Jiangsu Key Laboratory of TCM Evaluation and Translational Research, School of Traditional Chinese Pharmacy, China Pharmaceutical University, Nanjing, China.
Jiangsu Key Laboratory of TCM Evaluation and Translational Research, School of Traditional Chinese Pharmacy, China Pharmaceutical University, Nanjing, China.
Biomed Pharmacother. 2019 May;113:108780. doi: 10.1016/j.biopha.2019.108780. Epub 2019 Mar 16.
Captopril (Cap) as angiotensin-converting enzyme inhibitor (ACEi) is commonly used to treat hypertension and some types of congestive heart failure. However, few studies reported on whether Cap exerts a protective effect on myocardial apoptosis induced by transverse aortic constriction (TAC). This study aimed at investigating the possible mechanism of Cap on myocardial apoptosis induced by pressure overload. Results showed that Cap significantly decreased heart-to-body weight ratios (HBWR). Cap markedly improved cardiac function, and reduced inner diameter of ascending aorta (Asc Ao) in TAC mice as shown by echocardiography. Enzyme-linked immunosorbent assay (ELISA) results demonstrated that Cap treatment also markedly decreased the level of N-terminal pro-B-type natriuretic peptide (NT-proBNP), atrial natriuretic peptide (ANP), tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6). Cardiac pathological changes and fibrosis have been improved after Cap treatment as shown by hematoxylin-eosin (H&E) staining and Masson's trichrome staining. Moreover, Terminal deoxynucleotidyl transferase-mediated dexoxyuridine triphosphate nick-end labeling (TUNEL) staining result indicated Cap treatment also significantly inhibited cardiac apoptosis. Western Blot results showed that Cap obviously decreased the expression of cleaved capase-3, Bax, phosphorylated Jak2 (p-Jak2), phosphorylated Stat3 (p-Stat3), Wnt3a and β-catenin proteins, as well as increased Bcl-2 expression. In conclusion, Cap showed a protective effect on TAC-induced cardiac apoptosis, which could be attributed to the inhibition of Wnt3a/β-catenin signaling pathway. Cap also attenuated myocardial hypertrophy induced by TAC via suppression of Jak2/Stat3 pathway.
卡托普利(Cap)作为血管紧张素转换酶抑制剂(ACEi),常用于治疗高血压和某些类型的充血性心力衰竭。然而,很少有研究报道 Cap 是否对主动脉缩窄(TAC)引起的心肌细胞凋亡有保护作用。本研究旨在探讨 Cap 对压力超负荷诱导的心肌细胞凋亡的可能作用机制。结果表明,Cap 可显著降低心脏重量与体重比值(HBWR)。Cap 明显改善了 TAC 小鼠的心脏功能,并通过超声心动图降低了升主动脉内径(Asc Ao)。酶联免疫吸附试验(ELISA)结果表明,Cap 治疗还显著降低了 N 端脑钠肽前体(NT-proBNP)、心房利钠肽(ANP)、肿瘤坏死因子-α(TNF-α)和白细胞介素-6(IL-6)的水平。Cap 治疗后心脏病理变化和纤维化得到改善,苏木精-伊红(H&E)染色和 Masson 三色染色结果显示。此外,末端脱氧核苷酸转移酶介导的脱氧尿苷三磷酸缺口末端标记(TUNEL)染色结果表明 Cap 治疗也显著抑制了心脏细胞凋亡。Western Blot 结果表明,Cap 明显降低了 cleaved capase-3、Bax、磷酸化 Jak2(p-Jak2)、磷酸化 Stat3(p-Stat3)、Wnt3a 和β-catenin 蛋白的表达,同时增加了 Bcl-2 的表达。综上所述,Cap 对 TAC 诱导的心脏细胞凋亡具有保护作用,这可能归因于对 Wnt3a/β-catenin 信号通路的抑制。Cap 还通过抑制 Jak2/Stat3 通路减轻了 TAC 引起的心肌肥大。