ZFIN ID: ZDB-PUB-200221-17
Retinoid X receptor alpha is a spatiotemporally predominant therapeutic target for anthracycline-induced cardiotoxicity
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.
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:
  • Animals
  • Bexarotene/pharmacology
  • Cardiotonic Agents/pharmacology
  • Cardiotoxicity/drug therapy*
  • Cardiotoxicity/etiology
  • Cardiotoxicity/genetics
  • Disease Models, Animal
  • Endothelial Cells/drug effects
  • Endothelial Cells/metabolism
  • Heart/drug effects*
  • Heart/physiopathology
  • Humans
  • Isotretinoin/pharmacology
  • Myocardium/metabolism
  • Myocardium/pathology
  • Neoplasms/complications
  • Neoplasms/drug therapy
  • Pericardium/drug effects
  • Retinoid X Receptor alpha/agonists
  • Retinoid X Receptor alpha/genetics*
  • Zebrafish
  • Zonula Occludens-1 Protein/genetics*
PubMed: 32064346 Full text @ Sci Adv
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.