Cucurbitacin-I, a natural
triterpenoids initially identified in medicinal plants, shows a potent anticancer effect on a variety of
cancer cell types. Nevertheless, the
cardiotoxicity of
cucurbitacin-I has not heretofore been reported. In this study, the mechanisms of
cucurbitacin-I-induced
cardiotoxicity were examined by investigating the role of MAPK-autophagy-dependent pathways. After being treated with 0.1-0.3μM
cucurbitacin-I for 48h, H9c2 cells showed a gradual decrease in the cell viabilities, a gradual increase in cell size, and
mRNA expression of
ANP and BNP (cardiac hypertrophic markers).
Cucurbitacin-I concentration-dependent apoptosis of H9c2 cells was also observed. The increased apoptosis of H9c2 cells was paralleling with the gradually strong autophagy levels. Furthermore, an autophagy inhibitor, 3-MA, was used to block the
cucurbitacin-I-stirred autophagy, and then the
hypertrophy and apoptosis induced by 0.3μM
cucurbitacin-I were significantly attenuated. In addition,
cucurbitacin-I exposure also activated the MAPK signaling pathways, including ERK1/2, JNK, and p38
kinases. Interestingly, only the ERK inhibitor
U0126, but not the JNK inhibitor
SP600125 and
p38 MAPK inhibitor
SB203580, weakened the induction of 0.3μM
cucurbitacin-I in
hypertrophy, autophagy and apoptosis. Our findings suggest that
cucurbitacin-I can increase the autophagy levels of H9c2 cells, most likely, through the activation of an ERK-autophagy dependent pathway, which results in the
hypertrophy and apoptosis of cardiomyocytes.