<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">vestim</journal-id><journal-title-group><journal-title xml:lang="ru">Известия Национальной  академии наук Беларуси. Серия медицинских наук</journal-title><trans-title-group xml:lang="en"><trans-title>Proceedings of the National Academy of Sciences of Belarus, Medical series</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1814-6023</issn><issn pub-type="epub">2524-2350</issn><publisher><publisher-name>The Republican Unitary Enterprise Publishing House "Belaruskaya Navuka"</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">vestim-353</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КЛИНИЧЕСКАЯ И ЭКСПЕРИМЕНТАЛЬНАЯ МЕДИЦИНА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL AND EXPERIMENTAL MEDICINE</subject></subj-group></article-categories><title-group><article-title>КЛЕТОЧНЫЕ МЕХАНИЗМЫ АНТРАЦИКЛИНОВОЙ КАРДИОМИОПАТИИ ПРИ ДЕЙСТВИИ АНТИБИОТИКА ДОКСОРУБИЦИНА</article-title><trans-title-group xml:lang="en"><trans-title>CELL MECHANISMS OF ANTRACYCLINE CARDIOMYOPATHY UNDER ANTIBIOTIC DOXORUBICIN TREATMENT</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Арчакова</surname><given-names>Л. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Archakova</surname><given-names>L. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д-р биол. наук, гл. науч. сотрудник, профессор.</p></bio><bio xml:lang="en"><p>D. Sc. (Biol.), Chief researcher, Professor.</p></bio><email xlink:type="simple">biblio@fizio.bas-net.by</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Новаковская</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Novakovskaya</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>ст. науч. сотрудник, заведующий лабораторией.</p></bio><bio xml:lang="en"><p>Senior researcher, Head of the Laboratory.</p></bio><email xlink:type="simple">novakovskaya@tut.by</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Институт физиологии НАН Беларуси</institution></aff><aff xml:lang="en"><institution>Institute of Physiology of the National Academy of Sciences of Belarus</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2017</year></pub-date><pub-date pub-type="epub"><day>01</day><month>03</month><year>2017</year></pub-date><volume>0</volume><issue>1</issue><fpage>83</fpage><lpage>89</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Арчакова Л.И., Новаковская С.А., 2017</copyright-statement><copyright-year>2017</copyright-year><copyright-holder xml:lang="ru">Арчакова Л.И., Новаковская С.А.</copyright-holder><copyright-holder xml:lang="en">Archakova L.I., Novakovskaya S.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://vestimed.belnauka.by/jour/article/view/353">https://vestimed.belnauka.by/jour/article/view/353</self-uri><abstract><p>Электронно-микроскопическим методом с применением общепринятой модели острой, подострой и хронической антрациклиновой кардиомиопатии изучены морфологические основы токсического действия антрациклинового антибиотика доксорубицина на сердечную мышцу и определена динамика поражения миокарда при действии  указанного препарата. Установлена дистрофия кардиомиоцитов и деградация их сократительного и энергетического аппарата, активация процессов апоптоза в сочетании с некрозом, аутофагией гибнущих клеток и развитием обширного заместительного фиброза, приводящих к необратимой дилатации миокарда и последующей хронической сердечной недостаточности.</p></abstract><trans-abstract xml:lang="en"><p>In this article we presented the results of electron microscopy of the laboratory rat myocardium after doxorubicin treatment. The heart damage and the development of cardiomyopathy under antracycline antibiotic doxorubicin were established. Pathogenesis and morphology of heart complications caused by this cytostatic were studied. It was established that doxorubicin induces dystrophy, necrosis, apoptosis, and autophagy in some cardiomyocytes of damage heart. Fibrosis of the connective tissue in myocardium is a cause of tissue ischemia and the development of chronic heart failure.