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publication name Prophylactic Evidence of MSCs-Derived Exosomes in Doxorubicin/Trastuzumab-Induced Cardiotoxicity: Beyond Mechanistic Target of NRG-1/Erb Signaling Pathway
Authors Nesrine Ebrahim 1,2,†, Hajir A. Al Saihati 3,†, Ola Mostafa 1 , Amira Hassouna 4 , Sameh Abdulsamea 5 , Eman Abd El Aziz M. El Gebaly 6 , Nashwa Hassan Abo-Rayah 6 et al ,
year 2022
keywords trastuzumab; doxorubicin; stem cells; exosomes; cardiac toxicity; NRG-1; MAPK; AKT
journal International Journal of Molecular Sciences
volume 23
issue Not Available
pages 1-36
publisher Not Available
Local/International International
Paper Link Not Available
Full paper download
Supplementary materials Not Available
Abstract

Trastuzumab (Trz) is a humanized monoclonal antibody targeting epidermal growth factor receptor 2 (HER2; ErbB2). The combined administration of Trz and doxorubicin (DOX) has shown potent anti-cancer efficacy; however, this regimen may be accompanied by severe cardiac toxicity. Mesenchymal stem cells (MSCs)-derived exosomes are nanosized vesicles that play a crucial role in cell–cell communication and have shown efficacy in the treatment of various diseases. In this study, we aim to investigate the cardioprotective effects of MSCs-derived exosomes in a DOX/Trz- mediated cardiotoxicity model, and the possible mechanisms underlying these effects are elucidated. Forty-nine male rats were randomly assigned into four groups: Group I (control); Group II (Dox/Trz); Group III (protective group); and Group IV (curative group). Cardiac hemodynamic parameters, serum markers of cardiac injury, oxidative stress indices, and cardiac histopathology were investigated.

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