Apatinib induces zebrafish hepatotoxicity by inhibiting Wnt signaling and accumulation of oxidative stress
Ling Huang
Jiangxi Engineering Laboratory of Zebrafish Modeling and Drug Screening for Human Diseases, Jiangxi Key Laboratory of Developmental Biology of Organs, College of Life Sciences, Clinical Research Center of Affiliated Hospital of Jinggangshan University, Jinggangshan University, Ji'an, China
Search for more papers by this authorZhipeng Wang
Jiangxi Engineering Laboratory of Zebrafish Modeling and Drug Screening for Human Diseases, Jiangxi Key Laboratory of Developmental Biology of Organs, College of Life Sciences, Clinical Research Center of Affiliated Hospital of Jinggangshan University, Jinggangshan University, Ji'an, China
Search for more papers by this authorJieping Liu
Jiangxi Engineering Laboratory of Zebrafish Modeling and Drug Screening for Human Diseases, Jiangxi Key Laboratory of Developmental Biology of Organs, College of Life Sciences, Clinical Research Center of Affiliated Hospital of Jinggangshan University, Jinggangshan University, Ji'an, China
Search for more papers by this authorMengqi Wan
Jiangxi Engineering Laboratory of Zebrafish Modeling and Drug Screening for Human Diseases, Jiangxi Key Laboratory of Developmental Biology of Organs, College of Life Sciences, Clinical Research Center of Affiliated Hospital of Jinggangshan University, Jinggangshan University, Ji'an, China
Search for more papers by this authorJiejun Liu
Jiangxi Engineering Laboratory of Zebrafish Modeling and Drug Screening for Human Diseases, Jiangxi Key Laboratory of Developmental Biology of Organs, College of Life Sciences, Clinical Research Center of Affiliated Hospital of Jinggangshan University, Jinggangshan University, Ji'an, China
Search for more papers by this authorFasheng Liu
Jiangxi Engineering Laboratory of Zebrafish Modeling and Drug Screening for Human Diseases, Jiangxi Key Laboratory of Developmental Biology of Organs, College of Life Sciences, Clinical Research Center of Affiliated Hospital of Jinggangshan University, Jinggangshan University, Ji'an, China
Search for more papers by this authorXiaofei Tu
Department of General Surgery, The Affiliated Children's Hospital of Nanchang University, Nanchang, China
Search for more papers by this authorJuhua Xiao
Department of Ultrasound, Jiangxi Provincial Maternal and Child Health Hospital, Nanchang, China
Search for more papers by this authorXinjun Liao
Jiangxi Engineering Laboratory of Zebrafish Modeling and Drug Screening for Human Diseases, Jiangxi Key Laboratory of Developmental Biology of Organs, College of Life Sciences, Clinical Research Center of Affiliated Hospital of Jinggangshan University, Jinggangshan University, Ji'an, China
Search for more papers by this authorHuiqiang Lu
Jiangxi Engineering Laboratory of Zebrafish Modeling and Drug Screening for Human Diseases, Jiangxi Key Laboratory of Developmental Biology of Organs, College of Life Sciences, Clinical Research Center of Affiliated Hospital of Jinggangshan University, Jinggangshan University, Ji'an, China
Search for more papers by this authorCorresponding Author
Shouhua Zhang
Department of General Surgery, The Affiliated Children's Hospital of Nanchang University, Nanchang, China
Correspondence
Zigang Cao, School of Life Sciences, Jinggangshan University, Ji'an 343009, China.
Email: [email protected]
Shouhua Zhang, Department of General Surgery, The Affiliated Children's Hospital of Nanchang University, Nanchang 330006, China.
Email: [email protected]
Search for more papers by this authorCorresponding Author
Zigang Cao
Jiangxi Engineering Laboratory of Zebrafish Modeling and Drug Screening for Human Diseases, Jiangxi Key Laboratory of Developmental Biology of Organs, College of Life Sciences, Clinical Research Center of Affiliated Hospital of Jinggangshan University, Jinggangshan University, Ji'an, China
Correspondence
Zigang Cao, School of Life Sciences, Jinggangshan University, Ji'an 343009, China.
Email: [email protected]
Shouhua Zhang, Department of General Surgery, The Affiliated Children's Hospital of Nanchang University, Nanchang 330006, China.
