A novel protective role of sacubitril/valsartan in cyclophosphamide induced lung injury in rats: impact of miRNA-150-3p on NF-κB/MAPK signaling trajectories

Sci Rep. 2020 Aug 3;10(1):13045. doi: 10.1038/s41598-020-69810-5.

Abstract

Cyclophosphamide (CP) is a chemotherapeutic agent that induces oxidative stress causing multiple organ damage. Sacubitril/valsartan, is a combined formulation of neprilysin inhibitor (sacubitril) and angiotensin II receptor blocker (valsartan), that induces the protective effect of brain natriuretic peptide. The aim of the current study is to investigate the prophylactic impacts of sacubitril/valsartan versus valsartan against CP-induced lung toxicity in rats. Rats were assigned randomly into 6 groups; control; received corn oil (2 ml/kg/day; p.o. for 6 days), sacubitril/valsartan (30 mg/kg; p.o. for 6 days), valsartan (15 mg/kg; p.o. for 6 days), CP (200 mg/kg; i.p. on day 5), sacubitril/valsartan + CP (30 mg/kg; p.o. for 6 days, 200 mg/kg; i.p. single dose on day 5, respectively), valsartan + CP (15 mg/kg; p.o. for 6 days, 200 mg/kg; i.p. single dose on day 5, respectively). Both sacubitril/valsartan and valsartan produced a significant decrease in the inflammation and fibrosis markers in the BALF, in comparison with the CP group. Both sacubitril/valsartan and valsartan produced an apparent decrease in the relative genes expression of miR-150-3p and NF-κB, as well as a significant decrease in the relative expression of P38 and ERK1/2 MAPKs and an increase in the relative gene expression of Nrf-2, compared to CP group. Intriguingly, sacubitril/valsartan , showed subtle superiority in almost all investigated parameters, compared to valsartan. In conclusion, sacubitril/valsartan effectively abrogated the CP induced lung inflammation and fibrosis, providing a potential promising protection that could be linked to their ability to inhibit miR-150-3p via inhibition of NF-κB and MAPK signaling pathways.

MeSH terms

  • Aminobutyrates / pharmacology
  • Aminobutyrates / therapeutic use*
  • Animals
  • Antioxidants / metabolism
  • Biphenyl Compounds
  • Bronchoalveolar Lavage Fluid / cytology
  • Cyclophosphamide
  • Cytokines / metabolism
  • Drug Combinations
  • Gene Expression Regulation / drug effects
  • Heme Oxygenase-1 / metabolism
  • Inflammation Mediators / metabolism
  • L-Lactate Dehydrogenase / metabolism
  • Leukocyte Count
  • Lung / pathology
  • Lung Injury / chemically induced
  • Lung Injury / drug therapy*
  • Lung Injury / genetics*
  • Lung Injury / pathology
  • MAP Kinase Signaling System* / drug effects
  • MicroRNAs / genetics*
  • MicroRNAs / metabolism
  • NAD(P)H Dehydrogenase (Quinone) / metabolism
  • NF-E2-Related Factor 2 / metabolism
  • NF-kappa B / metabolism*
  • Natriuretic Peptide, Brain / metabolism
  • Phosphorylation / drug effects
  • Protective Agents / pharmacology
  • Protective Agents / therapeutic use*
  • Rats
  • Tetrazoles / pharmacology
  • Tetrazoles / therapeutic use*
  • Valsartan

Substances

  • Aminobutyrates
  • Antioxidants
  • Biphenyl Compounds
  • Cytokines
  • Drug Combinations
  • Inflammation Mediators
  • MIRN150 microRNA, rat
  • MicroRNAs
  • NF-E2-Related Factor 2
  • NF-kappa B
  • Protective Agents
  • Tetrazoles
  • Natriuretic Peptide, Brain
  • Valsartan
  • Cyclophosphamide
  • L-Lactate Dehydrogenase
  • Heme Oxygenase-1
  • NAD(P)H Dehydrogenase (Quinone)
  • NQO1 protein, rat
  • sacubitril and valsartan sodium hydrate drug combination