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药用植物对异丙肾上腺素诱导的大鼠心力衰竭的治疗作用。

Therapeutic effects of medicinal plants on isoproterenol-induced heart failure in rats.

机构信息

Pharmaceutical Research Center, Pharmaceutical Technology Institute, Mashhad University of Medical Sciences, Mashhad, Iran; Cardiovascular Department, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Cardiovascular Department, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Biomed Pharmacother. 2021 Feb;134:111101. doi: 10.1016/j.biopha.2020.111101. Epub 2020 Dec 15.

Abstract

AIMS

Natural products still serves as a hope for some illnesses which modern medicine fails to cure. Many people, either knowing their effects or not, are using these herbal products. Treatment of chronic heart failure (CHF) is yet a complicated clinical challenge and there is need to improve or make new therapeutic targets. Finding new agents for CHF is an important subject in cardiovascular drug research. In this study, we evaluated the effects of ten herbals on treatment of CHF on isoproterenol-induced model.

METHODS AND RESULTS

Ninety-six male Wistar rats (16 weeks old) were used in 12 groups. Transthoracic echocardiography was performed on the rats for confirmation of CHF model by decreasing ejection fraction. After 4 weeks' treatment, hearts were removed and blood samples were collected in tubes to measure plasma levels of laboratory findings. Our results showed that the mean of ejection fraction in model rats was 51.82 ± 3.49 percent and all of our used natural products could significantly increase the ejection fraction (P < 0.01). The most effective herbals in improving the ejection fraction were Allium sativum (30.69 %), Peganum harmala (26.08 %) and Apium graveolens (24.09 %). The best results in decreasing NT-ProBNP, was obtained from Allium sativum, Peganum harmala and Berberis vulgaris respectively. Our results showed that none of natural products had toxic effect on renal and liver tissues.

CONCLUSION

Our results showed that Allium sativum, Peganum harmala and Berberis vulgaris could significantly improve cardiac function by improvement of left ventricular remodeling, lowering hs-CRP and NT-ProBNP and echocardiographic indexes without liver or renal side effects.

摘要

目的

天然产物仍然是一些现代医学无法治愈的疾病的希望。许多人,无论是知道它们的效果还是不知道,都在使用这些草药产品。慢性心力衰竭(CHF)的治疗仍然是一个复杂的临床挑战,需要改善或制定新的治疗靶点。寻找治疗 CHF 的新药物是心血管药物研究的一个重要课题。在这项研究中,我们评估了十种草药对异丙肾上腺素诱导的 CHF 模型的治疗作用。

方法和结果

96 只雄性 Wistar 大鼠(16 周龄)分为 12 组。通过降低射血分数,对大鼠进行经胸超声心动图检查,以确认 CHF 模型。治疗 4 周后,取出心脏,收集血液样本,测量实验室发现的血浆水平。我们的结果表明,模型大鼠的平均射血分数为 51.82±3.49%,我们使用的所有天然产物均可显著提高射血分数(P<0.01)。改善射血分数最有效的草药分别为大蒜(30.69%)、骆驼蓬(26.08%)和水芹(24.09%)。在降低 NT-ProBNP 方面,大蒜、骆驼蓬和小檗碱的效果最好。我们的结果表明,天然产物对肾脏和肝脏组织没有毒性作用。

结论

我们的结果表明,大蒜、骆驼蓬和小檗碱可通过改善左心室重构、降低 hs-CRP 和 NT-ProBNP 以及超声心动图指标,显著改善心脏功能,且无肝、肾副作用。

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