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Extracellular vesicular microRNAs as potential biomarker for early detection of doxorubicin‐induced cardiotoxicity

Title: Extracellular vesicular microRNAs as potential biomarker for early detection of doxorubicin‐induced cardiotoxicity
Authors: Amelie Beaumier; Sally R. Robinson; Nicholas Robinson; Katherine E. Lopez; Dawn M. Meola; Lisa G. Barber; Barret J. Bulmer; Jerome Calvalido; John E. Rush; Ashish Yeri; Saumya Das; Vicky K. Yang
Source: Journal of Veterinary Internal Medicine, Vol 34, Iss 3, Pp 1260-1271 (2020)
Publisher Information: Wiley, 2020.
Publication Year: 2020
Collection: LCC:Veterinary medicine
Subject Terms: chemotherapy; echocardiogram; ejection fraction; hemangiosarcoma; troponin; Veterinary medicine; SF600-1100
Description: Abstract Background Long‐term use of doxorubicin (DOX) is limited by cumulative dose‐dependent cardiotoxicity. Objectives Identify plasma extracellular vesicle (EV)‐associated microRNAs (miRNAs) as a biomarker for cardiotoxicity in dogs by correlating changes with cardiac troponin I (cTnI) concentrations and, echocardiographic and histologic findings. Animals Prospective study of 9 client‐owned dogs diagnosed with sarcoma and receiving DOX single‐agent chemotherapy (total of 5 DOX treatments). Dogs with clinically relevant metastatic disease, preexisting heart disease, or breeds predisposed to cardiomyopathy were excluded. Methods Serum concentration of cTnI was monitored before each treatment and 1 month after the treatment completion. Echocardiography was performed before treatments 1, 3, 5, and 1 month after completion. The EV‐miRNA was isolated and sequenced before treatments 1 and 3, and 1 month after completion. Results Linear mixed model analysis for repeated measurements was used to evaluate the effect of DOX. The miR‐107 (P = .03) and miR‐146a (P = .02) were significantly downregulated whereas miR‐502 (P = .02) was upregulated. Changes in miR‐502 were significant before administration of the third chemotherapeutic dose. When stratifying miRNA expression for change in left ventricular ejection fraction, upregulation of miR‐181d was noted (P = .01). Serum concentration of cTnI changed significantly but only 1 month after treatment completion, and concentrations correlated with left ventricular ejection fraction and left ventricular internal dimension in diastole. Conclusion and Clinical Significance Downregulation of miR‐502 was detected before significant changes in cTnI concentrations or echocardiographic parameters. Further validation using a larger sample size will be required.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1939-1676; 0891-6640
Relation: https://doaj.org/toc/0891-6640; https://doaj.org/toc/1939-1676
DOI: 10.1111/jvim.15762
Access URL: https://doaj.org/article/4df80e587dfd4da9846d67fd6b5ab77f
Accession Number: edsdoj.4df80e587dfd4da9846d67fd6b5ab77f
Database: Directory of Open Access Journals