Yang Qi, Yang Ting, Liu Xing, Liu Shengquan, Liu Wei, Nie Liangui, Chu Chun, Yang Jun
Department of Cardiology, The First Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang 421000, Hunan, China.
School of Pharmaceutical Science of University of South China, Hengyang 421000, Hunan, China.
Korean J Physiol Pharmacol. 2024 Mar 1;28(2):129-143. doi: 10.4196/kjpp.2024.28.2.129.
Sulfur dioxide (SO), a novel endogenous gas signaling molecule, is involved in the regulation of cardiac function. Exerting a key role in progression of hyperthyroidism-induced cardiomyopathy (HTC), myocardial fibrosis is mainly caused by myocardial apoptosis, leading to poor treatment outcomes and prognoses. This study aimed to investigate the effect of SO on the hyperthyroidism-induced myocardial fibrosis and the underlying regulatory mechanisms. Elisa, Masson staining, Western-Blot, transmission electron microscope, and immunofluorescence were employed to evaluate the myocardial interstitial collagen deposition, endoplasmic reticulum stress (ERS), apoptosis, changes in endogenous SO, and Hippo pathways from and experiments. The study results indicated that the hyperthyroidism-induced myocardial fibrosis was accompanied by decreased cardiac function, and down-regulated ERS, apoptosis, and endogenous SO-producing enzyme aspartate aminotransferase (AAT)1/2 in cardiac myocytes. In contrast, exogenous SO donors improved cardiac function, reduced myocardial interstitial collagen deposition, up-regulated AAT1/2, antagonized ERS and apoptosis, and inhibited excessive activation of Hippo pathway in hyperthyroid rats. In conclusion, the results herein suggested that SO inhibited the overactivation of the Hippo pathway, antagonized ERS and apoptosis, and alleviated myocardial fibrosis in hyperthyroid rats. Therefore, this study was expected to identify intervention targets and new strategies for prevention and treatment of HTC.
二氧化硫(SO)作为一种新型的内源性气体信号分子,参与心脏功能的调节。心肌纤维化在甲状腺功能亢进性心肌病(HTC)的进展中起关键作用,主要由心肌细胞凋亡引起,导致治疗效果和预后不佳。本研究旨在探讨SO对甲状腺功能亢进诱导的心肌纤维化的影响及其潜在的调节机制。采用酶联免疫吸附测定(ELISA)、Masson染色、蛋白质免疫印迹法(Western-Blot)、透射电子显微镜及免疫荧光技术,通过体内和体外实验评估心肌间质胶原沉积、内质网应激(ERS)、细胞凋亡、内源性SO的变化以及Hippo信号通路。研究结果表明,甲状腺功能亢进诱导的心肌纤维化伴有心脏功能下降,心肌细胞中ERS、细胞凋亡及内源性SO生成酶天冬氨酸氨基转移酶(AAT)1/2下调。相反,外源性SO供体可改善心脏功能,减少心肌间质胶原沉积,上调AAT1/2,拮抗ERS和细胞凋亡,并抑制甲状腺功能亢进大鼠Hippo信号通路的过度激活。总之,本研究结果提示,SO可抑制Hippo信号通路的过度激活,拮抗ERS和细胞凋亡,减轻甲状腺功能亢进大鼠的心肌纤维化。因此,本研究有望为HTC的预防和治疗确定干预靶点及新策略。