Zhang Y, Zhao N A, Wang J K, Zhu S M, Zhu H L, Liu B, Cui Q W, Guan G C, Tian G
First Department of Cardiology, Shaanxi Provincial People's Hospital, Third Affiliated Hospital of Medical College of Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Minerva Cardioangiol. 2015 Dec;63(6):507-14.
Cardiac fibrosis is an important pathological process of cardiac remodeling. A large number of studies have shown that telmisartan can attenuate cardiac fibrosis through acting on angiotensin II 1 receptor (AT1R), and TGF-β 1/Smad signaling molecule is an important pathway to achieve this effect. The aim of the study was to clarify whether, with excessive activation of RAAS system, telmisartan could also directly target TGF-β 1/Smad signaling pathway to have the function of anti-cardiac fibrosis.
In this study, neonatal rat cardiac fibroblasts were cultured and AngII or TGF-β 1 was administered for treatment or pre-incubation, and then telmisartan was used for 24 hours' incubation. Western blot and enzyme-linked immunosorbent assay (ELISA) tests were performed to detect protein expressions.
The results showed that telmisartan could inhibit collagen synthesis and collagen metabolic imbalance under the effect of Ang II, but telmisartan could not have such function in TGF-β 1-induced cardiac fibroblasts. It was further confirmed by western blot method that telmisartan could inhibit TGF-β 1/Smad signaling molecule expression under the effect of Ang II, but telmisartan had no effect on TGF-β 1-induced Smad signaling molecule expression.
According to the present study telmisartan played a role of anticardiac fibrosis without directly targeting TGF-β 1/Smad signaling pathway molecule.
心脏纤维化是心脏重塑的重要病理过程。大量研究表明,替米沙坦可通过作用于血管紧张素II 1型受体(AT1R)减轻心脏纤维化,而TGF-β 1/Smad信号分子是实现这一效应的重要途径。本研究旨在阐明在肾素-血管紧张素-醛固酮系统(RAAS)过度激活的情况下,替米沙坦是否也能直接作用于TGF-β 1/Smad信号通路发挥抗心脏纤维化作用。
本研究培养新生大鼠心脏成纤维细胞,给予血管紧张素II(AngII)或TGF-β 1进行处理或预孵育,然后用替米沙坦孵育24小时。采用蛋白质印迹法和酶联免疫吸附测定(ELISA)检测蛋白表达。
结果显示,替米沙坦可在Ang II作用下抑制胶原蛋白合成及胶原蛋白代谢失衡,但在TGF-β 1诱导的心脏成纤维细胞中替米沙坦无此作用。蛋白质印迹法进一步证实,替米沙坦可在Ang II作用下抑制TGF-β 1/Smad信号分子表达,但对TGF-β 1诱导的Smad信号分子表达无影响。
根据本研究,替米沙坦发挥抗心脏纤维化作用并非直接作用于TGF-β 1/Smad信号通路分子。