Department of Cardiac Surgery, Tianjin Chest Hospital, Tianjin, 300222, China.
Tianjin Key Laboratory of Acute Abdomen Disease Associated Organ Injury and ITCWM Repair, Tianjin Nankai Hospital, Tianjin, 300100, China.
Eur J Pharmacol. 2021 Dec 15;913:174644. doi: 10.1016/j.ejphar.2021.174644. Epub 2021 Nov 19.
The mortality of sepsis-induced cardiac dysfunction (SICD) is very high due to the complex pathophysiological mechanism. Syringaresinol (SYR) is a natural abstract which possesses anti-inflammatory property. The present study aims was to identify the protective impact of SYR on sepsis-induced cardiac dysfunction and investigate the specific mechanisms. We found that SYR improved the cardiac function and alleviated myocardial injury in mice that subjected to cecal ligation and puncture, in addition, SIRT1 expression was significantly elevated after SYR treatment compared to sepsis group both in vivo and in vitro, along with suppression of NLRP3 activation and proinflammatory cytokines release. However, SIRT1 inhibitor EX427 abolished the impact of SYR on LPS-induced pyroptosis in cardiomyocytes. Furthermore, molecular docking analysis predicted that there is high affinity between SYR and estrogen receptor (ER), ER inhibitor ICI182780, the specific ERβ inhibitor PHTP and the specific ERαinhibitor AZD9496 were used to examine the role of ER in the protective effect of SYR against SICD, and the results suggested that ER activation was essential for the cardioprotective function of SYR. In conclusion, SYR ameliorates SICD via the ER/SIRT1/NLRP3/GSDMD pathway.
脓毒症诱导性心功能障碍(SICD)的死亡率非常高,这是由于其复杂的病理生理机制。丁香树脂酚(SYR)是一种具有抗炎特性的天然抽象物。本研究旨在确定 SYR 对脓毒症诱导性心功能障碍的保护作用,并探讨其具体机制。我们发现,SYR 改善了结扎和穿刺盲肠的小鼠的心脏功能并减轻了心肌损伤,此外,与脓毒症组相比,SYR 处理后体内和体外的 SIRT1 表达均明显升高,同时抑制 NLRP3 激活和促炎细胞因子释放。然而,SIRT1 抑制剂 EX427 消除了 SYR 对 LPS 诱导的心肌细胞细胞焦亡的影响。此外,分子对接分析预测 SYR 与雌激素受体(ER)之间具有很高的亲和力,使用 ER 抑制剂 ICI182780、特定的 ERβ抑制剂 PHTP 和特定的 ERα抑制剂 AZD9496 来研究 ER 在 SYR 对 SICD 的保护作用中的作用,结果表明 ER 激活对于 SYR 的心脏保护功能至关重要。总之,SYR 通过 ER/SIRT1/NLRP3/GSDMD 途径改善 SICD。