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>доксорубицин</kwd><kwd>кардиомиопатия</kwd><kwd>дистрофия</kwd><kwd>апоптоз</kwd><kwd>некроз</kwd></kwd-group><kwd-group xml:lang="en"><kwd>doxorubicin treatment</kwd><kwd>cardiomyopathy</kwd><kwd>electron microscopy</kwd><kwd>necrosis</kwd><kwd>apoptosis</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Чернова, В. А. Лекарственные и диагностические средства, применяемые в онкологической практике /В. А. Чернова. – М.: Медицина, 1982. – 216 с.</mixed-citation><mixed-citation xml:lang="en">Chernova V. А. Lekarstvennye i diagnosticheskie sredstva, primenyaemye v onkologicheskoi praktike [Medicines and diagnostic tools used in oncological practice], Medicine, Мoscow, RU, 1982.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Лушникова, Е. Л. Морфологические и молекулярно-генетические основы дилатационной кардиомиопатии /Е. Л. Лушникова, Л. М. Непомнящих, В. Д. Розенберг. – М.: Изд-во РАМН, 2004. – 191 с.</mixed-citation><mixed-citation xml:lang="en">Lushnikova E. L., Nepomnyashchikh L. M., Rozenberg V. D. Morfologicheskie i molekulyarno-geneticheskie osnovy dilatatsionnoi kardiomiopatii [Morphological and molecular-genetic bases of dilatation cardiomyopathy], Publ. of the Russian Academy of Medical Sciences, Мoscow, RU, 2004.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Doroshow, J. H. Doxorubicin-induced cardiac toxicity / J. H. Doroshow // N. Engl. J. Med. – 1991. – Vol. 21. – P. 843–845.</mixed-citation><mixed-citation xml:lang="en">Doroshow J. H. “Doxorubicin-induced cardiac toxicity”, New England Journal of Medicine, 1991, vol. 21, pp. 843–845.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Hanai, K. Evaluation of cardiac function by echocardiography in dogs treated with doxorubicin / K. Hanai, K. Takaba, S. Manabe // J. Toxicol. Sci. – 1996. – Vol. 21, N 1. – P. 1–10.</mixed-citation><mixed-citation xml:lang="en">Hanai K., Takaba K., Manabe S., Nakano M., Kohda A., Matsuo M. “Evaluation of cardiac function by echocardiography in dogs treated with doxorubicin”, Journal of Toxicological Sciences, 1996, vol. 21, no. 1, pp. 1–10.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Grenier, M. A. Epidemiology of anthracycline cardiotoxicity in children and adults / M. A. Grenier, S. E. Lipshultz // Semin. Oncol. – 1998. – Vol. 25 (Suppl. 10). – P. 72–85.</mixed-citation><mixed-citation xml:lang="en">Grenier M. A., Lipshultz S. E. “Epidemiology of anthracycline cardiotoxicity in children, adults”, Seminars in Oncology, 1998, vol. 25, suppl. 10, pp. 72–85.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Ferrans, V. J. Pathogenesis and prevention of doxorubicin cardiomyopathy / V. J. Ferrans, J. R. Clark, Jun Zhang // Tsitologiia. – 1997. – Vol. 39, N 10. – P. 928–937.</mixed-citation><mixed-citation xml:lang="en">Ferrans V. J., Clark J. R., Zhang Jun, Yu Z. X., Herman E. H. “Pathogenesis, prevention of doxorubicin cardiomyopathy”, Tsitologiia, 1997, vol. 39, no. 10, pp. 928–937.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Lewis, W. Interaction of adriamycin in vitro with cardiac myofibril proteins / W. Lewis, J. Kleinerman, S. Puszkin // Cancer Res. – 1982. – Vol. 50. – P. 547–553.</mixed-citation><mixed-citation xml:lang="en">Lewis W., Kleinerman J., Puszkin S. “Interaction of adriamycin in vitro with cardiac myofibril proteins”, Cancer Research, 1982, vol. 50, pp. 547–553.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Olson, R. D. Doxorubicin cardiotoxicity may be due to its metabolite, doxorubicinol / R. D. Olson, P. S. Mushlin, D. E. Breuner // Proc. Natl. Acad. Sci. USA. – 1988. – Vol. 85. – P. 3585–3589.