Email: [email protected]
Search for more papers by this authorLing Huang
Jiangxi Engineering Laboratory of Zebrafish Modeling and Drug Screening for Human Diseases, Jiangxi Key Laboratory of Developmental Biology of Organs, College of Life Sciences, Clinical Research Center of Affiliated Hospital of Jinggangshan University, Jinggangshan University, Ji'an, China
Search for more papers by this authorZhipeng Wang
Jiangxi Engineering Laboratory of Zebrafish Modeling and Drug Screening for Human Diseases, Jiangxi Key Laboratory of Developmental Biology of Organs, College of Life Sciences, Clinical Research Center of Affiliated Hospital of Jinggangshan University, Jinggangshan University, Ji'an, China
Search for more papers by this authorJieping Liu
Jiangxi Engineering Laboratory of Zebrafish Modeling and Drug Screening for Human Diseases, Jiangxi Key Laboratory of Developmental Biology of Organs, College of Life Sciences, Clinical Research Center of Affiliated Hospital of Jinggangshan University, Jinggangshan University, Ji'an, China
Search for more papers by this authorMengqi Wan
Jiangxi Engineering Laboratory of Zebrafish Modeling and Drug Screening for Human Diseases, Jiangxi Key Laboratory of Developmental Biology of Organs, College of Life Sciences, Clinical Research Center of Affiliated Hospital of Jinggangshan University, Jinggangshan University, Ji'an, China
Search for more papers by this authorJiejun Liu
Jiangxi Engineering Laboratory of Zebrafish Modeling and Drug Screening for Human Diseases, Jiangxi Key Laboratory of Developmental Biology of Organs, College of Life Sciences, Clinical Research Center of Affiliated Hospital of Jinggangshan University, Jinggangshan University, Ji'an, China
Search for more papers by this authorFasheng Liu
Jiangxi Engineering Laboratory of Zebrafish Modeling and Drug Screening for Human Diseases, Jiangxi Key Laboratory of Developmental Biology of Organs, College of Life Sciences, Clinical Research Center of Affiliated Hospital of Jinggangshan University, Jinggangshan University, Ji'an, China
Search for more papers by this authorXiaofei Tu
Department of General Surgery, The Affiliated Children's Hospital of Nanchang University, Nanchang, China
Search for more papers by this authorJuhua Xiao
Department of Ultrasound, Jiangxi Provincial Maternal and Child Health Hospital, Nanchang, China
Search for more papers by this authorXinjun Liao
Jiangxi Engineering Laboratory of Zebrafish Modeling and Drug Screening for Human Diseases, Jiangxi Key Laboratory of Developmental Biology of Organs, College of Life Sciences, Clinical Research Center of Affiliated Hospital of Jinggangshan University, Jinggangshan University, Ji'an, China
Search for more papers by this authorHuiqiang Lu
Jiangxi Engineering Laboratory of Zebrafish Modeling and Drug Screening for Human Diseases, Jiangxi Key Laboratory of Developmental Biology of Organs, College of Life Sciences, Clinical Research Center of Affiliated Hospital of Jinggangshan University, Jinggangshan University, Ji'an, China
Search for more papers by this authorCorresponding Author
Shouhua Zhang
Department of General Surgery, The Affiliated Children's Hospital of Nanchang University, Nanchang, China
Correspondence
Zigang Cao, School of Life Sciences, Jinggangshan University, Ji'an 343009, China.
Email: [email protected]
Shouhua Zhang, Department of General Surgery, The Affiliated Children's Hospital of Nanchang University, Nanchang 330006, China.
Email: [email protected]
Search for more papers by this authorCorresponding Author
Zigang Cao
Jiangxi Engineering Laboratory of Zebrafish Modeling and Drug Screening for Human Diseases, Jiangxi Key Laboratory of Developmental Biology of Organs, College of Life Sciences, Clinical Research Center of Affiliated Hospital of Jinggangshan University, Jinggangshan University, Ji'an, China
Correspondence
Zigang Cao, School of Life Sciences, Jinggangshan University, Ji'an 343009, China.
Email: [email protected]
Shouhua Zhang, Department of General Surgery, The Affiliated Children's Hospital of Nanchang University, Nanchang 330006, China.
Email: [email protected]
Search for more papers by this authorLing Huang and Zhipeng Wang should be considered joint first author.
