Zhu Xi, Ma En, Ge Yixuan, Yuan Meng, Guo Xiaowei, Peng Jun, Zhu Weidong, Ren Dan-Ni, Wo Da
Fujian Key Laboratory of Integrative Medicine on Geriatric, Academy of Integrative Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian, China.
Fujian Key Laboratory of Integrative Medicine on Geriatric, Academy of Integrative Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian, China; Innovation and Transformation Center, Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian, China.
Biomed Pharmacother. 2024 May;174:116476. doi: 10.1016/j.biopha.2024.116476. Epub 2024 Mar 22.
Increasing global overweight and obesity rates not only increase the prevalence of myocardial infarction (MI), but also exacerbate ischemic injury and result in worsened prognosis. Currently, there are no drugs that can reverse myocardial damage once MI has occurred, therefore discovering drugs that can potentially limit the extent of ischemic damage to the myocardium is critical. Resveratrol is a polyphenol known for its antioxidant properties, however whether prolonged daily intake of resveratrol during obesity can protect against MI-induced damage remains unexplored.
We established murine models of obesity via high-fat/high-fructose diet, along with daily administrations of resveratrol or vehicle, then performed surgical MI to examine the effects and mechanisms of resveratrol in protecting against myocardial ischemic injury.
Daily administration of resveratrol in obese mice robustly protected against myocardial ischemic injury and improved post-MI cardiac function. Resveratrol strongly inhibited oxidative and DNA damage via activating SIRT3/FOXO3a-dependent antioxidant enzymes following MI, which were completely prevented upon administration of 3-TYP, a selective SIRT3 inhibitor. Hence, the cardioprotective effects of prolonged resveratrol intake in protecting obese mice against myocardial ischemic injury was due to reestablishment of intracellular redox homeostasis through activation of SIRT3/FOXO3a signaling pathway.
Our findings provide important new evidence that supports the daily intake of resveratrol, especially in those overweight or obese, which can robustly decrease the extent of ischemic damage following MI. Our study therefore provides new mechanistic insight and suggests the therapeutic potential of resveratrol as an invaluable drug in the treatment of ischemic heart diseases.
全球超重和肥胖率不断上升,不仅增加了心肌梗死(MI)的患病率,还加剧了缺血性损伤并导致预后恶化。目前,尚无药物能够在心肌梗死发生后逆转心肌损伤,因此,发现可能限制心肌缺血损伤程度的药物至关重要。白藜芦醇是一种以抗氧化特性而闻名的多酚,然而,肥胖期间每日长期摄入白藜芦醇是否能预防心肌梗死引起的损伤仍未得到探索。
我们通过高脂/高果糖饮食建立肥胖小鼠模型,并每日给予白藜芦醇或赋形剂,然后进行外科心肌梗死手术,以研究白藜芦醇预防心肌缺血损伤的作用及机制。
肥胖小鼠每日服用白藜芦醇可有效预防心肌缺血损伤,并改善心肌梗死后的心功能。心肌梗死后,白藜芦醇通过激活SIRT3/FOXO3a依赖性抗氧化酶,强烈抑制氧化和DNA损伤,而给予选择性SIRT3抑制剂3-TYP后,这种抑制作用完全消失。因此,长期摄入白藜芦醇对肥胖小鼠心肌缺血损伤的心脏保护作用是通过激活SIRT3/FOXO3a信号通路重建细胞内氧化还原稳态来实现的。
我们的研究结果提供了重要的新证据,支持每日摄入白藜芦醇,尤其是对超重或肥胖者,这可以显著降低心肌梗死后的缺血损伤程度。因此,我们的研究提供了新的机制性见解,并表明白藜芦醇作为一种治疗缺血性心脏病的宝贵药物具有治疗潜力。