loos, B., van Rooyen, J., & Engelbrecht, A. M. (2013). Autophagy upregulation promotes survival and attenuates doxorubicin-induced cardiotoxicity. Biochemical Pharmacology, 85, 124–134.
Smuder, A. J., Kavazis, A. N., Min, K., & Powers, S. K. (2011). Exercise protects against doxorubicin-induced markers of autophagy signaling in skeletal muscle. Journal of Applied Physiology, 111, 1190–1198.
Smuder, A. J., Kavazis, A. N., Min, K., & Powers, S. K. (2013). Doxorubicin-induced markers of myocardial autophagic signaling in sedentary and exercise trained animals. Journal of Applied Physiology, 115, 176–185.
Sun, M., Shen, W., Zhong, M., Wu, P., Chen, H., & Lu, A. (2013). Nandrolone attenuates aortic adaptation to exercise in rats. Cardiovascular Research, 97, 686–695.
Szigeti, A., Hocsak, E., Rapolti, E., Racz, B., Boronkai, A., Pozsgai, E., et al. (2010). Facilitation of mitochondrial outer and inner membrane permeabilization and cell death in oxidative stress by a novel Bcl-2 homology 3 domain protein. Journal of Biological Chemistry, 285, 2140–2151.
Tanaka, A., Cleland, M. M., Xu, S., Narendra, D. P., Suen, D. F., Karbowski, M., et al. (2010). Proteasome and p97 mediate mitophagy and degradation of mitofusins induced by Parkin. Journal of Cell Biology, 191, 1367–1380.
Twig, G., Elorza, A., Molina, A. J., Mohamed, H., Wikstrom, J. D., Walzer, G., et al. (2008). Fission and selective fusion govern mitochondrial segregation and elimination by autophagy. EMBO Journal, 27, 433–446.
Wallace, K. B. (2003). Doxorubicin-induced cardiac mitochondrionopathy. Pharmacology and Toxicology, 93, 105–115.
Wallace, K. B. (2007). Adriamycin-induced interference with cardiac mitochondrial calcium homeostasis. Cardiovascular Toxicology, 7, 101–107.
Wang, G. W., Klein, J. B., & Kang, Y. J. (2001). Metallothionein inhibits doxorubicin-induced mitochondrial cytochrome c release and caspase-3 activation in cardiomyocytes. Journal of Pharmacology and Experimental Therapeutics, 298, 461–468.
Wang, X. L., Wang, X., Xiong, L. L., Zhu, Y., Chen, H. L., Chen, J. X., et al. (2013). Salidroside improves doxorubicin-induced cardiac dysfunction by suppression of excessive oxidative stress and cardiomyocyte apoptosis. Journal of Cardiovascular Pharmacology, 62, 512–523.
Wasilewski, M., & Scorrano, L. (2009). The changing shape of mitochondrial apoptosis. Trends in Endocrinology and Metabolism, 20, 287–294.
Whelan, R. S., Konstantinidis, K., Wei, A. C., Chen, Y., Reyna, D. E., Jha, S., et al. (2012). Bax regulates primary necrosis through mitochondrial dynamics. Proceedings of the National Academy of Sciences USA, 109, 6566–6571.
Xu, X., Chen, K., Kobayashi, S., Timm, D., & Liang, Q. (2012). Resveratrol attenuates doxorubicin-induced cardiomyocyte death via inhibition of p70 S6 kinase 1-mediated autophagy. Journal of Pharmacology and Experimental Therapeutics, 341, 183–195.
Youle, R. J., & Narendra, D. P. (2011). Mechanisms of mitophagy. Nature Reviews Molecular Cell Biology, 12, 9–14.
Zhang, Y. W., Shi, J., Li, Y. J., & Wei, L. (2009). Cardiomyocyte death in doxorubicin-induced cardiotoxicity. Archivum immunologiae et therapiae experimentalis, 57, 435–445.
Zheng, Q., & Wang, X. (2010). Autophagy and the ubiquitin-proteasome system in cardiac dysfunction. Panminerva Medica, 52, 9–25.
Zhou, S., Palmeira, C. M., & Wallace, K. B. (2001). Doxorubicin-induced persistent oxidative stress to cardiac myocytes. Toxicology Letters, 121, 151–157.
Zhou, S., Starkov, A., Froberg, M. K., Leino, R. L., & Wallace, K. B. (2001). Cumulative and irreversible cardiac mitochondrial dysfunction induced by doxorubicin. Cancer Research, 61, 771–777.
Acknowledgements
This study was supported by Portuguese Foundation of Science and Technology (FCT) grants (SFRH/BD/61889/2009 and SFRH/BPD/108322/2015 to IMA, SFRH/BD/112983/2015 to ESA, PTDC/DTP-DES/1071/2012 to AA, P2020-PTDC/DTP-DES/7087/2014 to JM, PTDC/SAU-TOX/117912/2010 to PO, Pest-C/SAU/LA0001/2013-2014 to CNC and UID/DTP/00617/2013 to CIAFEL). The authors acknowledge the collaboration of Dr. Maria Manuel Balça, Dr. Diogo Mariani and Dr. André Ferreira for their technical assistance regarding animals’ care and training protocols and to Dr. Claudia Deus, Dr. Maria José Mendes and Dr. Lucília Penteado for their support.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that there are no conflicts of interest.
Rights and permissions
About this article
Cite this article
Marques-Aleixo, I., Santos-Alves, E., Torrella, J.R. et al. Exercise and Doxorubicin Treatment Modulate Cardiac Mitochondrial Quality Control Signaling. Cardiovasc Toxicol 18, 43–55 (2018). https://doi.org/10.1007/s12012-017-9412-4
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12012-017-9412-4