Zhang Wei, Li Kailiang, Ding Yu, Ren Jiefeng, Wang Haijun, Si Quanjin
Geriatric Cardiology Department of the Second Medical Center and National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing, China.
Front Physiol. 2021 Jan 13;11:595760. doi: 10.3389/fphys.2020.595760. eCollection 2020.
This study aimed to investigate the protective effect of Xinmailong injection on rats with myocardial infarction. Thirty-six rats were induced myocardial infarction by operation, and six underwent sham operation. The myocardial infarction rats were randomly divided into three groups, 12 in each, and administered intraperitoneal injection of Xinmailong 5 mg/(kg·d), sodium creatine phosphate 80 mg/(kg·d), or normal saline as control respectively for 14 days. When the treatments were completed, the hemodynamic parameters of the rats were observed, and blood samples were taken to examine blood routine, blood coagulation index, liver and kidney function, inflammatory index, myocardial marker, thrombo-elastography, and other indicators. The morphology of cardiomyocytes was observed through light microscopy, and the microstructure of the myocardial cells was observed under electron microscope. No significant difference was found in blood routine, liver and kidney function, and blood coagulation index between the Xinmailong and sodium creatine phosphate groups compared with the saline control group. However, the inflammatory index and levels of myocardial markers were significantly decreased, and cardiac function was significantly improved. In terms of the morphology of myocardial cells, the Xinmailong group was similar to the sodium creatine phosphate group, the myocardial cell membrane was protected, and myocardial cell damage was reduced. In conclusion, Xinmailong is safe and had anti-inflammatory, heart-improving, and myocardial-protective effects. Its effectiveness is not inferior to that of sodium creatine phosphate.
本研究旨在探讨心脉隆注射液对心肌梗死大鼠的保护作用。36只大鼠通过手术诱导心肌梗死,6只进行假手术。将心肌梗死大鼠随机分为三组,每组12只,分别腹腔注射心脉隆5mg/(kg·d)、磷酸肌酸钠80mg/(kg·d)或生理盐水作为对照,连续给药14天。治疗结束后,观察大鼠的血流动力学参数,并采集血样检测血常规、凝血指标、肝肾功能、炎症指标、心肌标志物、血栓弹力图等指标。通过光学显微镜观察心肌细胞形态,在电子显微镜下观察心肌细胞的微观结构。与生理盐水对照组相比,心脉隆组和磷酸肌酸钠组在血常规、肝肾功能及凝血指标方面无显著差异。然而,炎症指标和心肌标志物水平显著降低,心功能显著改善。在心肌细胞形态方面,心脉隆组与磷酸肌酸钠组相似,心肌细胞膜得到保护,心肌细胞损伤减轻。综上所述,心脉隆安全有效,具有抗炎、强心及心肌保护作用,其疗效不低于磷酸肌酸钠。