Department of Cardiovascular Medicine, The Third Affiliated Hospital of Zunyi Medical University (The First People's Hospital of Zunyi), China.
Adv Clin Exp Med. 2021 Jun;30(6):607-616. doi: 10.17219/acem/134021.
Myocardial ischemia/reperfusion injury (MIRI) usually induces serious health problems.
This study attempted to explore protective effects of (-)-epigallocatechin-3-gallate (EGCG) on MIRI and the associated mechanism.
Ischemia/reperfusion of an isolated rat heart (I/R model) and the MIRI model were used in this study. Myocardial infarction was measured with staining with 2,3,5-triphenyltetrazolium chloride (TTC). Ca2+ and troponin T (TnT) concentrations in coronary perfusion fluid were evaluated using the chromatometry method. Ca2+ concentration in cardiomyocytes was determined with detecting Ca2+ fluorescence intensity. The ultrastructure of cardiomyocytes was observed using transmission electron microscopy (TEM). β-nicotinamide adenine dinucleotide (NAD+) of cardiomyocytes was also determined.
The EGCG (I/R+EGCG) significantly reduced myocardial infarction size of isolated rat heart compared to I/R rats (p < 0.05), remarkably increased Ca2+ and decreased TnT concentrations in coronary perfusion fluid of I/R rats compared to the I/R model (p < 0.05), as well as markedly decreased intracellular Ca2+ concentration and promoted NAD+ concentration in cardiomyocytes compared to I/R rats (p < 0.05). It also obviously maintained the mitochondrial structure in cardiomyocytes of I/R rats and improved the ultrastructure of cardiomyocytes of MIRI rats. Lonidamine (LND) treatment (I/R+EGCG+LND group) significantly blocked the effects of EGCG on I/R injury compared to the I/R+EGCG group (p < 0.05). The EGCG (MIRI+EGCG) significantly decreased myocardial infarction size compared to MIRI rats (p < 0.05) and remarkably enhanced Ca2+ and reduced TnT concentrations in the pulmonary artery compared to that of MIRI rats (p < 0.05).
The EGCG decreased myocardial infarction size in both I/R models and MIRI models by reducing intracellular Ca2+ concentration, increasing TnT concentration, promoting NAD+ concentration, and improving the ultrastructure of cardiomyocytes.
心肌缺血再灌注损伤(MIRI)通常会引发严重的健康问题。
本研究试图探讨表没食子儿茶素没食子酸酯(EGCG)对 MIRI 的保护作用及其相关机制。
本研究采用离体大鼠心脏缺血/再灌注(I/R 模型)和 MIRI 模型。用 2,3,5-三苯基氯化四氮唑(TTC)染色测量心肌梗死。用色谱法评估冠状动脉灌流液中的 Ca2+和肌钙蛋白 T(TnT)浓度。用检测 Ca2+荧光强度的方法测定心肌细胞内 Ca2+浓度。用透射电子显微镜(TEM)观察心肌细胞的超微结构。还测定了心肌细胞中的β-烟酰胺腺嘌呤二核苷酸(NAD+)。
与 I/R 大鼠相比,EGCG(I/R+EGCG)显著降低了离体大鼠心脏的心肌梗死面积(p<0.05),显著增加了 I/R 大鼠冠状动脉灌流液中的 Ca2+浓度,降低了 TnT 浓度(p<0.05),同时显著降低了心肌细胞内 Ca2+浓度,促进了 NAD+浓度(p<0.05)。与 I/R 大鼠相比,它还明显维持了 I/R 大鼠心肌细胞的线粒体结构,改善了 MIRI 大鼠的心肌细胞超微结构。用 Lonidamine(LND)处理(I/R+EGCG+LND 组)与 I/R+EGCG 组相比,明显阻断了 EGCG 对 I/R 损伤的作用(p<0.05)。与 MIRI 大鼠相比,EGCG(MIRI+EGCG)显著降低了心肌梗死面积(p<0.05),显著增加了肺动脉中的 Ca2+浓度,降低了 TnT 浓度(p<0.05)。
EGCG 通过降低细胞内 Ca2+浓度、增加 TnT 浓度、促进 NAD+浓度和改善心肌细胞超微结构,减少 I/R 模型和 MIRI 模型中的心肌梗死面积。