Acta Medicinae Universitatis Scientiae et Technologiae Huazhong ›› 2026, Vol. 55 ›› Issue (1): 91-96.doi: 10.3870/j.issn.1672-0741.25.07.040

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Tozumab Alleviates Doxorubicin-induced Myocardial Cell Injury through the cGAS STING Pathway

Zhai Fuqiang, Bi Xiufeng, An Xiaotong et al   

  1. Department of Cardiology, The Fourth People’s Hospital of Ji’nan, Ji’nan 250031, China
  • Received:2025-07-17 Online:2026-02-15 Published:2026-02-10
  • Contact: E-mail:632844939@qq.com

Abstract: Objective This study aimed to explore the protective effect of tocilizumab on acute myocardial injury induced by doxorubicin. Methods Human AC16 cardiomyocytes were treated with different concentrations of tocilizumab(1,3,and 5 μg/mL)before exposure to doxorubicin(1 μmol/L).Cell viability was assessed using the CCK-8 assay,while apoptosis was measured by flow cytometry.The ROS level was assessed with a DCFH2-DA probe.JC-1 staining was used to analyze the mitochondrial membrane potential.The expression levels of CXCL10,STING,and cGAS were detected through Western blotting and qRT-PCR. Results In the context of the cytotoxicity induced by doxorubicin,tocilizumab significantly increased AC16 cell viability(P<0.01)and reduced early and late apoptosis rates(P<0.01).In addition,tocilizumab reduced the ROS level(P<0.01)and downregulated the expression of cGAS,STING and CXCL10. Conclusion Tocilizumab has a cardioprotective effect on doxorubicin-induced myocardial injury by modulating the cGAS-STING pathway,highlighting its potential as a therapeutic agent to improve cardiac safety during chemotherapy.

Key words: tocilizumab, acute myocardial injury, doxorubicin, apoptosis

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