Abstract
Apatinib, a small-molecule VEGFR2-tyrosine kinase inhibitor, has shown potent anticancer activity in various clinical cancer treatments, but also different adverse reactions. Therefore, it is necessary to study its potential toxicity and working mechanism. We used zebrafish to investigate the effects of apatinib on the development of embryos. Zebrafish exposed to 2.5, 5, and 10 μM apatinib showed adverse effects such as decreased liver area, pericardial oedema, slow yolk absorption, bladder atrophy, and body length shortening. At the same time, it leads to abnormal liver tissue structure, liver function and related gene expression. Furthermore, after exposure to apatinib, oxidative stress levels were significantly elevated but liver developmental toxicity was effectively ameliorated with oxidative stress inhibitor treatment. Apatinib induces down-regulation of key target genes of Wnt signaling pathway in zebrafish, and it is found that Wnt activator can significantly rescue liver developmental defects. These results suggest that apatinib may induce zebrafish hepatotoxicity by inhibiting the Wnt signaling pathway and up-regulating oxidative stress, helping to strengthen our understanding of rational clinical application of apatinib.
CONFLICT OF INTEREST STATEMENT
The authors declare no conflicts of interest.
REFERENCES
- 1Geng R, Song L, Li J, Zhao L. The safety of apatinib for the treatment of gastric cancer. Expert Opin Drug Saf. 2018; 17(11): 1145-1150.
- 2Shao F, Zhang H, Yang X, Luo X, Liu J. Adverse events and management of apatinib in patients with advanced or metastatic cancers: a review. Neoplasma. 2020; 67(4): 715-723.
- 3Zhu X, Liu M, Lv J, et al. Good local tumor control but lethal hemorrhage after apatinib treatment for intractable squamous carcinoma of the floor of the mouth: a case report. Onco Targets Ther. 2018; 11: 8909-8913.
- 4Wang W, He Q, Li C, et al. Research on the mechanism and prevention of hypertension caused by apatinib through the RhoA/ROCK signaling pathway in a mouse model of gastric cancer. Front Cardiovasc Med. 2022; 9:873829.
- 5Chen Y, Chen N, Xu J, et al. Apatinib inhibits the proliferation of gastric cancer cells via the AKT/GSK signaling pathway in vivo. Aging. 2021; 13(16): 20738-20747.
- 6Feng H, Cheng X, Kuang J, et al. Apatinib-induced protective autophagy and apoptosis through the AKT-mTOR pathway in anaplastic thyroid cancer. Cell Death Dis. 2018; 9(10): 1030.
- 7Jin Y, Wei L, Jiang Q, et al. Comparison of efficacy and toxicity of bevacizumab, endostar and apatinib in transgenic and human lung cancer xenograftzebrafish model. Sci Rep. 2018; 8(1): 15837.
- 8Liu Y, Zhou C, Zhang K, Feng Y, Zhang R. The combination of apatinib and S-1 for the treatment of advanced gastric cancer in China: a meta-analysis of randomized controlled trials. Medicine (Baltimore). 2018; 97(47):e13259.
- 9Yu WC, Zhang KZ, Chen SG, Liu WF. Efficacy and safety of apatinib in patients with intermediate/advanced hepatocellular carcinoma: a prospective observation study. Medicine. 2018; 97(3):e9704.
- 10Zhen L, Chen J, Yong F, Han X, Pan H, Han W. The efficacy and safety of apatinib treatment for patients with unresectable or relapsed liver cancer: a retrospective study. J Cancer. 2018; 9(16): 2773-2777.
- 11Liang Q, Kong L, Du Y, Zhu X, Tian J. Antitumorigenic and antiangiogenic efficacy of apatinib in liver cancer evaluated by multimodality molecular imaging. Exp Mol Med. 2019; 51(7): 1-11.
- 12Zhou L, Lin J, Wu G, Chen J, Huang X, Zhang S. Safety and feasibility of low-dose apatinib combined with S-1 as the second-line therapy or beyond in Chinese patients with pulmonary and hepatic metastasis of nasopharyngeal carcinoma. Drug Des Devel Ther. 2020; 14: 1257-1262.
- 13Howe K, Clark MD, Torroja CF. The zebrafish reference genome sequence and its relationship to the human genome. Nature. 2013; 496(7446): 498-503.
- 14Bai Z, Jia K, Chen G, et al. Carbamazepine induces hepatotoxicity in zebrafish by inhibition of the Wnt/β-catenin signaling pathway. Environ Pollut. 2021; 276:116688.
