Changchun University of Chinese Medicine, Chang Chun, China.
The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, China.
Eur J Pharmacol. 2024 Dec 5;984:177032. doi: 10.1016/j.ejphar.2024.177032. Epub 2024 Oct 4.
Oxidative stress and inflammation significantly contribute to the pathogenesis of diabetic cardiomyopathy (DCM). Persistent inflammatory stimuli drive the progression of myocardial fibrosis and impaired cardiac function. Phloridzin (Phl), a natural compound, demonstrates both anti-inflammatory and antioxidant properties. Nevertheless, its therapeutic potential and underlying mechanisms in DCM remain unclear. This study aimed to elucidate the mechanisms through which Phl inhibited myocardial fibrosis and exerted its antioxidative effects. The impact of Phl on DCM was evaluated using a high-fat/high-sugar diet combined with streptozotocin to induce an animal model and an in vitro H9C2 cell model stimulated by high glucose (HG). Untargeted metabolomics identified potential mechanisms underlying myocardial fibrosis. Phl treatment significantly enhanced left ventricular ejection fraction (EF%) and shortening fraction (FS%), while reducing myocardial injury markers, such as lactate dehydrogenase and creatine phosphokinase-MB, and suppressing myocardial collagen fiber accumulation. Simultaneously, Phl attenuated myocardial inflammation via inhibition of MyD88/NF-κB signaling, modulated the Nrf2/GPX4 axis to counter oxidative stress, and mitigated ferroptosis. In vitro, Phl inhibited high glucose-induced myocardial hypertrophy and fibrosis in H9C2 cells, while also repressing NF-κB activation in cardiomyocytes. Metabolomic profiling revealed that Phl ameliorated DCM through modulation of glycerophospholipid metabolic pathways, linking these metabolic shifts to enhanced antioxidant capacity, thereby reflecting its ability to reduce oxidative stress in the myocardium. Collectively, Phl provides cardioprotective effects by alleviating inflammation and oxidative damage.
氧化应激和炎症在糖尿病心肌病 (DCM) 的发病机制中起着重要作用。持续的炎症刺激会导致心肌纤维化和心脏功能受损的进展。根皮苷 (Phl) 是一种天然化合物,具有抗炎和抗氧化特性。然而,其在 DCM 中的治疗潜力和潜在机制尚不清楚。本研究旨在阐明 Phl 抑制心肌纤维化和发挥抗氧化作用的机制。通过高脂肪/高糖饮食联合链脲佐菌素诱导动物模型和高糖 (HG) 刺激的 H9C2 细胞模型来评估 Phl 对 DCM 的影响。非靶向代谢组学鉴定了心肌纤维化的潜在机制。Phl 治疗显著提高了左心室射血分数 (EF%) 和缩短分数 (FS%),同时降低了乳酸脱氢酶和肌酸磷酸激酶-MB 等心肌损伤标志物,并抑制了心肌胶原纤维的积累。同时,Phl 通过抑制 MyD88/NF-κB 信号通路抑制心肌炎症,调节 Nrf2/GPX4 轴以对抗氧化应激,并减轻铁死亡。在体外,Phl 抑制了 H9C2 细胞中高糖诱导的心肌肥大和纤维化,同时抑制了心肌细胞中 NF-κB 的激活。代谢组学分析表明,Phl 通过调节甘油磷脂代谢途径改善 DCM,将这些代谢变化与增强的抗氧化能力联系起来,从而反映了其减轻心肌氧化应激的能力。综上所述,Phl 通过减轻炎症和氧化损伤提供心脏保护作用。
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