Temporal analysis of doxorubicin-induced cardiac toxicity and hypertrophy

Abstract Doxorubicin (DOX), although effective in treating cancer, has significant cardiac side effects, which limit its clinical utility. In this study, we collected time-course transcriptomics and metabolomics data from the human cardiomyocyte cell line AC16, which we analyzed along with curated p...

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Main Authors: Yu-Te Lin, Yi-Ju Lee, Wen-Wei Tseng, Zih-Hua Chen, Huai-Ching Hsieh, Ko-Hong Lin, Jin-Yu Su, An-Chi Wei
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:npj Systems Biology and Applications
Online Access:https://doi.org/10.1038/s41540-025-00545-7
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author Yu-Te Lin
Yi-Ju Lee
Wen-Wei Tseng
Zih-Hua Chen
Huai-Ching Hsieh
Ko-Hong Lin
Jin-Yu Su
An-Chi Wei
author_facet Yu-Te Lin
Yi-Ju Lee
Wen-Wei Tseng
Zih-Hua Chen
Huai-Ching Hsieh
Ko-Hong Lin
Jin-Yu Su
An-Chi Wei
author_sort Yu-Te Lin
collection DOAJ
description Abstract Doxorubicin (DOX), although effective in treating cancer, has significant cardiac side effects, which limit its clinical utility. In this study, we collected time-course transcriptomics and metabolomics data from the human cardiomyocyte cell line AC16, which we analyzed along with curated public transcriptomics data on DOX-induced toxicity. We developed a multiomics analysis workflow and a computational toolbox, pipeGEM, to integrate RNA-seq data with metabolic models, enabling the simulation of DOX-induced metabolic perturbations at a sample-specific level. Our results revealed that DOX affected mitochondrial damage and mitochondria-to-nucleus retrograde signaling, potentially contributing to the observed cellular enlargement, senescence and metabolic shift. Cardiac cells that survived DOX treatment presented elevated glycolysis, increased pentose phosphate pathway activity, an altered TCA cycle, and modified glutathione and fatty acid metabolism. These findings provide a comprehensive understanding of DOX-induced toxicity and its implications for cardiac hypertrophy, suggesting potential strategies to mitigate side effects while retaining the anticancer efficacy of DOX.
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publishDate 2025-07-01
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series npj Systems Biology and Applications
spelling doaj-art-00e0b67aa8fa4e7d9a26c5f5898f07ac2025-08-20T03:45:31ZengNature Portfolionpj Systems Biology and Applications2056-71892025-07-0111112510.1038/s41540-025-00545-7Temporal analysis of doxorubicin-induced cardiac toxicity and hypertrophyYu-Te Lin0Yi-Ju Lee1Wen-Wei Tseng2Zih-Hua Chen3Huai-Ching Hsieh4Ko-Hong Lin5Jin-Yu Su6An-Chi Wei7Graduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan UniversityGraduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan UniversityGraduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan UniversityDepartment of Electrical Engineering, National Taiwan UniversityDepartment of Electrical Engineering, National Taiwan UniversityDepartment of Electrical Engineering, National Taiwan UniversityGraduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan UniversityGraduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan UniversityAbstract Doxorubicin (DOX), although effective in treating cancer, has significant cardiac side effects, which limit its clinical utility. In this study, we collected time-course transcriptomics and metabolomics data from the human cardiomyocyte cell line AC16, which we analyzed along with curated public transcriptomics data on DOX-induced toxicity. We developed a multiomics analysis workflow and a computational toolbox, pipeGEM, to integrate RNA-seq data with metabolic models, enabling the simulation of DOX-induced metabolic perturbations at a sample-specific level. Our results revealed that DOX affected mitochondrial damage and mitochondria-to-nucleus retrograde signaling, potentially contributing to the observed cellular enlargement, senescence and metabolic shift. Cardiac cells that survived DOX treatment presented elevated glycolysis, increased pentose phosphate pathway activity, an altered TCA cycle, and modified glutathione and fatty acid metabolism. These findings provide a comprehensive understanding of DOX-induced toxicity and its implications for cardiac hypertrophy, suggesting potential strategies to mitigate side effects while retaining the anticancer efficacy of DOX.https://doi.org/10.1038/s41540-025-00545-7
spellingShingle Yu-Te Lin
Yi-Ju Lee
Wen-Wei Tseng
Zih-Hua Chen
Huai-Ching Hsieh
Ko-Hong Lin
Jin-Yu Su
An-Chi Wei
Temporal analysis of doxorubicin-induced cardiac toxicity and hypertrophy
npj Systems Biology and Applications
title Temporal analysis of doxorubicin-induced cardiac toxicity and hypertrophy
title_full Temporal analysis of doxorubicin-induced cardiac toxicity and hypertrophy
title_fullStr Temporal analysis of doxorubicin-induced cardiac toxicity and hypertrophy
title_full_unstemmed Temporal analysis of doxorubicin-induced cardiac toxicity and hypertrophy
title_short Temporal analysis of doxorubicin-induced cardiac toxicity and hypertrophy
title_sort temporal analysis of doxorubicin induced cardiac toxicity and hypertrophy
url https://doi.org/10.1038/s41540-025-00545-7
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