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热量限制通过调节 AMPK-SIRT-PGC 能量代谢通路增加老年心脏对心肌缺血/再灌注损伤的抵抗力。

Caloric restriction increases the resistance of aged heart to myocardial ischemia/reperfusion injury via modulating AMPK-SIRT-PGC energy metabolism pathway.

机构信息

1st Hospital of Shanxi Medical University, Shanxi Medical University, Taiyuan, Shanxi, China.

School of Public Health, Shanxi Medical University, Taiyuan, Shanxi, China.

出版信息

Sci Rep. 2023 Feb 4;13(1):2045. doi: 10.1038/s41598-023-27611-6.

Abstract

A large number of data suggest that caloric restriction (CR) has a protective effect on myocardial ischemia/reperfusion injury (I/R) in the elderly. However, the mechanism is still unclear. In this study, we created the I/R model in vivo by ligating the mice left coronary artery for 45 min followed by reperfusion. C57BL/6J wild-type mice were randomly divided into a young group fed ad libitum (y-AL), aged fed ad libitum (a-AL) and aged calorie restriction group (a-CR, 70% diet restriction), and fed for 6 weeks. The area of myocardial infarction was measured by Evan's blue-TTC staining, plasma cholesterol content quantified by ELISA, fatty acids and glucose measured by Langendorff working system, as well as protein expression of AMPK/SIRT/PGC signaling pathway related factors in myocardial tissue detected by immunoblotting. Our results showed that CR significantly reduced infarct size in elderly mice after I/R injury, promoted glycolysis regardless of I/R injury, and restored myocardial glucose uptake in elderly mice. Compared with a-AL group, CR significantly promoted the expression of p-AMPK, SIRT, p-PGC, and SOD, but decreased PPARγ expression in aged mice. In conclusion, our results suggest that CR protects elderly mice from I/R injury by altering myocardial substrate energy metabolism via the AMPK/SIRT/PGC pathway.

摘要

大量数据表明,热量限制(CR)对老年人心肌缺血/再灌注损伤(I/R)具有保护作用。然而,其机制尚不清楚。在本研究中,我们通过结扎小鼠左冠状动脉 45 分钟后再灌注,在体内创建了 I/R 模型。C57BL/6J 野生型小鼠被随机分为自由进食的年轻组(y-AL)、自由进食的老年组(a-AL)和老年热量限制组(a-CR,70%饮食限制),并喂养 6 周。通过 Evan's blue-TTC 染色测量心肌梗死面积,通过 ELISA 定量测定血浆胆固醇含量,通过 Langendorff 工作系统测量脂肪酸和葡萄糖,并用免疫印迹检测心肌组织中 AMPK/SIRT/PGC 信号通路相关因子的蛋白表达。我们的结果表明,CR 可显著减少 I/R 损伤后老年小鼠的梗死面积,促进糖酵解,且可恢复老年小鼠的心肌葡萄糖摄取。与 a-AL 组相比,CR 可显著促进老年小鼠中 p-AMPK、SIRT、p-PGC 和 SOD 的表达,但降低 PPARγ 的表达。总之,我们的结果表明,CR 通过改变 AMPK/SIRT/PGC 通路改变心肌底物能量代谢,从而保护老年小鼠免受 I/R 损伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18e7/9899227/59b52dfb981a/41598_2023_27611_Fig1_HTML.jpg

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