- 15Jia K, Cheng B, Huang L, et al. Thiophanate-methyl induces severe hepatotoxicity in zebrafish. Chemosphere. 2020; 248:125941.
- 16He JH, Guo SY, Zhu F, et al. A zebrafish phenotypic assay for assessing drug-induced hepatotoxicity. J Pharmacol Toxicol Methods. 2013; 67(1): 25-32.
- 17Horzmann KA, Freeman JL. Making waves: new developments in toxicology with the zebrafish. Toxicol Sci. 2018; 163(1): 5-12.
- 18Cao Z, Wang H, Mao X, Luo L. Noncanonical function of threonyl-tRNA synthetase regulates vascular development in zebrafish. Biochem Biophys Res Commun. 2016; 473(1): 67-72.
- 19Qiu L, Jia K, Huang L, Liao X, Guo X, Lu H. Hepatotoxicity of tricyclazole in zebrafish (Danio rerio). Chemosphere. 2019; 232: 171-179.
- 20Gessert S, Kühl M. The multiple phases and faces of wnt signaling during cardiac differentiation and development. Circ Res. 2010; 107(2): 186-199.
- 21Goessling W, Sadler KC. Zebrafish: an important tool for liver disease research. Gastroenterology. 2015; 149(6): 1361-1377.
- 22Bambino K, Chu J. Zebrafish in toxicology and environmental health. Curr Top Dev Biol. 2017; 124: 331-367.
- 23Huo J, Yu Q, Zhang Y, et al. Triptolide-induced hepatotoxicity via apoptosis and autophagy in zebrafish. J Appl Toxicol. 2019; 39(11): 1532-1540.
- 24Saad M, Cavanaugh K, Verbueken E, et al. Xenobiotic metabolism in the zebrafish: a review of the spatiotemporal distribution, modulation and activity of Cytochrome P450 families 1 to 3. J Toxicol Sci. 2016; 41(1): 1-11.
- 25Xiong J, Sha H, Zhou H, et al. 2,4-Dinitrotoluene (DNT) perturbs yolk absorption, liver development and lipid metabolism/oxygen transport gene expression in zebrafish embryos and larvae. Int J Mol Sci. 2019; 20(15): 3632.
- 26Cui G, Chen H, Cui W, et al. FGF2 prevents sunitinib-induced cardiotoxicity in zebrafish and cardiomyoblast H9c2 cells. Cardiovasc Toxicol. 2016; 16(1): 46-53.
- 27Huang L, Liu J, Li W, et al. Lenvatinib exposure induces hepatotoxicity in zebrafish via inhibiting Wnt signaling. Toxicology. 2021; 462:152951.
- 28Pistocchi A, Gaudenzi G, Carra S, Bresciani E, Del Giacco L, Cotelli F. Crucial role of zebrafish prox1 in hypothalamic catecholaminergic neurons development. BMC Dev Biol. 2008; 8: 27.
- 29Cousins RJ. Absorption, transport, and hepatic metabolism of copper and zinc: special reference to metallothionein and ceruloplasmin. Physiol Rev. 1985; 65(2): 238-309.
- 30Lockhart PJ, Mercer JF. Cloning and expression analysis of the sheep ceruloplasmin cDNA. Gene. 1999; 236(2): 251-257.
- 31Cao Z, Huang Y, Xiao J, et al. Exposure to diclofop-methyl induces cardiac developmental toxicity in zebrafish embryos. Environ Pollut. 2020; 259:113926.
- 32Samarghandian S, Azimi-Nezhad M, Farkhondeh T, Samini F. Anti-oxidative effects of curcumin on immobilization-induced oxidative stress in rat brain, liver and kidney. Biomed Pharmacother. 2017; 87: 223-229.
- 33van der Pol A, van Gilst WH, Voors AA, van der Meer P. Treating oxidative stress in heart failure: past, present and future. Eur J Heart Fail. 2019; 21(4): 425-435.
- 34Del Rio D, Stewart AJ, Pellegrini N. A review of recent studies on malondialdehyde as toxic molecule and biological marker of oxidative stress. Nutr Metab Cardiovasc Dis. 2005; 15(4): 316-328.
