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育亨宾治疗通过调节促炎和氧化应激指标减轻心脏炎症/损伤并改善心脏血流动力学。

Yohimbine Treatment Alleviates Cardiac Inflammation/Injury and Improves Cardiac Hemodynamics by Modulating Pro-Inflammatory and Oxidative Stress Indicators.

作者信息

Veeram Anjali, Shaikh Taslim B, Kaur Rajwinder, Chowdary E Abhisheik, Andugulapati Sai Balaji, Sistla Ramakrishna

机构信息

Department of Applied Biology, CSIR-Indian Institute of Chemical Technology, Hyderabad, 500 007, Telangana, India.

Academy of Scientific and Innovative Research (AcSIR), Ghaziabad, Uttar Pradesh, 201 002, India.

出版信息

Inflammation. 2024 Aug;47(4):1423-1443. doi: 10.1007/s10753-024-01985-9. Epub 2024 Mar 11.

Abstract

Acute myocarditis, also known as myocardial inflammation, is a self-limited condition caused by systemic infection with cardiotropic pathogens, primarily viruses, bacteria, or fungi. Despite significant research, inflammatory cardiomyopathy exacerbated by heart failure, arrhythmia, or left ventricular dysfunction and it has a dismal prognosis. In this study, we aimed to evaluate the therapeutic effect of yohimbine against lipopolysaccharide (LPS) induced myocarditis in rat model. The anti-inflammatory activity of yohimbine was assessed in in-vitro using RAW 264.7 and H9C2 cells. Myocarditis was induced in rats by injecting LPS (10 mg/kg), following the rats were treated with dexamethasone (2 mg/kg) or yohimbine (2.5, 5, and 10 mg/kg) for 12 h and their therapeutic activity was examined using various techniques. Yohimbine treatment significantly attenuated the LPS-mediated inflammatory markers expression in the in-vitro model. In-vivo studies proved that yohimbine treatment significantly reduced the LPS-induced increase of cardiac-specific markers, inflammatory cell counts, and pro-inflammatory markers expression compared to LPS-control samples. LPS administration considerably affected the ECG, RR, PR, QRS, QT, ST intervals, and hemodynamic parameters, and caused abnormal pathological parameters, in contrast, yohimbine treatment substantially improved the cardiac parameters, mitigated the apoptosis in myocardial cells and ameliorated the histopathological abnormalities that resulted in an improved survival rate. LPS-induced elevation of cardiac troponin-I, myeloperoxidase, CD-68, and neutrophil elastase levels were significantly attenuated upon yohimbine treatment. Further investigation showed that yohimbine exerts an anti-inflammatory effect partly by modulating the MAPK pathway. This study emphasizes yohimbine's therapeutic benefit against LPS-induced myocarditis and associated inflammatory markers response by regulating the MAPK pathway.

摘要

急性心肌炎,也称为心肌炎症,是一种由嗜心性病原体的全身感染引起的自限性疾病,主要病原体为病毒、细菌或真菌。尽管进行了大量研究,但由心力衰竭、心律失常或左心室功能障碍加重的炎症性心肌病预后不佳。在本研究中,我们旨在评估育亨宾对脂多糖(LPS)诱导的大鼠心肌炎模型的治疗效果。使用RAW 264.7和H9C2细胞在体外评估育亨宾的抗炎活性。通过注射LPS(10mg/kg)诱导大鼠患心肌炎,随后用地塞米松(2mg/kg)或育亨宾(2.5、5和10mg/kg)治疗大鼠12小时,并使用各种技术检查它们的治疗活性。在体外模型中,育亨宾治疗显著减弱了LPS介导的炎症标志物表达。体内研究证明,与LPS对照样本相比,育亨宾治疗显著降低了LPS诱导的心脏特异性标志物增加、炎症细胞计数和促炎标志物表达。LPS给药对心电图、RR、PR、QRS、QT、ST间期和血流动力学参数有显著影响,并导致异常的病理参数,相比之下,育亨宾治疗显著改善了心脏参数,减轻了心肌细胞凋亡,改善了组织病理学异常,从而提高了存活率。育亨宾治疗后,LPS诱导的心肌肌钙蛋白-I、髓过氧化物酶、CD-68和中性粒细胞弹性蛋白酶水平升高显著减弱。进一步研究表明,育亨宾部分通过调节丝裂原活化蛋白激酶(MAPK)途径发挥抗炎作用。本研究强调了育亨宾通过调节MAPK途径对LPS诱导的心肌炎及相关炎症标志物反应的治疗益处。

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