</mixed-citation><mixed-citation xml:lang="en">Olson R. D., Mushlin P. S., Breuner D. E., Fleischer S., Cusack B. J., Chang B. K., Boucek R. J. “Doxorubicin cardiotoxicity may be due to its metabolite, doxorubicinol”, Proceedings of the National Academy of Sciences of the United States of America, 1988, vol. 85, pp. 3585–3589.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Sacco, G. Chronic cardiotoxicity of anticancer anthracyclines in the rat: role of secondary metabolites and reduced toxicity by a novel anthracycline with impaired metabolite formation and reactivity / G. Sacco, R. Giampietro, E. Salvatorelli // Br. J. Pharmacol. – 2003. – Vol. 139, N 3. – P. 641–651.</mixed-citation><mixed-citation xml:lang="en">Sacco G., Giampietro R., Salvatorelli E., Menna P., Bertani N., Graiani G., Animati F., Goso C., Maggi C. A., Manzini S., Minotti G. “Chronic cardiotoxicity of anticancer anthracyclines in the rat: role of secondary metabolites, reduced toxicity by a novel anthracycline with impaired metabolite formation, reactivity”, British Journal of Pharmacology, 2003, vol. 139, no. 3, pp. 641–651.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Rosenhoff, S. H. Alteration in DNA synthesis in cardiac tissues induced by adriamycin in vivo-relationship to fatal toxicity / S. H. Rosenhoff, E. Brooks, F. Bostick // Biochem. Pharmacol. – 1975. – Vol. 24. – P. 1898–1901.</mixed-citation><mixed-citation xml:lang="en">Rosenoff S. H., Brooks E., Bostick F., Young R. C. “Alteration in DNA synthesis in cardiac tissues induced by adriamycin in vivo-relationship to fatal toxicity”, Biochemical Pharmacology, 1975, vol. 24, pp. 1898–1901.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">L’Ecuyer, T. DNA damage is an early event in doxorubicin-induced cardiac myocyte death / T. L’Ecuyer, S. Sanjeev, R. Thomas // Am. J. Physiol. Heart Circ. Physiol. – 2006. – Vol. 291, N 3. – P. 1273–1280.</mixed-citation><mixed-citation xml:lang="en">L’Ecuyer T., Sanjeev S., Thomas R., Novak R., Das L., Campbell W., Heide R. V. “DNA damage is an early event in doxorubicin-induced cardiac myocyte death”, American journal of physiology. Heart, circulatory physiology, 2006, vol. 291, no. 3, pp. 1273–1280.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Akao, M. Mitochondrial ATP-sensitive potassium channels inhibit apoptosis induced by oxidative stress in cardiac cells / M. Akao, A. Ohler, B. O’Rourke // Circ. Res. – 2001. – Vol. 22, N 88. – P. 1267–1275.</mixed-citation><mixed-citation xml:lang="en">Akao M., Ohler A., O’Rourke B., Marbán E. “Mitochondrial ATP-sensitive potassium channels inhibit apoptosis induced by oxidative stress in cardiac cells”, Circulation Research, 2001, vol. 22, no. 88 (12), pp. 1267–1275.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Akao, M. Differential actions of cardioprotective agents on the mitochondrial death pathway / M. Akao, B. O’Rourke, H. Kusuoka // Circ. Res. – 2003. – Vol. 7, N 92. – P. 195–202.</mixed-citation><mixed-citation xml:lang="en">Akao M., O’Rourke B., Kusuoka H., Teshima Ya., Jones S. P., Marbán E. “Differential actions of cardioprotective agents on the mitochondrial death pathway”, Circulation Research, 2003, vol. 7, no. 92 (2), pp. 195–202.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Xu, X. Мolecular pharmacology of the interaction of anthracyclines with iron / X. Xu, H. L. Persson, D. R. Richardson // Mol. Pharmacol. – 2005. – Vol. 68, N 2. – P. 261–271.</mixed-citation><mixed-citation xml:lang="en">Xu X., Persson H. L., Richardson D. R. “Мolecular pharmacology of the interaction of anthracyclines with iron”, Molecular Pharmacology, 2005, vol. 68, no. 2, pp. 261–271.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Shi, J. Apoptosis in Anthracycline Cardiomyopathy / J. Shi, E. Abdelwahid, L. Wei // Curr. Pediatr. Rev. – 2011. – Vol. 7, N 4. – P. 329–336.</mixed-citation><mixed-citation xml:lang="en">Shi J., Abdelwahid E., Wei L. “Apoptosis in Anthracycline Cardiomyopathy”, Current Pediatric Reviews, 2011, vol. 7, no. 4, pp. 329–336.