Department of Anaesthesiology, Wuhan Univ, Renmin Hospital, Wuhan 430060, Hubei, PR China.
Department of Anaesthesiology, Wuhan Univ, Renmin Hospital, Wuhan 430060, Hubei, PR China; Department of Anaesthesiology, The First Affiliated Hospital of Chongqing Medical University, PR China.
Biomed Pharmacother. 2023 Jul;163:114795. doi: 10.1016/j.biopha.2023.114795. Epub 2023 May 3.
Susceptibility to myocardial ischemia-reperfusion (IR) injury in type-2 diabetes (T2DM) remains disputed, although studies have reported that ferroptosis is associated with myocardial IR injury. Nobiletin, a flavonoid isolated from citrus peels, is an antioxidant that possesses anti-inflammatory and anti-diabetic activities. However, it remains unknown whether nobiletin has any protective effects on susceptibility to myocardial IR injury during T2DM in rats via ferroptosis. To investigate the effects and underlying mechanisms of nobiletin on myocardial IR injury during T2DM, we induced myocardial IR model in rats at T2DM onset vs mature disease. We also established a high-fat high-glucose (HFHG) and hypoxia-reoxygenation (H/R) model in H9c2 cells to imitate abnormal glycolipid metabolism during T2DM. Myocardial injury, oxidative stress and ferroptosis towards myocardial IR in rats with mature T2DM but not at T2DM onset were increased. These changes were restored under treatment with ferrostain-1 or nobiletin. Both ferrostain-1 and nobiletin decreased the expression of ferroptosis-related proteins including Acyl-CoA synthetase long chain family member 4 (ACSL4) and nuclear receptor coactivator 4 (NCOA4) but not glutathione peroxidase 4 (GPX4) in rats with mature T2DM and cells with HFHG and H/R injury. Nobiletin strengthened the effect of si-ACSL4 on inhibiting ACSL4 expression, and also inhibited the effect of Erastin or oe-ACSL4 on increasing ACSL4 expression. Taken together, our data indicates that ferroptosis involves in susceptibility to myocardial IR injury in rats during T2DM. Nobiletin has therapeutic potential for alleviating myocardial IR injury associated with ACSL4- and NCOA4-related ferroptosis.
在 2 型糖尿病(T2DM)中,对心肌缺血再灌注(IR)损伤的易感性仍然存在争议,尽管有研究报道铁死亡与心肌 IR 损伤有关。川陈皮素是一种从柑橘皮中分离出来的类黄酮,是一种具有抗氧化、抗炎和抗糖尿病作用的物质。然而,目前尚不清楚川陈皮素是否通过铁死亡对 T2DM 大鼠心肌 IR 损伤的易感性具有保护作用。为了研究川陈皮素对 T2DM 大鼠心肌 IR 损伤的作用及其机制,我们在 T2DM 发病期和成熟疾病期诱导大鼠心肌 IR 模型。我们还在 H9c2 细胞中建立了高脂高糖(HFHG)和缺氧复氧(H/R)模型,以模拟 T2DM 期间异常糖脂代谢。与 T2DM 发病期大鼠相比,成熟 T2DM 大鼠的心肌损伤、氧化应激和心肌 IR 铁死亡增加。用铁染色 1 或川陈皮素处理后,这些变化得到恢复。铁染色 1 和川陈皮素均降低了成熟 T2DM 大鼠和 HFHG 和 H/R 损伤细胞中与铁死亡相关的蛋白表达,包括酰基辅酶 A 合成酶长链家族成员 4(ACSL4)和核受体共激活因子 4(NCOA4),但不包括谷胱甘肽过氧化物酶 4(GPX4)。川陈皮素增强了 si-ACSL4 抑制 ACSL4 表达的作用,也抑制了 Erastin 或 oe-ACSL4 增加 ACSL4 表达的作用。综上所述,我们的数据表明,铁死亡参与了 T2DM 大鼠心肌 IR 损伤的易感性。川陈皮素具有缓解 ACSL4 和 NCOA4 相关铁死亡相关心肌 IR 损伤的治疗潜力。