2-Hydroxyanthraquinone induces cardiotoxicity in zebrafish via ferroptosis.

2-Hydroxyanthraquinone (2-hATQ) is a photochemical oxidation product of anthracene (ANT), a polycyclic aromatic hydrocarbon. ANT is listed as a priority pollutant by the US Environmental Protection Agency (EPA) due to its resistance to degradation and persistence in the environment. Because of ANT's characteristics, 2-hATQ can also be ubiquitously present in the environment and is more toxic than its parent compound ANT, posing significant risks to environmental safety and human health. Nevertheless, there are limited studies addressing its toxicological effects, particularly concerning cardiovascular toxicity. In the present study, zebrafish embryos acutely exposed to 2-hATQ (0, 0.4, 0.8, and 1.2 mg/L) at different concentrations showed significant cardiac developmental abnormalities, as evidenced by slowing of the heart rate, pericardial edema, and the cardiac malformations. Transcriptomic sequencing analysis and quantitative real-time polymerase chain reaction (qPCR) study showed that 2-hATQ induced cardiac ferroptosis via disruption of the antioxidant system, glutathione depletion, increase in polyunsaturated fats and accumulation of iron ions. Co-exposure of ferroptosis inhibitor (Fer-1) effectively rescues the morphological abnormalities of the heart. After exposing adult zebrafish to low concentration 2-hATQ for 28 days, ventricular morphology was reduced and internal structures showed partial vacuolation and fibrosis. This study reveals for the first time the negative influence of 2-hATQ exposure on the cardiac development of aquatic organisms and this discovery may offer significant insights and references for an in-depth understanding of 2-hATQ and other ANT-related environmental risk substances.