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Boucek, R. J. J. Persistant effects of doxorubicin on cardiac gene expression / R. J. J. Boucek, A. Miracle, M. Anderson // J. Mol. Cell Cardiol. – 1999. – Vol. 31. – P. 1435–1446.</mixed-citation><mixed-citation xml:lang="en">Boucek R. J. J., Miracle A., Anderson M., Engelman R., Atkinson J., Dodd D. A. “Persistant effects of doxorubicin on cardiac gene expression”, Journal of Molecular, Cellular Cardiology, 1999, vol. 31, pp. 1435–1446.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Yin, X. Induction of antioxidants by adriamycin in mouse heart / X. Yin, H. Wu, Y. Chen // Biochem. Pharmacol. – 1998. – Vol. 56, suppl. 1. – P. 87–93.</mixed-citation><mixed-citation xml:lang="en">Yin X., Wu H., Chen Y., Kang Y. J. “Induction of antioxidants by adriamycin in mouse heart”, Biochemical Pharmacology, 1998, vol. 56, suppl. 1, pp. 87–93.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Creutzig, U. Longitudinal evaluation of early and late anthracycline cardiotoxicity in children with AML / U. Creutzig, S. Diekamp, M. Zimmermann // Pediatr. Blood Cancer. – 2007. – Vol. 48. – P. 651–662.</mixed-citation><mixed-citation xml:lang="en">Creutzig U., Diekamp S., Zimmermann M., Reinhardt D. “Longitudinal evaluation of early, late anthracycline cardiotoxicity in children with AML”, Pediatric Blood, Cancer, 2007, vol. 48, pp. 651–662.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Розенберг, В. Д. Дилатационная кардиомиопатия: Общая патология и патоморфология / В. Д. Розенберг, Л. М. Непомнящих. – М.: Изд-во РАМН, 2004. – 352 с.</mixed-citation><mixed-citation xml:lang="en">Rosenberg V. D., Nepomnyashchikh L. M. Dilatatsionnaya kardiomiopatiya: Obshchaya patologiya i patomorfologiya [Dilation cardiomyopathy: general pathology and pathomorphology], Publ. of the Russian Academy of Medical Sciences, Мoscow, RU, 2004.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Технический кодекс установившейся практики. ТКП 125-2008 (02040). Надлежащая лабораторная практика: постановление Министерства здравоохранения Респ. Беларусь, 28 марта 2008 г., № 56.</mixed-citation><mixed-citation xml:lang="en">Health Ministry of the Republic of Belarus, TKP 125-2008 (02040): Nadlezhashchaya Laboratornaya Praktika [TKP 125-2008 (02040): Good Laboratory Practice], BY, 2008.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">European Convention for the Protection of Vertebrate Animals Used for Experimentation and other Scientific Purposes, N 123 of 18 March 1986; Protocol of Amendment to the European Convention for the Protection of Vertebrate Animals used for Experimental and other Scientific Purposes, Strasbourg, 22 June 1998.</mixed-citation><mixed-citation xml:lang="en">European Convention for the Protection of Vertebrate Animals Used for Experimentation and other Scientific Purposes, N 123 of 18 March 1986; Protocol of Amendment to the European Convention for the Protection of Vertebrate Animals used for Experimental, other Scientific Purposes, Strasbourg, 22 June 1998.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Cumulative and irreversible cardiac mitochondrial dysfunction induced by doxorubicin / S. Zhou [et al.] // Cancer Res. – 2001. – Vol. 61. – P. 771–777.</mixed-citation><mixed-citation xml:lang="en">Zhou S., Starkov A., Froberg M. K., Leino L. R., Wallace B. K. “Cumulative, irreversible cardiac mitochondrial dysfunction induced by doxorubicin”, Cancer Research, 2001, vol. 61, pp. 771–777.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Боголепов, Н. Н. Методы электронно-микроскопического исследования мозга / Н. Н. Боголепов. – М., 1976. – 71 с.</mixed-citation><mixed-citation xml:lang="en">Bogolepov N. Metody elektronno-mikroskopicheskogo issledovaniya mozga [Methods of electron microscopic study of brain], Moscow, RU, 1976.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
