Xie Xiao-Jiang, Li Chang-Qing
Department of Cardiology, Inner Mongolia Medical University Affiliated Hospital, Hohhot, Inner Mongolia, China (mainland).
Med Sci Monit. 2020 Oct 12;26:e926392. doi: 10.12659/MSM.926392.
BACKGROUND Acute heart failure (AHF) usually requires urgent therapy. Myocardial damage, oxidative stress, and inflammation are major components in the pathology of AHF. This study was designed to investigate the effects of chrysophanol on AHF. MATERIAL AND METHODS Sprague-Dawley rats were injected with isoprenaline hydrochloride to construct AHF rat models. AHF rats were treated with normal saline (negative control), chrysophanol, the combination of chrysophanol and SP600125, or benazepril (positive control) using sham rats as blank controls. Echocardiography, histological staining, and enzyme activity analysis were performed to assess the heart functions and myocardial damage. Effects on apoptosis, oxidative stress (OS), and inflammation were evaluated by biochemical analysis, TUNEL staining, and ELISA. RESULTS Chrysophanol improved the parameters of cardiac functions and alleviated the myocardial damage accompanied by the reduction of creatine kinase and lactate dehydrogenase activity. Meanwhile, chrysophanol inhibited the myocardial apoptosis along with the upregulation of Bcl-2 and downregulation of Bax and cleaved caspase-3. AHF-induced abnormal changes of OS parameters (MDA, GPx, CAT, SOD) and inflammatory markers (IL-6, IL-1ß, TNF-alpha, IFN-γ) were alleviated by chrysophanol. Benazepril treatment showed similar results with chrysophanol, while the addition of SP600125 enhanced the chrysophanol-mediated protection effects in AHF rats. Western blot analysis demonstrated that chrysophanol inhibited the phosphorylation of JNK1/2 and its upstream/downstream factors. CONCLUSIONS Chrysophanol improved cardiac functions and protected against myocardial damage, apoptosis, OS, and inflammation by inhibiting activation of the JNK1/2 pathway in AHF rat models. These finding indicate that chrysophanol may be a promising approach for treatment of AHF.
背景 急性心力衰竭(AHF)通常需要紧急治疗。心肌损伤、氧化应激和炎症是AHF病理过程中的主要组成部分。本研究旨在探讨大黄酚对AHF的影响。
材料与方法 给Sprague-Dawley大鼠注射盐酸异丙肾上腺素以构建AHF大鼠模型。以假手术大鼠作为空白对照,将AHF大鼠分别用生理盐水(阴性对照)、大黄酚、大黄酚与SP600125的组合或贝那普利(阳性对照)进行治疗。通过超声心动图、组织学染色和酶活性分析来评估心脏功能和心肌损伤。通过生化分析、TUNEL染色和ELISA评估对细胞凋亡、氧化应激(OS)和炎症的影响。
结果 大黄酚改善了心脏功能参数,减轻了心肌损伤,同时伴有肌酸激酶和乳酸脱氢酶活性的降低。此外,大黄酚抑制了心肌细胞凋亡,同时上调了Bcl-2,下调了Bax和裂解的caspase-3。大黄酚减轻了AHF诱导的OS参数(丙二醛、谷胱甘肽过氧化物酶、过氧化氢酶、超氧化物歧化酶)和炎症标志物(白细胞介素-6、白细胞介素-1β、肿瘤坏死因子-α、干扰素-γ)的异常变化。贝那普利治疗与大黄酚显示出相似的结果,而添加SP600125增强了大黄酚对AHF大鼠的保护作用。蛋白质免疫印迹分析表明,大黄酚抑制了JNK1/2及其上游/下游因子的磷酸化。
结论 在AHF大鼠模型中,大黄酚通过抑制JNK1/2通路的激活改善了心脏功能,保护心肌免受损伤、细胞凋亡、OS和炎症的影响。这些发现表明大黄酚可能是一种有前景的AHF治疗方法。