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α-Mangostin prevents diabetic cardiomyopathy by inhibiting oxidative damage and lipotoxicity through the AKT-FOXO1-CD36 pathway.

作者信息

Bai Xue, Zhang Ziqian, Zhang Miao, Xu Jiaojiao, Dong Keting, Du Qian, Chen Lei, Ma Ping, Yang Jianhong

机构信息

Medical School, University of Chinese Academy of Sciences, Beijing, China.

出版信息

Front Pharmacol. 2025 Apr 17;16:1566311. doi: 10.3389/fphar.2025.1566311. eCollection 2025.


DOI:10.3389/fphar.2025.1566311
PMID:40313619
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12043880/
Abstract

INTRODUCTION: Diabetic cardiomyopathy (DCM), a cardiac complication of diabetes, is the main cause of the high prevalence of heart failure and associated mortality in diabetic patients. Oxidative stress and lipid metabolism disorder-induced myocardial cell damage are part of the pathogenesis of DCM. In this study, we investigated the effects of alpha-mangostin (A-MG), a natural antioxidant extracted from mangosteen peel, on and DCM models. METHODS: H9C2 rat cardiomyocytes were treated with high glucose (HG) and palmitic acid (PA) for 24 h to establish an DCM cell model. Cell viability and cytotoxicity were evaluated after treatment with varying concentrations of A-MG (0.3, 1, 3, 9, or 27 μM) using Cell Counting Kit-8 (CCK8) and lactate dehydrogenase (LDH) assays. Flow cytometry assessment was used to detect apoptosis. Molecular mechanisms were investigated through transcriptome analysis, quantitative PCR (RT-qPCR), and Western blotting. Type 2 diabetic (T2D) mice, induced by feeding a high-fat diet (HFD) combined with low-dose streptozotocin (STZ), received either vehicle, low-dose A-MG (100 mg/kg/d), or high-dose A-MG (200 mg/kg/d) for 6 weeks. Cardiac function was assessed by echocardiography. H&E and Masson's staining were used to evaluate cardiac tissue structure and fibrosis, and Western blotting was used to evaluate myocardial protein expression. RESULTS: In HG/F-induced H9C2 cells, A-MG (1 and 3 μM) significantly increased cell viability (p < 0.01) and reduced LDH release (p < 0.05). A-MG (3 μM) attenuated lipid accumulation (p < 0.05), normalized mitochondrial membrane potential (p < 0.01), and inhibited reactive oxygen species (ROS) generation (p < 0.05), malondialdehyde (MDA) production (p < 0.01), and apoptosis (p < 0.05). A-MG also inhibited the nuclear translocation of Forkhead box class O1 (FOXO1) (p < 0.05); reduced the expression of CD36 (p < 0.05), PPARα (p < 0.01), and CPT1β (p < 0.05) proteins; enhanced superoxide dismutase (SOD) activity (p < 0.05); and upregulated nuclear factor erythroid 2-related factor 2 (Nrf2) (p < 0.01), HO-1 (p < 0.05), and SOD2 (p < 0.05) protein expression levels. Further investigation in HG/F-induced H9C2 cells indicated that A-MG inhibits the uptake of fatty acids (FAs) by regulating the AKT/FOXO1/CD36 signaling pathway, reduces excessive β-oxidation of FAs mediated by PPARα/CPT1β through the inhibition of FOXO1 nuclear translocation, and stimulates the AKT/Nrf2/HO-1 signaling pathway to increase the cellular antioxidant capacity. In diabetic mice, low-dose A-MG treatment increased anti-oxidative stress capacity, decreased myocardial lipid accumulation, reduced fibrosis and cardiomyocyte apoptosis, and improved left ventricular contractile function. CONCLUSION: Using both and DCM models, our study demonstrates that A-MG reduces lipid accumulation and excessive mitochondrial β-oxidation while enhancing antioxidant capacity. These results suggest that A-MG may be a novel therapeutic option for DCM.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b937/12043880/c2c3d8e511e8/fphar-16-1566311-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b937/12043880/e11dcbcfffd7/fphar-16-1566311-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b937/12043880/d4a858af221a/fphar-16-1566311-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b937/12043880/9b296ad870dc/fphar-16-1566311-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b937/12043880/131b6b4e56f9/fphar-16-1566311-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b937/12043880/98fdb6d3b2dc/fphar-16-1566311-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b937/12043880/4111d8acc534/fphar-16-1566311-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b937/12043880/e02d0435ba59/fphar-16-1566311-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b937/12043880/53f789316987/fphar-16-1566311-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b937/12043880/c2c3d8e511e8/fphar-16-1566311-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b937/12043880/e11dcbcfffd7/fphar-16-1566311-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b937/12043880/d4a858af221a/fphar-16-1566311-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b937/12043880/9b296ad870dc/fphar-16-1566311-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b937/12043880/131b6b4e56f9/fphar-16-1566311-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b937/12043880/98fdb6d3b2dc/fphar-16-1566311-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b937/12043880/4111d8acc534/fphar-16-1566311-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b937/12043880/e02d0435ba59/fphar-16-1566311-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b937/12043880/53f789316987/fphar-16-1566311-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b937/12043880/c2c3d8e511e8/fphar-16-1566311-g009.jpg

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本文引用的文献

[1]
Chemically synthesized osteocalcin alleviates NAFLD via the AMPK-FOXO1/BCL6-CD36 pathway.

J Transl Med. 2024-8-22

[2]
GluOC promotes proliferation and metastasis of TNBC through the ROCK1 signaling pathway.

Cancer Cell Int. 2024-7-25

[3]
α-Mangostin reduces hypertension in spontaneously hypertensive rats and inhibits EMT and fibrosis in Ang II-induced HK-2 cells.

Int J Med Sci. 2024

[4]
A Mechanistic Review on Protective Effects of Mangosteen and its Xanthones Against Hazardous Materials and Toxins.

Curr Neuropharmacol. 2024

[5]
Nrf2 prevents diabetic cardiomyopathy via antioxidant effect and normalization of glucose and lipid metabolism in the heart.

J Cell Physiol. 2024-2

[6]
Anemarrhena asphodeloides Bunge total saponins ameliorate diabetic cardiomyopathy by modifying the PI3K/AKT/HIF-1α pathway to restore glycolytic metabolism.

J Ethnopharmacol. 2024-1-30

[7]
COX5A Alleviates Doxorubicin-Induced Cardiotoxicity by Suppressing Oxidative Stress, Mitochondrial Dysfunction and Cardiomyocyte Apoptosis.

Int J Mol Sci. 2023-6-20

[8]
Biochemical features and therapeutic potential of α-Mangostin: Mechanism of action, medicinal values, and health benefits.

Biomed Pharmacother. 2023-7

[9]
Evogliptin, a DPP-4 inhibitor, prevents diabetic cardiomyopathy by alleviating cardiac lipotoxicity in db/db mice.

Exp Mol Med. 2023-4

[10]
6-Gingerol Alleviates Ferroptosis and Inflammation of Diabetic Cardiomyopathy via the Nrf2/HO-1 Pathway.

Oxid Med Cell Longev. 2022

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