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改良益气汤对大鼠心肌缺血再灌注损伤具有保护作用。

The modified Yi qi decoction protects cardiac ischemia-reperfusion induced injury in rats.

作者信息

Yu Xiao, Zhao Xiao-Dong, Bao Rong-Qi, Yu Jia-Yu, Zhang Guo-Xing, Chen Jing-Wei

机构信息

Laboratory of Cancer Molecular Genetics, Medical College of Soochow University, 199 Ren-Ai Road, Dushu Lake Campus, Suzhou Industrial Park, Suzhou, 215123, People's Republic of China.

Department of Internal Medicine, the Affiliated Suzhou Chinese Traditional Medicine Hospital, Nanjing University of Chinese Medicine, 18 Yang-Su Road, Suzhou, 215003, People's Republic of China.

出版信息

BMC Complement Altern Med. 2017 Jun 21;17(1):330. doi: 10.1186/s12906-017-1829-6.

Abstract

BACKGROUND

To investigate the effects and involved mechanisms of the modified Yi Qi decoction (MYQ) in cardiac ischemia-reperfusion (IR) induced injury.

METHODS

Male Sprague-Dawley rats were subjected to a 30-min coronary arterial occlusion followed by reperfusion, low or high dose decoction of MYQ was administrated orally for 1 week or 1 month.

RESULTS

Both in 1 week and 1 month IR rat groups, cardiac function indexes were significantly impaired compared with sham group rats, accompanied with higher ratio of infarct size to risk size, decreased expressions of sodium calcium exchanger (NCX1) and sarcoplasmic reticulum Ca-ATPase (Serca2a), and different expressions of autophagic proteins, Beclin-1 and LC3. Treatment with MYQ (low or high dose) for 1 week showed no marked beneficial effects on cardiac function and cardiac injury (ratio of infarct size to risk size), although expressions of anti-apoptotic protein, Bcl-2, NCX1 and Serca2a were increased. Treatment with MYQ (low or high dose) for 1 month showed significantly improved effects on cardiac function and cardiac injury (ratio of infarct size to risk size), accompanied with increase of Bcl-2, NCX1 and Serca2a expressions, and decrease of Bax (a pro-apoptotic protein) and Beclin-1 expressions.

CONCLUSIONS

The results show that MYQ have potential therapeutic effects on IR-induced cardiac injury, which may be through regulation of apoptotic proteins, cytosolic Ca handling proteins and autophagic proteins signal pathways.

摘要

背景

探讨加味益气汤(MYQ)对心脏缺血再灌注(IR)损伤的影响及其作用机制。

方法

雄性Sprague-Dawley大鼠接受30分钟冠状动脉闭塞后再灌注处理,分别给予低剂量或高剂量的MYQ水煎剂口服1周或1个月。

结果

在1周和1个月的IR大鼠组中,与假手术组大鼠相比,心脏功能指标均显著受损,梗死面积与危险面积之比更高,钠钙交换体(NCX1)和肌浆网钙ATP酶(Serca2a)表达降低,自噬蛋白Beclin-1和LC3表达不同。给予MYQ(低剂量或高剂量)治疗1周对心脏功能和心脏损伤(梗死面积与危险面积之比)无明显有益影响,尽管抗凋亡蛋白Bcl-2、NCX1和Serca2a的表达增加。给予MYQ(低剂量或高剂量)治疗1个月对心脏功能和心脏损伤(梗死面积与危险面积之比)有显著改善作用,同时伴有Bcl-2、NCX1和Serca2a表达增加,促凋亡蛋白Bax和Beclin-1表达降低。

结论

结果表明,MYQ对IR诱导的心脏损伤具有潜在治疗作用,可能是通过调节凋亡蛋白、胞质钙处理蛋白和自噬蛋白信号通路实现的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d242/5480198/c0f12ffb7372/12906_2017_1829_Fig1_HTML.jpg

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