Evidence map›Paper›PMID 42438850›Full record

ArticlePhysical activity and nutrition2026

Effects of high-intensity aerobic exercise during multiple cycles of doxorubicin treatment on cardiac catabolism.

Insu Kwon, Beomsoo Ju, Youngil Lee

Abstract read
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Article in Physical activity and nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Insu KwonPhysical Activity & Performance (PAP) Institute, Konkuk University, Seoul, Republic of Korea.
Beomsoo JuMolecular and Integrative Physiology Laboratory, Department of Movement Sciences and Health, Usha Kundu, MD College of Health, University of West Florida, Pensacola, FL, USA.
Youngil LeeMolecular and Integrative Physiology Laboratory, Department of Movement Sciences and Health, Usha Kundu, MD College of Health, University of West Florida, Pensacola, FL, USA. ylee1@uwf.edu.

Funding

Konkuk UniversityUniversity of West Florida 04523
6 · The paper itself

Abstract

purposeDoxorubicin causes dose-dependent cardiotoxicity characterized by cardiac atrophy. Although moderate-intensity aerobic exercise may mitigate doxorubicin cardiotoxicity, the effects of high-intensity aerobic exercise during doxorubicin treatment on cardiac homeostasis remain unclear. Therefore, this study investigated the impact of high-intensity aerobic exercise (EXE) during doxorubicin (DOX) chemotherapy on cardiac autophagy, protein catabolism, and lipolysis.

methodsMale C57BL/6J mice were randomized into sedentary-saline, exercise-saline, sedentary-doxorubicin, and exercise-doxorubicin groups. Doxorubicin was administered intraperitoneally (5 mg/kg, 5 times at 2-week intervals, totaling 25 mg/kg). The exercise groups performed high-intensity treadmill running (12-15 m/min, 60 min/day, for 7 weeks) during doxorubicin treatment. Body and heart weights were measured, and cardiac tissues were analyzed via Western blotting.

resultsDoxorubicin reduced the body and heart weights, and the combination of exercise and doxorubicin further exacerbated these effects. While exercise administered during doxorubicin treatment improved autophagic flux and enhanced lipolysis, it significantly exacerbated cardiac protein catabolism, as evidenced by decreased structural proteins (β-actin, Talin), upregulated ubiquitin-proteasome system components, and increased proteolytic cleavage in the exercise-doxorubicin group compared to the sedentary-doxorubicin group. These findings demonstrate a complex interaction between exercise during doxorubicin treatment, while simultaneously promoting the clearance of damaged components through enhanced lipid utilization and amplifying the degradation of essential cardiac structural proteins.

conclusionThese results suggest that concurrent high-intensity aerobic exercise during cardiotoxic chemotherapy regimens may compromise myocardial integrity.

Indexed as

autophagycardiac tissueDoxorubicinexerciselipolysisprotein catabolism

Identifiers

PMID42438850
PMCPMC13358595

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