清肺排毒汤对流感病毒介导的心肌损伤的保护作用及机制

Protective effect and mechanism of Qingfei Paidu decoction on myocardial damage mediated by influenza viruses.

作者信息

Du Lijuan, Zhao Jing, Xie Nanxi, Xie Huangze, Xu Jiating, Bao Xiaoming, Zhou Yingsong, Liu Hui, Wu Xiao, Hu Xin, He Tianyi, Xu Shujun, Zheng Yuejuan

机构信息

Department of Physiology and Pathophysiology, Health Science Center, Ningbo University, Ningbo, China.

Faculty of Physical Education, Ningbo University, Ningbo, Zhejiang, China.

出版信息

Front Pharmacol. 2024 Feb 27;15:1309682. doi: 10.3389/fphar.2024.1309682. eCollection 2024.

Abstract

Significant attention has been paid to myocardial damage mediated by the single-stranded RNA virus. Qingfei Paidu decoction (QFPDD) has been proved to protect the damage caused by the influenza virus A/PR/8/1934 (PR8), but its specific mechanism is unclear. Molecular biological methods, together with network pharmacology, were used to analyze the effects and underlying mechanism of QFPDD treatment on PR8-induced myocardial damage to obtain insights into the treatment of COVID-19-mediated myocardial damage. Increased apoptosis and subcellular damage were observed in myocardial cells of mice infected by PR8. QFPDD treatment significantly inhibited the apoptosis and subcellular damage induced by the PR8 virus. The inflammatory factors IFN-β, TNF-α, and IL-18 were statistically increased in the myocardia of the mice infected by PR8, and the increase in inflammatory factors was prevented by QFPDD treatment. Furthermore, the expression levels or phosphorylation of necroptosis-related proteins RIPK1, RIPK3, and MLKL were abnormally elevated in the group of infected mice, while QFPDD restored the levels or phosphorylation of these proteins. Our study demonstrated that HIF-1α is a key target of QFPDD in the treatment of influenza virus-mediated injury. The HIF-α level was significantly increased by PR8 infection. Both the knockdown of HIF-1α and treatment of the myocardial cell with QFPDD significantly reversed the increased inflammatory factors during infection. Overexpression of HIF-1α reversed the inhibition effects of QFPDD on cytokine expression. Meanwhile, seven compounds from QFPDD may target HIF-1α. QFPDD can ameliorate influenza virus-mediated myocardial damage by reducing the degree of cell necroptosis and apoptosis, inhibiting inflammatory response and the expression of HIF-1α. Thus, our results provide new insights into the treatment of respiratory virus-mediated myocardial damage.

摘要

单链RNA病毒介导的心肌损伤已受到广泛关注。清肺排毒汤(QFPDD)已被证明可保护由甲型流感病毒A/PR/8/1934(PR8)引起的损伤,但其具体机制尚不清楚。采用分子生物学方法结合网络药理学,分析QFPDD治疗PR8诱导的心肌损伤的作用及潜在机制,以深入了解COVID-19介导的心肌损伤的治疗方法。在感染PR8的小鼠心肌细胞中观察到凋亡增加和亚细胞损伤。QFPDD治疗显著抑制了PR8病毒诱导的凋亡和亚细胞损伤。感染PR8的小鼠心肌中炎症因子IFN-β、TNF-α和IL-18在统计学上显著增加,而QFPDD治疗可阻止炎症因子的增加。此外,感染小鼠组中坏死性凋亡相关蛋白RIPK1、RIPK3和MLKL的表达水平或磷酸化异常升高,而QFPDD恢复了这些蛋白的水平或磷酸化。我们的研究表明,HIF-1α是QFPDD治疗流感病毒介导损伤的关键靶点。PR8感染显著增加了HIF-α水平。敲低HIF-1α和用QFPDD处理心肌细胞均显著逆转了感染期间炎症因子的增加。HIF-1α的过表达逆转了QFPDD对细胞因子表达的抑制作用。同时,QFPDD中的七种化合物可能靶向HIF-1α。QFPDD可通过降低细胞坏死性凋亡和凋亡程度、抑制炎症反应和HIF-1α的表达来改善流感病毒介导的心肌损伤。因此,我们的结果为呼吸道病毒介导的心肌损伤的治疗提供了新的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c79/10927722/86eb08976ec4/fphar-15-1309682-g001.jpg

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