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中药益气活血对糖尿病心肌病中心肌细胞功能具有保护作用。

The Chinese Herb Yi-Qi-Huo-Xue Protects Cardiomyocyte Function in Diabetic Cardiomyopathy.

作者信息

Wang Xiangsheng, Huang Jing, Wang Shengyi, Ni Qing

机构信息

Jining Traditional Chinese Medicine Hospital, Jining, Shandong 273100, China.

Beijing No. 1 Hospital of Integrated Traditional Chinese and Western Medicine, Beijing 100026, China.

出版信息

Evid Based Complement Alternat Med. 2018 May 6;2018:7316840. doi: 10.1155/2018/7316840. eCollection 2018.

Abstract

To study the effect of the Chinese herb Yi-qi-huo-xue on cardiomyopathy in diabetic rats. . Rats were fed a high fat and high glucose diet and injected with 50 ml/kg streptozotocin (STZ) to induce diabetic cardiomyopathy (DCM), followed by treatment with Yi-qi-huo-xue for 4 weeks. We measured the rats' heart weight index, observed the myocardial morphology using hematoxylin eosin (HE) staining, and determined the content of collagen types I and III in the myocardium using enzyme-linked immunosorbent assay (ELISA). We determined Bcl-2, Bax, and P53 protein expression by Western blot analysis and the cardiomyocyte apoptosis rate via a flow cytometry assay. Compared with the rats in the control group, the diabetic rats gained weight and had increased blood sugar levels, an enhanced heart weight index, and increased myocardial pathophysiological damage. There was a decrease in their Bcl-2 expression, and their Bax and P53 expression increased. The Bcl-2/Bax ratio was enhanced, and there was an increase in the content of collagen types I and III in the myocardium. After treatment with Yi-qi-huo-xue, all levels listed above returned to normal. The Chinese herb Yi-qi-huo-xue degraded the myocardial interstitial collagen types I and III to protect the myocardium of the diabetic rats, thus delaying the role of myocardial fibrosis. Yi-qi-huo-xue could play an important role in protecting the myocardium of DCM rats by enhancing the expression of the Bcl-2 protein, inhibiting the expression of the Bax and P53 proteins, increasing the ratio of Bcl-2/Bax, and inhibiting the apoptosis of cardiomyocytes.

摘要

研究中药益气活血对糖尿病大鼠心肌病的影响。将大鼠喂食高脂高糖饮食,并注射50 ml/kg链脲佐菌素(STZ)以诱导糖尿病性心肌病(DCM),随后用益气活血治疗4周。我们测量了大鼠的心脏重量指数,使用苏木精伊红(HE)染色观察心肌形态,并使用酶联免疫吸附测定(ELISA)法测定心肌中I型和III型胶原蛋白的含量。通过蛋白质印迹分析确定Bcl-2、Bax和P53蛋白表达,并通过流式细胞术测定心肌细胞凋亡率。与对照组大鼠相比,糖尿病大鼠体重增加、血糖水平升高、心脏重量指数增强且心肌病理生理损伤增加。其Bcl-2表达降低,Bax和P53表达增加。Bcl-2/Bax比值升高,心肌中I型和III型胶原蛋白含量增加。用益气活血治疗后,上述所有指标均恢复正常。中药益气活血可降解心肌间质I型和III型胶原蛋白,保护糖尿病大鼠心肌,从而延缓心肌纤维化作用。益气活血可通过增强Bcl-2蛋白表达、抑制Bax和P53蛋白表达、增加Bcl-2/Bax比值以及抑制心肌细胞凋亡,在保护DCM大鼠心肌方面发挥重要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bee/5960524/76a628e39467/ECAM2018-7316840.001.jpg

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