It has been reported that treatment of patients with nonâsmall cell lung cancer (NSCLC) with gefitinib increases the risk of QT interval prolongation. Therefore, the present study aimed to investigate whether quercetin could delay gefitinibâinduced cardiomyocyte apoptosis and its underlying mechanism. A total of 32 nude mice were divided into the sham, NSCLC, NSCLC + gefitinib and NSCLC + gefitinib + quercetin groups. Cardiac fibrosis in mouse heart tissues was assessed by Masson's trichrome staining. Additionally, immunohistochemical staining was performed to detect the expression levels of Src homologyâ2 domainâcontaining protein tyrosine phosphatase (SHP2), Xâbox binding protein 1 (XBPâ1), phosphorylated (p)âstimulator of interferon genes (STING) and Nodâlike receptor protein 3. Bioinformatics analysis was carried auto to predict the association between quercetin and the SHP2/reactive oxygen species (ROS) axis. Furthermore, the effects of adenosine triphosphate (ATP) + gefitinib, SHP2 silencing and H(2)O(2) on ROS levels, as well as on the pâAMPâactivated protein kinase (AMPK)/XBPâ1/Parkinsonism associated deglycase (DJâ1) axis, mitochondrial autophagy and apoptosis were assessed via detecting the expression levels of the corresponding proteins in cardiomyocytes by western blot analysis. JCâ1 immunofluorescence was performed to evaluate mitochondrial membrane damage. The results showed that NSCLC could not significantly affect cardiac function. In addition, compared with NSCLC alone, ventricular fibrosis was exacerbated in the NSCLC + gefitinib group. However, treatment with quercetin inhibited gefitinibâinduced ventricular fibrosis, activated the gefitinibâsuppressed SHP2 protein expression and downregulated the gefitinibâinduced XBPâ1 and pâSTING expression. Furthermore, the bioinformatics analysis results predicted that quercetin could interact with SHP2/ROS. The in vitro experiments demonstrated that the expression levels of the ROSârelated proteins, namely NADPH oxidase 4 and XBPâ1/DJâ1, and those of the mitochondrial autophagyâ and apoptosisârelated proteins were enhanced, while those of pâAMPK, were reduced in cardiomyocytes of the NSCLC + ATP + gefitinib group. However, cell treatment with quercetin inhibited ROS production and the expression levels of XBPâ1/DJâ1 and apoptosisârelated proteins activated by NSCLC + ATP + gefitinib. By contrast, quercetin activated the expression levels of mitochondrial autophagyârelated proteins and those of pâAMPK. Furthermore, SHP2 silencing and cell treatment with H(2)O(2) could separately inhibit the NSCLC + ATP + gefitinibâinduced expression of mitochondrial autophagyârelated proteins and pâAMPK, while they could promote ROS production and upregulate XBPâ1/DJâ1 and apoptosisârelated proteins. In summary, the results of the current study revealed a promising therapeutic approach for addressing cardiac issues caused by gefitinib treatment in patients with NSCLC. Therefore, quercetin could inhibit the gefitinibâinduced NSCLCâmediated cardiomyocyte apoptosis via regulating the SHP2/ROS/AMPK/XBPâ1/DJâ1 signaling pathway through mitochondrial autophagy.
Effect of quercetin on inhibiting gefitinibâactivated nonâsmall cell lung cancerâinduced cell pyroptosis in cardiomyocytes via modulating mitochondrial autophagy mediated by the SHP2/ROS/AMPK/XBPâ1/DJâ1 signaling pathway.
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作者:Zhang Jie, Qi Shanshan, Du Yanyan, Dai Honghong, Liu Ninghua
期刊: | Oncology Reports | 影响因子: | 3.900 |
时间: | 2025 | 起止号: | 2025 May |
doi: | 10.3892/or.2025.8890 |
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