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辛伐他汀可保护肺动脉高压诱导的右心衰竭中的心脏功能和心肌能量代谢。

Simvastatin protects heart function and myocardial energy metabolism in pulmonary arterial hypertension induced right heart failure.

作者信息

Tang Bi, Kang Pinfang, Zhu Lei, Xuan Ling, Wang Hongju, Zhang Heng, Wang Xiaojing, Xu Jiali

机构信息

Department of Cardiovascular Medicine, The First Affiliated Hospital of Bengbu Medical College, Bengbu, 233004, Anhui, People's Republic of China.

Clinical and Basic Provincial Laboratory of Respiratory System Diseases of Anhui Province, The First Affiliated Hospital of Bengbu Medical College, Bengbu, 233004, Anhui, People's Republic of China.

出版信息

J Bioenerg Biomembr. 2021 Feb;53(1):1-12. doi: 10.1007/s10863-020-09867-z. Epub 2021 Jan 4.

Abstract

The favorable effect of simvastatin on pulmonary arterial hypertension (PAH) has been well defined despite the unknown etiology of PAH. However, whether simvastatin exerts similar effects on PAH induced right heart failure (RHF) remains to be determined. We aimed to investigate the function of simvastatin in PAH induced RHF. Rats in the RHF and simvastatin groups were injected intraperitoneally with monocrotaline to establish PAH-induced RHF model. The expression of miR-21-5p in rat myocardium was detected and miR-21-5p expression was inhibited using antagomiRNA. The effect of simvastatin on hemodynamic indexes, ventricular remodeling of myocardial tissues, myocardial energy metabolism, and calmodulin was explored. Dual-luciferase reporter system was used to verify the binding relationship between miR-21-5p and Smad7. In addition, the regulatory role of simvastatin in Smad7, TGFBR1 and Smad2/3 was investigated. Simvastatin treatment improved hemodynamic condition, myocardial tissue remodeling, and myocardial energy metabolism, as well as increasing calmodulin expression in rats with PAH-induced RHF. After simvastatin treatment, the expression of miR-21-5p in myocardium of rats was decreased significantly. miR-21-5p targeted Smad7 and inhibited the expression of Smad7. Compared with RHF rats, the expressions of TGFBR1 and Smad2/3 in myocardium of simvastatin-treated rats were decreased significantly. Collectively, we provided evidence that simvastatin can protect ATPase activity and maintain myocardial ATP energy reserve through the miR-21-5p/Smad/TGF-β axis, thus ameliorating PAH induced RHF.

摘要

尽管肺动脉高压(PAH)的病因不明,但辛伐他汀对PAH的有益作用已得到明确证实。然而,辛伐他汀对PAH诱导的右心衰竭(RHF)是否具有类似作用仍有待确定。我们旨在研究辛伐他汀在PAH诱导的RHF中的作用。RHF组和辛伐他汀组大鼠腹腔注射野百合碱以建立PAH诱导的RHF模型。检测大鼠心肌中miR-21-5p的表达,并使用抗miRNA抑制miR-21-5p表达。探讨辛伐他汀对血流动力学指标、心肌组织心室重构、心肌能量代谢和钙调蛋白的影响。采用双荧光素酶报告系统验证miR-21-5p与Smad7之间的结合关系。此外,研究了辛伐他汀对Smad7、TGFBR1和Smad2/3的调节作用。辛伐他汀治疗改善了PAH诱导的RHF大鼠的血流动力学状况、心肌组织重构和心肌能量代谢,并增加了钙调蛋白的表达。辛伐他汀治疗后,大鼠心肌中miR-21-5p的表达显著降低。miR-21-5p靶向Smad7并抑制Smad7的表达。与RHF大鼠相比,辛伐他汀治疗的大鼠心肌中TGFBR1和Smad2/3的表达显著降低。总体而言,我们提供了证据表明辛伐他汀可通过miR-21-5p/Smad/TGF-β轴保护ATP酶活性并维持心肌ATP能量储备,从而改善PAH诱导的RHF。

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