School of Environmental and Chemical Engineering, Shanghai University, Shanghai, 200444, China.
Cardiac Regeneration and Ageing Lab, Institute of Geriatrics (Shanghai University), Affiliated Nantong Hospital of Shanghai University (The Sixth People's Hospital of Nantong), School of Medicine, Shanghai University, Nantong, 226011, China.
J Cardiovasc Transl Res. 2024 Apr;17(2):403-416. doi: 10.1007/s12265-023-10437-y. Epub 2023 Oct 2.
Myocardial infarction (MI) is one of the leading causes of death worldwide. Danlou tablet (Dan) is an effective traditional Chinese medicine for cardiac protection, although the underlying mechanism was not fully understood. In this study, we used a murine MI model and demonstrated that Dan administration effectively attenuated myocardial apoptosis, cardiac remodeling, and heart failure post MI. Dan increased CD31-positive capillaries in MI hearts, and reduced the apoptosis and oxidative stress in human umbilical vein endothelial cells after oxygen-glucose deprivation stress, simultaneously with the activated HIF-1α/VEGFA/eNOS signaling. Moreover, inhibition of eNOS by L-NAME attenuated Dan-induced protection against MI, and abolished its effect in promoting angiogenesis and reducing endothelial apoptosis and oxidative stress. Collectively, Dan is beneficial to promote eNOS-dependent endothelial protection and angiogenesis thus protecting against MI. A deep understanding of Dan-induced protection might help promote clinical usage of Dan in MI treatment.
心肌梗死(MI)是全球范围内主要的死亡原因之一。丹络片(Dan)是一种有效的心脏保护的中药,尽管其潜在的机制尚未完全阐明。在这项研究中,我们使用了一种小鼠 MI 模型,结果表明 Dan 给药可有效减轻 MI 后的心肌细胞凋亡、心脏重构和心力衰竭。Dan 增加了 MI 心脏中的 CD31 阳性毛细血管,并减少了人脐静脉内皮细胞在氧葡萄糖剥夺应激后的凋亡和氧化应激,同时激活了 HIF-1α/VEGFA/eNOS 信号通路。此外,通过 L-NAME 抑制 eNOS 可减弱 Dan 对 MI 的保护作用,并消除其促进血管生成和减少内皮细胞凋亡和氧化应激的作用。总之,Dan 有利于促进 eNOS 依赖性内皮保护和血管生成,从而防止 MI。深入了解 Dan 诱导的保护作用可能有助于促进 Dan 在 MI 治疗中的临床应用。
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