秋水仙碱作为大鼠模型中治疗肺动脉高压(PAH)的一种治疗可能性。

Colchicine as a therapeutic possibility for the treatment of pulmonary arterial hypertension (PAH) in a rat model.

作者信息

Ordog K, Horvath O, Toth Sz, Deres L, Pusalavidyasagar S, Kovacs K, Soós Sz, Gallyas F, Toth K, Halmosi R, Czopf L

机构信息

1st Department of Medicine, University of Pecs Medical School, Pecs, Hungary; Szentagothai Research Centre, University of Pecs, Pecs, Hungary.

Division of Pulmonary, Allergy, Critical Care, and Sleep Medicine, Department of Medicine, University of Minnesota Medical School, Minneapolis, MN, USA.

出版信息

Biochem Pharmacol. 2025 Sep;239:117058. doi: 10.1016/j.bcp.2025.117058. Epub 2025 Jun 24.

Abstract

The right ventricular failure is the most important cause of death in pulmonary arterial hypertension (PAH). Colchicine, a naturally occurring tricyclic alkaloid, protects against inflammatory diseases by favorable modulation of pro-inflammatory cytokine production. In our present work, we aimed to clarify the effects of colchicine treatment in PAH, specifically on right ventricular cardiac myocytes. We examined the effects of colchicine treatment on the pulmonary vasculature and on the right ventricular cardiomyocytes. Pulmonary arterial hypertension was induced in Wistar Kyoto rats by monocrotaline (MCT). Wistar Kyoto (WKY) rats were then treated with colchicine or placebo for two-weeks. Colchicine treatment successfully prevented the development of right ventricular failure in an MCT-induced PAH model. The echocardiographic parameters characterizing right ventricular function improved. The signaling pathways associated with cardiac remodeling showed favorable alterations attributed to colchicine treatment. Consequently, the interstitial collagen deposition was reduced, and the energy supply of right ventricular myocytes was preserved. Colchicine treatment inhibited pulmonary vascular remodeling and reduced the amount of α-smooth muscle actin (α-SMA) and collagen in pulmonary vessel walls. Our results suggest that even a short-term and low-dose colchicine treatment could protect against PAH-induced right ventricular failure. Therefore, colchicine may be a promising therapeutic option in the treatment of PAH.

摘要

右心室衰竭是肺动脉高压(PAH)最重要的死亡原因。秋水仙碱是一种天然存在的三环生物碱,通过有利地调节促炎细胞因子的产生来预防炎症性疾病。在我们目前的研究中,我们旨在阐明秋水仙碱治疗PAH的效果,特别是对右心室心肌细胞的影响。我们研究了秋水仙碱治疗对肺血管系统和右心室心肌细胞的影响。通过给予野百合碱(MCT)在Wistar Kyoto大鼠中诱导肺动脉高压。然后将Wistar Kyoto(WKY)大鼠用秋水仙碱或安慰剂治疗两周。秋水仙碱治疗成功地预防了MCT诱导的PAH模型中右心室衰竭的发展。表征右心室功能的超声心动图参数得到改善。与心脏重塑相关的信号通路显示出因秋水仙碱治疗而产生的有利改变。因此,间质胶原沉积减少,右心室心肌细胞的能量供应得以保留。秋水仙碱治疗抑制了肺血管重塑,并减少了肺血管壁中α-平滑肌肌动蛋白(α-SMA)和胶原的含量。我们的结果表明,即使是短期和低剂量的秋水仙碱治疗也可以预防PAH诱导的右心室衰竭。因此,秋水仙碱可能是治疗PAH的一种有前景的治疗选择。

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