- 35Tsikas D. Assessment of lipid peroxidation by measuring malondialdehyde (MDA) and relatives in biological samples: analytical and biological challenges. Anal Biochem. 2017; 524: 13-30.
- 36Ma H, Wang H, Zhang H, et al. Effects of phenanthrene on oxidative stress and inflammation in lung and liver of female rats. Environ Toxicol. 2020; 35(1): 37-46.
- 37Liu J, Huang L, Wan M, et al. Lenvatinib induces cardiac developmental toxicity in zebrafish embryos through regulation of Notch mediated-oxidative stress generation. Environ Toxicol. 2022; 37(6): 1310-1320.
- 38Meng Y, Zhong K, Xiao J, et al. Exposure to pyrimethanil induces developmental toxicity and cardiotoxicity in zebrafish. Chemosphere. 2020; 255:126889.
- 39Kishimoto Y, Yoshida H, Kondo K. Potential anti-atherosclerotic properties of astaxanthin. Mar Drugs. 2016; 14(2): 35.
- 40Markovic Z, Trajkovic V. Biomedical potential of the reactive oxygen species generation and quenching by fullerenes (C60). Biomaterials. 2008; 29(26): 3561-3573.
- 41Ha M, Wei L, Guan X, Li L, Liu C. p53-dependent apoptosis contributes to di-(2-ethylhexyl) phthalate-induced hepatotoxicity. Environ Pollut. 2016; 208: 416-425.
- 42Elmore S. Apoptosis: a review of programmed cell death. Toxicol Pathol. 2007; 35(4): 495-516.
- 43Miyashita T, Krajewski S, Krajewska M, et al. Tumor suppressor p53 is a regulator of bcl-2 and bax gene expression in vitro and in vivo. Oncogene. 1994; 9(6): 1799-1805.
- 44Méplan C, Richard M-J, Hainaut P. Redox signalling and transition metals in the control of the p53 pathway. Biochem Pharmacol. 2000; 59(1): 25-33.
- 45Xie Z, Lu G, Zhou R, Ma Y. Thiacloprid-induced hepatotoxicity in zebrafish: activation of the extrinsic and intrinsic apoptosis pathways regulated by p53 signaling pathway. Aquat Toxicol. 2022; 246:106147.
- 46Zhang C, Li Z, Wang J, et al. Ethanol extracts of Solanum lyratum Thunb regulate ovarian cancer cell proliferation, apoptosis, and epithelial-to-mesenchymal transition (EMT) via the ROS-mediated p53 pathway. J Immunol Res. 2021; 2021:5569354.
- 47Zhang Y, Li Q, Wei S, et al. ZNF143 suppresses cell apoptosis and promotes proliferation in gastric cancer via ROS/p53 axis. Dis Markers. 2020; 2020:5863178.
- 48Jia ZL, Cen J, Wang JB, et al. Mechanism of isoniazid-induced hepatotoxicity in zebrafish larvae: activation of ROS-mediated ERS, apoptosis and the Nrf2 pathway. Chemosphere. 2019; 227: 541-550.
- 49Sun T, Annunziato S, Bergling S, et al. ZNRF3 and RNF43 cooperate to safeguard metabolic liver zonation and hepatocyte proliferation. Cell Stem Cell. 2021; 28(10): 1822-1837.e1810.
- 50Clevers H, Nusse R. Wnt/β-catenin signaling and disease. Cell. 2012; 149(6): 1192-1205.
- 51Perugorria MJ, Olaizola P, Labiano I, et al. Wnt-β-catenin signalling in liver development, health and disease. Nat Rev Gastroenterol Hepatol. 2019; 16(2): 121-136.
- 52Shi DL. Decoding dishevelled-mediated Wnt signaling in vertebrate early development. Front Cell Dev Biol. 2020; 8:588370.
- 53Sun M, Liu Q, Liang Q, et al. Toosendanin triggered hepatotoxicity in zebrafish via inflammation, autophagy, and apoptosis pathways. Comp Biochem Physiol Toxicol Pharmacol. 2021; 250:109171.
- 54Zhao L, Jin Y, Donahue K, et al. Tissue repair in the mouse liver following acute carbon tetrachloride depends on injury-induced Wnt/β-catenin signaling. Hepatology. 2019; 69(6): 2623-2635.
- 55Zhan T, Rindtorff N, Boutros M. Wnt signaling in cancer. Oncogene. 2017; 36(11): 1461-1473.