PUBLICATION
            Retinoid X receptor alpha is a spatiotemporally predominant therapeutic target for anthracycline-induced cardiotoxicity
- Authors
- Ma, X., Zhu, P., Ding, Y., Zhang, H., Qiu, Q., Dvornikov, A.V., Wang, Z., Kim, M., Wang, Y., Lowerison, M., Yu, Y., Norton, N., Herrmann, J., Ekker, S.C., Hsiai, T.K., Lin, X., Xu, X.
- ID
- ZDB-PUB-200221-17
- Date
- 2020
- Source
- Science advances 6: eaay2939 (Journal)
- Registered Authors
- Ding, Yonghe, Ekker, Stephen C., Lin, Xueying, Ma, Xiao, Xu, Xiaolei, Zhu, Ping
- Keywords
- none
- MeSH Terms
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                - Myocardium/metabolism
- Myocardium/pathology
- Cardiotonic Agents/pharmacology
- Zebrafish
- Endothelial Cells/drug effects
- Endothelial Cells/metabolism
- Bexarotene/pharmacology
- Isotretinoin/pharmacology
- Neoplasms/complications
- Neoplasms/drug therapy
- Animals
- Disease Models, Animal
- Heart/drug effects*
- Heart/physiopathology
- Zonula Occludens-1 Protein/genetics*
- Cardiotoxicity/drug therapy*
- Cardiotoxicity/etiology
- Cardiotoxicity/genetics
- Retinoid X Receptor alpha/agonists
- Retinoid X Receptor alpha/genetics*
- Pericardium/drug effects
- Humans
 
- PubMed
- 32064346 Full text @ Sci Adv
            Citation
        
        
            Ma, X., Zhu, P., Ding, Y., Zhang, H., Qiu, Q., Dvornikov, A.V., Wang, Z., Kim, M., Wang, Y., Lowerison, M., Yu, Y., Norton, N., Herrmann, J., Ekker, S.C., Hsiai, T.K., Lin, X., Xu, X. (2020) Retinoid X receptor alpha is a spatiotemporally predominant therapeutic target for anthracycline-induced cardiotoxicity. Science advances. 6:eaay2939.
        
    
                
                    
                        Abstract
                    
                    
                
                
            
        
        
    
        
            
            
 
    
    
        
    
    
    
        
                To uncover the genetic basis of anthracycline-induced cardiotoxicity (AIC), we recently established a genetic suppressor screening strategy in zebrafish. Here, we report the molecular and cellular nature of GBT0419, a salutary modifier mutant that affects retinoid x receptor alpha a (rxraa). We showed that endothelial, but not myocardial or epicardial, RXRA activation confers AIC protection. We then identified isotretinoin and bexarotene, two FDA-approved RXRA agonists, which exert cardioprotective effects. The therapeutic effects of these drugs only occur when administered during early, but not late, phase of AIC or as pretreatment. Mechanistically, these spatially- and temporally-predominant benefits of RXRA activation can be ascribed to repair of damaged endothelial cell-barrier via regulating tight-junction protein Zonula occludens-1. Together, our study provides the first in vivo genetic evidence supporting RXRA as the therapeutic target for AIC, and uncovers a previously unrecognized spatiotemporally-predominant mechanism that shall inform future translational efforts.
            
    
        
        
    
    
    
                
                    
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                        Expression
                    
                    
                
                
            
        
        
    
        
            
            
        
        
    
    
    
                
                    
                        Phenotype
                    
                    
                
                
            
        
        
    
        
            
            
        
        
    
    
    
                
                    
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                        Human Disease / Model
                    
                    
                
                
            
        
        
    
        
            
            
        
        
    
    
    
                
                    
                        Sequence Targeting Reagents
                    
                    
                
                
            
        
        
    
        
            
            
        
        
    
    
    
                
                    
                        Fish
                    
                    
                
                
            
        
        
    
        
            
            
        
        
    
    
    
                
                    
                        Orthology
                    
                    
                
                
            
        
        
    
        
            
            
        
        
    
    
    
                
                    
                        Engineered Foreign Genes
                    
                    
                
                
            
        
        
    
        
            
            
        
        
    
    
    
                
                    
                        Mapping
                    
                    
                
                
            
        
        
    
        
            
            
        
        
    
    
    