汉黄芩素通过抑制ALOX15介导的铁死亡减轻脓毒症心肌病。
Wogonin attenuates septic cardiomyopathy by suppressing ALOX15-mediated ferroptosis.
作者信息
Ye Hua, Wu Lin, Liu Yan-Mei, Zhang Jun-Xia, Hu Huan-Tao, Dong Mao-Long, Ren Jun
机构信息
Department of Burns, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Department of Burns & Plastic and Wound Repair, Ganzhou People's Hospital, Ganzhou, 341000, China.
出版信息
Acta Pharmacol Sin. 2025 Apr 9. doi: 10.1038/s41401-025-01547-1.
Septic cardiomyopathy (SCM), a severe complication in sepsis, significantly increases the mortality of septic patients. Ferroptosis, an iron-regulated cell death, has been implicated in the development of SCM. Wogonin, a flavonoid from the root of the skullcap, exhibits anti-inflammatory, anti-allergic, and anti-apoptotic activities. In this study, we investigated the effects of wogonin on SCM and associated cardiomyocyte ferroptosis. Cecal ligation and puncture (CLP) surgery was performed in mice to establish a SCM model. Wogonin (20, 40 and 60 mg·kg, i.p.) was administered 2 h prior to CLP surgery. We showed that wogonin pretreatment dose-dependently mitigated CLP-induced cardiac dysfunction, myocardial damage, and deranged cardiomyocyte contractility. Furthermore, wogonin pretreatment ameliorated cardiac inflammation, oxidative stress, and mitochondrial dysfunction in CLP-challenged mice. We demonstrated that wogonin exerted the cardioprotective effects through suppressing cardiomyocyte ferroptosis both in vivo and in vitro. We revealed that wogonin directly bound to and inhibited ALOX15 (arachidonic acid 15-lipoxygenase), a lipoxygenase that governed the oxidation of polyunsaturated fatty acids to initiate ferroptosis. Pharmacological inhibition of ALOX15 using a specific inhibitor ML351 (10 mg·kg·d, i.p. for 7 days prior to CLP surgery) markedly diminished cardiac abnormalities and cardiomyocyte ferroptosis in CLP-challenged mice. In LPS-challenged HL-1 cardiomyocytes, overexpression of ALOX15 or supplement of its downstream metabolite 15-HpETE (1 μM) diminished the anti-ferroptotic effects of wogonin. Our results demonstrate that wogonin protects against SCM through inhibition of ALOX15-meditated ferroptosis.
脓毒症性心肌病(SCM)是脓毒症的一种严重并发症,显著增加了脓毒症患者的死亡率。铁死亡是一种铁调节的细胞死亡,与SCM的发生发展有关。汉黄芩素是一种从黄芩根部提取的黄酮类化合物,具有抗炎、抗过敏和抗凋亡活性。在本研究中,我们研究了汉黄芩素对SCM及相关心肌细胞铁死亡的影响。通过对小鼠进行盲肠结扎和穿刺(CLP)手术建立SCM模型。在CLP手术前2小时给予汉黄芩素(20、40和60mg·kg,腹腔注射)。我们发现,汉黄芩素预处理剂量依赖性地减轻了CLP诱导的心脏功能障碍、心肌损伤和心肌细胞收缩力紊乱。此外,汉黄芩素预处理改善了CLP攻击小鼠的心脏炎症、氧化应激和线粒体功能障碍。我们证明,汉黄芩素在体内和体外均通过抑制心肌细胞铁死亡发挥心脏保护作用。我们发现,汉黄芩素直接结合并抑制15-脂氧合酶(ALOX15),该酶可调控多不饱和脂肪酸的氧化以引发铁死亡。在CLP手术前7天,使用特异性抑制剂ML351(10mg·kg·d,腹腔注射)对ALOX15进行药理学抑制,可显著减轻CLP攻击小鼠的心脏异常和心肌细胞铁死亡。在脂多糖(LPS)攻击的HL-1心肌细胞中,ALOX15的过表达或其下游代谢产物15-氢过氧化二十碳四烯酸(15-HpETE,1μM)的补充减弱了汉黄芩素的抗铁死亡作用。我们的结果表明,汉黄芩素通过抑制ALOX15介导的铁死亡来预防SCM。