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METHODS AND PHARMACEUTICAL COMPOSITIONS FOR TREATING CARDIOVASCULAR TOXICITY INDUCED BY ANTI-CANCER THERAPY
专利权人:
INSERM (INSTITUT NATIONAL DE LA SANTÉ ET DE LA RECHERCHE MÉDICALE)
发明人:
TAVITIAN, Bertrand,DHAUN, Neeraj,SOURDON, Joevin,THARAUX, Pierre-Louis
申请号:
IBIB2017/000566
公开号:
WO2018/185516A1
申请日:
2017.04.05
申请国别(地区):
WO
年份:
2018
代理人:
摘要:
The invention relates to methods for treating cardiovascular toxicity induced by anti-cancer and anti-angiogenic compound. The inventors explored the cardiotoxicity induced by the antiangiogenic therapy, sunitinib, in the mouse heart. The inventors showed that sunitinib induces an anaerobic switch of cellular metabolism within the myocardium which is associated with the development of myocardial fibrosis as demonstrated by echocardiography. The capacity of positron emission tomography to detect the changes in cardiac metabolism caused by sunitinib was dependent on fasting status and duration of treatment. Pan proteomic analysis in the myocardium showed that sunitinib induced (i) an early metabolic switch with enhanced glycolysis and reduced oxidative phosphorylation, and (ii) a metabolic failure to use glucose as energy substrate, similar to the insulin resistance found in type 2 diabetes. Co-administration of macitentan, the endothelin receptor antagonist, to sunitinib-treated animals prevented both metabolic defects, restored glucose uptake and cardiac function, and prevented myocardial fibrosis. Thus, the invention relates to a compound selected from the group consisting of endothelin receptor antagonist and inhibitor of endothelin receptor expression for use in the treatment of cardiovascular toxicity induced by anti-cancer and anti-angiogenic compound.Linvention concerne des méthodes de traitement de la toxicité cardiovasculaire induite par un composé anti-cancéreux et anti-angiogénique. Les inventeurs ont exploré la cardiotoxicité induite par le sunitinib, thérapie antiangiogénique, dans le cœur de la souris. Les inventeurs ont montré que le sunitinib induit une commutation anaérobie du métabolisme cellulaire dans le myocarde qui est associée au développement dune fibrose myocardique comme démontré par échocardiographie. La capacité de la tomographie par émission de positrons à détecter les changements du métabolisme cardiaque provoqué par le sunitinib était d
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