Evidence map›Paper›PMID 26271039›Full record

ArticlePloS one2015

Insulin Protects Cardiac Myocytes from Doxorubicin Toxicity by Sp1-Mediated Transactivation of Survivin.

Beom Seob Lee, Jaewon Oh, Sung Ku Kang, Sungha Park, Sang-Hak Lee, Donghoon Choi, Ji Hyung Chung, Youn Wook Chung, Seok-Min Kang

Expression of concernOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It carries an expression of concern. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.0field-weighted citation impact, top 8% 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

26 citing papers in PubMed, 50 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Beom Seob LeeGraduate Program in Science for Aging, Yonsei University, Seoul, Republic of Korea; Yonsei Cardiovascular Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea; Severance Integrative Research Institute for Cerebral and Cardiovascular Diseases (SIRIC), Yonsei University Health System, Seoul, Republic of Korea.
Jaewon OhCardiology Division, Severance Cardiovascular Hospital, Seoul, Republic of Korea; Yonsei Cardiovascular Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea.
Sung Ku KangAvon Old Farms School, Avon, Connecticut, United States of America.
Sungha ParkCardiology Division, Severance Cardiovascular Hospital, Seoul, Republic of Korea; Yonsei Cardiovascular Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea.
Sang-Hak LeeCardiology Division, Severance Cardiovascular Hospital, Seoul, Republic of Korea; Yonsei Cardiovascular Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea.
Donghoon ChoiCardiology Division, Severance Cardiovascular Hospital, Seoul, Republic of Korea; Yonsei Cardiovascular Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea; Severance Integrative Research Institute for Cerebral and Cardiovascular Diseases (SIRIC), Yonsei University Health System, Seoul, Republic of Korea.
Ji Hyung ChungDepartment of Applied Bioscience, College of Life Science, CHA University, Gyeonggi-do, Republic of Korea.
Youn Wook ChungYonsei Cardiovascular Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea.
Seok-Min KangCardiology Division, Severance Cardiovascular Hospital, Seoul, Republic of Korea; Yonsei Cardiovascular Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea; Severance Integrative Research Institute for Cerebral and Cardiovascular Diseases (SIRIC), Yonsei University Health System, Seoul, Republic of Korea.
Yonsei University · KRAvon (United States) · USSeverance Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Insulin inhibits ischemia/reperfusion-induced myocardial apoptosis through the PI3K/Akt/mTOR pathway. Survivin is a key regulator of anti-apoptosis against doxorubicin-induced cardiotoxicity. Insulin increases survivin expression in cardiac myocytes to mediate cytoprotection. However, the mechanism by which survivin mediates the protective effect of insulin against doxorubicin-associated injury remains to be determined. In this study, we demonstrated that pretreatment of H9c2 cardiac myocytes with insulin resulted in a significant decrease in doxorubicin-induced apoptotic cell death by reducing cytochrome c release and caspase-3 activation. Doxorubicin-induced reduction of survivin mRNA and protein levels was also significantly perturbed by insulin pretreatment. Reducing survivin expression with survivin siRNA abrogated insulin-mediated inhibition of caspase-3 activation, suggesting that insulin signals to survivin inhibited caspase-3 activation. Interestingly, pretreatment of H9c2 cells with insulin or MG132, a proteasome inhibitor, inhibited doxorubicin-induced degradation of the transcription factor Sp1. ChIP assay showed that pretreatment with insulin inhibited doxorubicin-stimulated Sp1 dissociation from the survivin promoter. Finally using pharmacological inhibitors of the PI3K pathway, we showed that insulin-mediated activation of the PI3K/Akt/mTORC1 pathway prevented doxorubicin-induced proteasome-mediated degradation of Sp1. Taken together, insulin pretreatment confers a protective effect against doxorubicin-induced cardiotoxicity by promoting Sp1-mediated transactivation of survivin to inhibit apoptosis. Our study is the first to define a role for survivin in cellular protection by insulin against doxorubicin-associated injury and show that Sp1 is a critical factor in the transcriptional regulation of survivin.

Indexed as

AnimalsCell Line, TumorCell SurvivalChromatin ImmunoprecipitationDoxorubicinInsulinMicroscopy, ConfocalMicrotubule-Associated ProteinsMyocytes, CardiacRatsReverse Transcriptase Polymerase Chain ReactionRNA InterferenceSp1 Transcription FactorSurvivinBirc5 protein, ratDoxorubicinInsulinMicrotubule-Associated ProteinsSp1 Transcription FactorSurvivin

Identifiers

PMID26271039
PMCPMC4535909
OpenAlexW2262441909

What OpenQuestion holds

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LicenceCC BY
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.