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芦荟大黄素衍生物,一种蒽醌类化合物,通过靶向糖尿病心肌病中的NLRP3炎性小体减轻细胞焦亡。

Aloe-Emodin Derivative, an Anthraquinone Compound, Attenuates Pyroptosis by Targeting NLRP3 Inflammasome in Diabetic Cardiomyopathy.

作者信息

Hu Yingying, Zhang Shuqian, Lou Han, Mikaye Monayo Seth, Xu Run, Meng Ziyu, Du Menghan, Tang Pingping, Chen Zhouxiu, Chen Yongchao, Liu Xin, Du Zhimin, Zhang Yong

机构信息

Department of Pharmacology (The State-Province Key Laboratories of Biomedicine-Pharmaceutics of China, Key Laboratory of Cardiovascular Research, Ministry of Education), College of Pharmacy, Harbin Medical University, Harbin 150086, China.

Research Unit of Noninfectious Chronic Diseases in Frigid Zone, Chinese Academy of Medical Sciences, 2019RU070, Harbin 150081, China.

出版信息

Pharmaceuticals (Basel). 2023 Sep 8;16(9):1275. doi: 10.3390/ph16091275.

Abstract

Diabetic cardiomyopathy (DCM) is widely recognized as a major contributing factor to the development of heart failure in patients with diabetes. Previous studies have demonstrated the potential benefits of traditional herbal medicine for alleviating the symptoms of cardiomyopathy. We have chemically designed and synthesized a novel compound called aloe-emodin derivative (AED), which belongs to the aloe-emodin (AE) family of compounds. AED was formed by covalent binding of monomethyl succinate to the anthraquinone mother nucleus of AE using chemical synthesis techniques. The purpose of this study was to investigate the effects and mechanisms of AED in treating DCM. We induced type 2 diabetes in Sprague-Dawley (SD) rats by administering a high-fat diet and streptozotocin (STZ) injections. The rats were randomly divided into six groups: control, DCM, AED low concentration (50 mg/kg/day), AED high concentration (100 mg/kg/day), AE (100 mg/kg/day), and positive control (glyburide, 2 mg/kg/day) groups. There were eight rats in each group. The rats that attained fasting blood glucose of ˃16.7 mmol/L were considered successful models. We observed significant improvements in cardiac function in the DCM rats with both AED and AE following four weeks of intragastric treatment. However, AED had a more pronounced therapeutic effect on DCM compared to AE. AED exhibited an inhibitory effect on the inflammatory response in the hearts of DCM rats and high-glucose-treated H9C2 cells by suppressing the pyroptosis pathway mediated by the nucleotide-binding oligomerization domain (NOD)-like receptor pyrin domain 3 (NLRP3) inflammasome. The Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis of differentially expressed genes showed a significant enrichment in the NOD-like receptor signaling pathway compared to the high-glucose group. Furthermore, overexpression of NLRP3 effectively reversed the anti-pyroptosis effects of AED in high-glucose-treated H9C2 cells. This study is the first to demonstrate that AED possesses the ability to inhibit myocardial pyroptosis in DCM. Targeting the pyroptosis pathway mediated by the NLRP3 inflammasome could provide a promising therapeutic strategy to enhance our understanding and treatment of DCM.

摘要

糖尿病性心肌病(DCM)被广泛认为是糖尿病患者发生心力衰竭的主要促成因素。先前的研究已证明传统草药在缓解心肌病症状方面的潜在益处。我们通过化学设计和合成了一种名为芦荟大黄素衍生物(AED)的新型化合物,它属于芦荟大黄素(AE)类化合物。AED是利用化学合成技术将单甲基琥珀酸酯与AE的蒽醌母核共价结合形成的。本研究的目的是探讨AED治疗DCM的效果及机制。我们通过给予高脂饮食和注射链脲佐菌素(STZ)诱导Sprague-Dawley(SD)大鼠患2型糖尿病。大鼠被随机分为六组:对照组、DCM组、AED低浓度组(50 mg/kg/天)、AED高浓度组(100 mg/kg/天)、AE组(100 mg/kg/天)和阳性对照组(格列本脲,2 mg/kg/天)。每组有8只大鼠。空腹血糖≥16.7 mmol/L的大鼠被认为是成功的模型。在胃内给药四周后,我们观察到AED和AE治疗的DCM大鼠心脏功能均有显著改善。然而,与AE相比,AED对DCM具有更显著的治疗效果。AED通过抑制由核苷酸结合寡聚化结构域(NOD)样受体含pyrin结构域3(NLRP3)炎性小体介导的细胞焦亡途径,对DCM大鼠心脏和高糖处理的H9C2细胞中的炎症反应表现出抑制作用。与高糖组相比,对差异表达基因的京都基因与基因组百科全书(KEGG)通路分析显示NOD样受体信号通路有显著富集。此外,NLRP3的过表达有效逆转了AED在高糖处理的H9C2细胞中的抗细胞焦亡作用。本研究首次证明AED具有抑制DCM心肌细胞焦亡 的能力。靶向由NLRP inflammasome介导的细胞焦亡途径可为增强我们对DCM的理解和治疗提供一种有前景的治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ad0/10536457/f36527a2cf51/pharmaceuticals-16-01275-g001.jpg

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