School of Traditional Chinese Medicine, Department of Traditional Chinese Medicine, Nanfang Hospital (ZengCheng Branch), Southern Medical University, Guangzhou 510515, China.
School of Traditional Chinese Medicine, Department of Traditional Chinese Medicine, Nanfang Hospital (ZengCheng Branch), Southern Medical University, Guangzhou 510515, China; Department of Traditional Chinese Medicine, Binzhou Medical University Hospital, Binzhou 256603, China.
Int Immunopharmacol. 2021 Jul;96:107639. doi: 10.1016/j.intimp.2021.107639. Epub 2021 May 24.
Sepsis-induced myocardial dysfunction (SIMD) represents one of the serious complications secondary to sepsis, which is a leading cause of the high mortality rate among septic cases. Subsequent cardiomyocyte apoptosis, together with the uncontrolled inflammatory response, has been suggested to be closely related to SIMD. Piceatannol (PIC) is verified with potent anti-apoptotic and anti-inflammatory effects, but its function and molecular mechanism in SIMD remain unknown so far. This study aimed to explore the potential role and mechanism of action of PIC in resisting SIMD. The interaction of PIC with JAK2 proteins was evaluated by molecular docking, molecular dynamics (MD) simulation and surface plasmon resonance imaging (SPRi). The cecal ligation and puncture-induced septicemia mice and the LPS-stimulated H9C2 cardiomyocytes were prepared as the models in vivo and in vitro, separately. Molecular docking showed that JAK2-PIC complex had the -8.279 kcal/mol binding energy. MD simulations showed that JAK2-PIC binding was stable. SPRi analysis also showed that PIC has a strong binding affinity to JAK2. PIC treatment significantly ameliorated the cardiac function, attenuated the sepsis-induced myocardial loss, and suppressed the myocardial inflammatory responses both in vivo and in vitro. Further detection revealed that PIC inhibited the activation of the JAK2/STAT3 signaling, which was tightly associated with apoptosis and inflammation. Importantly, pre-incubation with a JAK2 inhibitor (AG490) partially blocked the cardioprotective effects of PIC. Collectively, the findings demonstrated that PIC restored the impaired cardiac function by attenuating the sepsis-induced apoptosis and inflammation via suppressing the JAK2/STAT3 pathway both in septic mice and H9C2 cardiomyocytes.
脓毒症诱导的心肌功能障碍(SIMD)是脓毒症继发的严重并发症之一,也是导致脓毒症患者高死亡率的主要原因。随后的心肌细胞凋亡,以及不受控制的炎症反应,被认为与 SIMD 密切相关。白藜芦醇(PIC)具有很强的抗凋亡和抗炎作用,但它在 SIMD 中的功能和分子机制至今仍不清楚。本研究旨在探讨 PIC 抵抗 SIMD 的潜在作用和机制。通过分子对接、分子动力学(MD)模拟和表面等离子体共振成像(SPRi)评估 PIC 与 JAK2 蛋白的相互作用。分别建立盲肠结扎穿孔诱导的脓毒症血症小鼠和 LPS 刺激的 H9C2 心肌细胞模型,用于体内和体外研究。分子对接显示 JAK2-PIC 复合物具有-8.279 kcal/mol 的结合能。MD 模拟显示 JAK2-PIC 结合稳定。SPRi 分析也表明 PIC 与 JAK2 具有很强的结合亲和力。PIC 治疗显著改善了心脏功能,减轻了脓毒症引起的心肌损失,并抑制了体内和体外的心肌炎症反应。进一步检测显示,PIC 抑制了 JAK2/STAT3 信号的激活,该信号与凋亡和炎症密切相关。重要的是,用 JAK2 抑制剂(AG490)预先孵育可部分阻断 PIC 的心脏保护作用。综上所述,这些发现表明,PIC 通过抑制 JAK2/STAT3 通路,减轻脓毒症引起的凋亡和炎症,恢复受损的心脏功能,在脓毒症小鼠和 H9C2 心肌细胞中均有作用。