Poster Session R - Pharmaceutical Sciences and Health Technologies 2.
Dr. Weber, Bennet Y.
DM4UKL
Department of Pharmacology and Pharmacotherapy
00491738621455
weber.bennet@semmelweis.hu
Drug-induced Hidden Cardiotoxicity involves Cardiac Proteomic Changes: a Rofecoxib Case Study
Bennet Y. Weber1, Gábor B Brenner1, Barnabás Váradi1, Bence Ágg1, Csenger Kovácshazi1, Kieran Wynne2, David Matallanas2, Péter Ferdinandy1, Zoltán Giricz1, Anikó Görbe1
1: Department of Pharmacology and Pharmacotherapy
2: Systems Biology Ireland and School of Medicine, University College Dublin
Poszter
Poster Session R - Pharmaceutical Sciences and Health Technologies 2.
English
Pharmaceutical Sciences and Health Technologies
Introduction and Aims:
Drug-induced cardiotoxicity is a common cause of market withdrawal. If such toxicity is not detected in clinical trials but is realised post-marketing, we define this phenomenon as hidden cardiotoxicity. Currently, the most prominent candidate of this phenomenon is the Cyclooxygenase-2 inhibitor, rofecoxib, owing to the observations from clinical and preclinical studies. We previously reported increased acute mortality in rats due to the proarrhythmic effects of the drug on the ischemic heart. However, the underlying mechanism of hidden cardiotoxicity remained unknown. Hence, we aimed to identify the molecular background of hidden cardiotoxicity induced by rofecoxib.
Methods and Results:
Rats were treated with rofecoxib or its vehicle for four weeks. RNA sequencing and proteomic datasets of left ventricular tissue samples were used for an unbiased differential expression analysis. The transcriptomic analysis showed mild alterations in the heart´s mRNA- and miRNA expression. By modelling posttranscriptional regulation in an in silico molecular correlation network, we found that the regulation exerted by miRNAs on mRNAs did not result in differential protein expression during experimental target validation by Western blot. However, proteomic data revealed that 5 phosphosites exhibited pronounced changes in their phosphorylation by q-value, and in total, 134 proteins were dysregulated in expression or on at least one of their phosphosites by p-value. Gene Ontology showed the enrichment of proteins in biological processes involving calcium ion signalling and action potential generation, implying a putative explanation for the increased fatal arrhythmias observed with rofecoxib.
Conclusion:
This is the first demonstration showing that the hidden cardiotoxic mechanisms induced by rofecoxib are based on expression changes and posttranslational modifications of several proteins in the heart. These changes are involved in calcium ion homeostasis and action potential mediated cell communication that could account for the hidden cardiotoxicity induced by rofecoxib. Whether these changes account for the hidden cardiotoxicity of other drugs needs further safety studies.
Funding:
NKFIA: NVKP-16-1-2016-0017; NKFIH: K139237, K1039105; 2020-4.1.1.-TKP2020; RRF-2.3.1-21-2022-00003; HUN-REN; 18/RI/5702; EFOP-3.6.3-VEKOP-16-2017-00009.
Semmelweis University
Anikó Görbe
I do not give consent to the publication of my abstract on the website of the congress.
Szabad
elfogadva
poszter
nem rendelkezett róla
8021
16:50
16:53