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汉黄芩苷通过抑制凋亡、炎症和纤维化,调节Nrf2/HO-1信号通路,对缺血/再灌注诱导的心肌损伤具有保护作用。

Wogonoside preserves against ischemia/reperfusion-induced myocardial injury by suppression of apoptosis, inflammation, and fibrosis modulating Nrf2/HO-1 pathway.

作者信息

Zhang Bingshan, Xu Di

机构信息

Department of Geriatrics, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, PR China.

Department of Geriatrics, the First Affiliated Hospital of Nanjing Medical University, Nanjing, PR China.

出版信息

Immunopharmacol Immunotoxicol. 2022 Dec;44(6):877-885. doi: 10.1080/08923973.2022.2090955. Epub 2022 Jul 6.

Abstract

OBJECTIVE

Myocardial ischemia/reperfusion (I/R) injury occurs after restoring blood supply, which brings about extra damage to heart tissue. Thus, exploring protection measures and underlying mechanisms appear to be particularly important. In this study, we investigated the cardioprotection of wogonoside against I/R injury in mice and further uncovered its mechanism.

METHODS

Mice model of myocardial I/R injury was established by left anterior descending coronary artery (LAD). Before modeling, mice were administered the wogonoside (10, 20, and 40 mg/kg) for 7 d. To evaluate the effect of wogonoside through nuclear factor E2-associated factor 2/heme oxygenase-1 (Nrf2/HO-1) pathway, sh-Nrf2 was transfected into wogonoside-treated I/R mice. Subsequently, echocardiography detection, HE staining, western blotting, ELISA, TUNEL assay, and MASSON assay were utilized to evaluate the degree of myocardial injury.

RESULTS

In I/R group, mice had severe myocardial injury, however, pretreatment of wogonoside at doses of 20 and 40 mg/kg ameliorated the cardiac function, as evidenced by improving hemodynamic parameters. Besides, wogonoside could relieved the abnormality of cardiomyocytes structure, inflammatory reaction, apoptosis, and myocardial fibrosis. Importantly, wogonoside activated the Nrf2/HO-1 pathway, as demonstrated by increasing Nrf2 expression in nucleus and its downstream genes including HO-1 and NADPH quinone oxidoreductase-1 (NQO1). However, effects of wogonoside on cardioprotection were abolished by sh-Nrf2.

CONCLUSIONS

Wogonoside exerted the protective role against I/R-induced myocardial injury by suppression of apoptosis, inflammation, and fibrosis activating Nrf2/HO-1 pathway.

摘要

目的

心肌缺血/再灌注(I/R)损伤发生在恢复血液供应之后,会给心脏组织带来额外损伤。因此,探索保护措施及其潜在机制显得尤为重要。在本研究中,我们研究了汉黄芩苷对小鼠I/R损伤的心脏保护作用,并进一步揭示其机制。

方法

通过左冠状动脉前降支(LAD)建立小鼠心肌I/R损伤模型。在建模前,给小鼠连续7天给予汉黄芩苷(10、20和40mg/kg)。为了通过核因子E2相关因子2/血红素加氧酶-1(Nrf2/HO-1)途径评估汉黄芩苷的作用,将sh-Nrf2转染到经汉黄芩苷处理的I/R小鼠体内。随后,利用超声心动图检测、HE染色、蛋白质免疫印迹法、酶联免疫吸附测定、TUNEL检测和MASSON检测来评估心肌损伤程度。

结果

在I/R组中,小鼠有严重的心肌损伤,然而,20和40mg/kg剂量的汉黄芩苷预处理改善了心脏功能,血流动力学参数的改善证明了这一点。此外,汉黄芩苷可以缓解心肌细胞结构异常、炎症反应、细胞凋亡和心肌纤维化。重要的是,汉黄芩苷激活了Nrf2/HO-1途径,表现为细胞核中Nrf2表达及其下游基因包括HO-1和NADPH醌氧化还原酶-1(NQO1)增加。然而,sh-Nrf2消除了汉黄芩苷对心脏的保护作用。

结论

汉黄芩苷通过抑制细胞凋亡、炎症和纤维化以及激活Nrf2/HO-1途径,对I/R诱导的心肌损伤发挥保护作用。

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