Evidence map›Paper›PMID 26254336›Full record

ArticleAmerican journal of physiology. Heart and circulatory physiology2015

ErbB2 overexpression upregulates antioxidant enzymes, reduces basal levels of reactive oxygen species, and protects against doxorubicin cardiotoxicity.

Frances Belmonte, Samarjit Das, Polina Sysa-Shah, Vidhya Sivakumaran, Brian Stanley, Xin Guo, Nazareno Paolocci, Miguel A Aon, Masaki Nagane, Periannan Kuppusamy and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in American journal of physiology. Heart and circulatory physiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed
5.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 110 citations in OpenAlex.

  1. Trial
  2. Review
  3. Metabolic phenotypes of doxorubicin-induced cardiotoxicity among patients with breast cancer.Metabolomics : Official journal of the Metabolomic Society · 2026
    Article
  4. Review
  5. Doxorubicin-Induced Cardiotoxicity: A Comprehensive Update.Journal of cardiovascular development and disease · 2025
    Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Anthracycline Toxicity: Light at the End of the Tunnel?Annual review of pharmacology and toxicology · 2024
    Review
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review

1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

Frances BelmonteProgram in Molecular and Translational Toxicology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland;
Samarjit DasDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland;
Polina Sysa-ShahDepartment of Molecular and Comparative Pathobiology, Johns Hopkins Medical Institutions, Baltimore, Maryland;
Vidhya SivakumaranDivision of Cardiology, Johns Hopkins Medical Institutions, Baltimore, Maryland; and.
Brian StanleyDivision of Cardiology, Johns Hopkins Medical Institutions, Baltimore, Maryland; and.
Xin GuoDepartment of Molecular and Comparative Pathobiology, Johns Hopkins Medical Institutions, Baltimore, Maryland;
Nazareno PaolocciDivision of Cardiology, Johns Hopkins Medical Institutions, Baltimore, Maryland; and.
Miguel A AonDivision of Cardiology, Johns Hopkins Medical Institutions, Baltimore, Maryland; and.
Masaki NaganeDepartment of Radiology, EPR Center for the Study of Viable Systems, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.
Periannan KuppusamyDepartment of Radiology, EPR Center for the Study of Viable Systems, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.
Charles SteenbergenDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland;
Kathleen GabrielsonProgram in Molecular and Translational Toxicology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland; Department of Molecular and Comparative Pathobiology, Johns Hopkins Medical Institutions, Baltimore, Maryland; kgabriel@jhmi.edu.
Johns Hopkins University · USJohns Hopkins Medicine · USDartmouth College · US

Funding

Signal Transduction in the Heart after Cancer TherapyR01HL088649 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI GABRIELSON, KATHLEEN LOUISE · 2008 to 2012
$2.3M
NHLBI NIH HHS R01-HL-088649NIEHS NIH HHS ES07141
6 · The paper itself

Abstract

Levels of the HER2/ErbB2 protein in the heart are upregulated in some women during breast cancer therapy, and these women are at high risk for developing heart dysfunction after sequential treatment with anti-ErbB2/trastuzumab or doxorubicin. Doxorubicin is known to increase oxidative stress in the heart, and thus we considered the possibility that ErbB2 protein influences the status of cardiac antioxidant defenses in cardiomyocytes. In this study, we measured reactive oxygen species (ROS) in cardiac mitochondria and whole hearts from mice with cardiac-specific overexpression of ErbB2 (ErbB2(tg)) and found that, compared with control mice, high levels of ErbB2 in myocardium result in lower levels of ROS in mitochondria (P = 0.0075) and whole hearts (P = 0.0381). Neonatal cardiomyocytes isolated from ErbB2(tg) hearts have lower ROS levels and less cellular death (P < 0.0001) following doxorubicin treatment. Analyzing antioxidant enzyme levels and activities, we found that ErbB2(tg) hearts have increased levels of glutathione peroxidase 1 (GPx1) protein (P < 0.0001) and GPx activity (P = 0.0031) in addition to increased levels of two known GPx activators, c-Abl (P = 0.0284) and Arg (P < 0.0001). Interestingly, although mitochondrial ROS emission is reduced in the ErbB2(tg) hearts, oxygen consumption rates and complex I activity are similar to control littermates. Compared with these in vivo studies, H9c2 cells transfected with ErbB2 showed less cellular toxicity and produced less ROS (P < 0.0001) after doxorubicin treatment but upregulated GR activity (P = 0.0237) instead of GPx. Our study shows that ErbB2-dependent signaling contributes to antioxidant defenses and suggests a novel mechanism by which anticancer therapies involving ErbB2 antagonists can harm myocardial structure and function.

Indexed as

AnimalsAnimals, NewbornAntineoplastic AgentsAntioxidantsCell DeathCell LineDose-Response Relationship, DrugDoxorubicinErb-b2 Receptor Tyrosine KinasesGlutathione PeroxidaseGlutathione Peroxidase GPX1Glutathione ReductaseHeart DiseasesMice, Inbred C57BLMice, TransgenicMitochondria, HeartAntineoplastic AgentsAntioxidantsARG tyrosine kinaseDoxorubicinErbb2 protein, mouseErbb2 protein, ratErb-b2 Receptor Tyrosine KinasesGlutathione PeroxidaseGlutathione Peroxidase GPX1Glutathione ReductaseProtein-Tyrosine KinasesProto-Oncogene Proteins c-ablReactive Oxygen SpeciesErbB2glutathione peroxidasemitochondrianRTKreactive oxygen species

Identifiers

PMID26254336
PMCPMC4666964
OpenAlexW2096123918

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.