茶黄素-3,3'-双没食子酸酯通过激活PI3K/Akt/mTOR信号通路来预防心肌缺血/再灌注损伤和缺氧/复氧损伤。

Theaflavin-3,3'-digallate protects against myocardial ischemia/reperfusion injury and hypoxia/reoxygenation injury by activating the PI3K/Akt/mTOR pathway.

作者信息

Wang Sha, Wang Huijun

机构信息

Department of Cardiovascular Surgery, Shaanxi Provincial People's Hospital, No. 256 Youyi West Road, Beilin District, Xi'an City, 710068, Shaanxi Province, China.

Department of General Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, No. 277 Yanta West Road, Yanta District, Xi'an City, 710061, Shaanxi Province, China.

出版信息

J Mol Histol. 2025 Jun 27;56(4):207. doi: 10.1007/s10735-025-10453-z.

Abstract

Myocardial ischemia followed by reperfusion triggers a range of pathological events, among which excessive autophagy plays a key role. Theaflavin-3,3'-digallate (TF3) is a functional polyphenol of black tea and is beneficial in the prevention or/and treatment of various diseases. Here, we explored the therapeutic effect of TF3 on myocardial ischemia/reperfusion (I/R) injury. I/R injury was induced in rats through ischemia (30 min) followed by reperfusion (24 h). TF3 was administered seven days before the I/R. Cardiac function was determined by echocardiography. Infarct size and apoptosis were assessed using TTC and TUNEL, respectively. H9C2 cardiomyocytes were treated with TF3 or/and PI3K inhibitor (LY294002) and then exposed to hypoxia/reoxygenation (H/R). Content levels of myocardial injury indicators in rat hearts and H9C2 cardiomyocytes were detected using corresponding kits. H9C2 cardiomyocyte apoptosis was evaluated by flow cytometry. Protein levels of autophagy, apoptosis, and PI3K/Akt/mTOR signaling in vivo and in vitro were detected using western blotting. TF3 reduced myocardial infarct size and decreased serum CK-MB, cTnT, and LDH content levels in rat model of myocardial I/R. TF3 reduced apoptosis and autophagy in I/R rat hearts and H9C2 cardiomyocytes by reducing Bax, cleaved caspase-3, Beclin-1, and LC3B levels, and elevating Bcl-2 and p62 levels. TF3 administration activated PI3K/Akt/mTOR signaling in I/R rat hearts and H9C2 cells. PI3K inhibitor LY294002 reversed the inhibitory effect of TF3 on H/R-induced apoptosis and autophagy in H9C2 cells. Overall, TF3 alleviates I/R-induced myocardial injury by reducing autophagy and apoptosis by activating PI3K/Akt/mTOR signaling.

摘要

心肌缺血再灌注会引发一系列病理事件,其中过度自噬起着关键作用。茶黄素 - 3,3'- 双没食子酸酯(TF3)是红茶中的一种功能性多酚,对多种疾病的预防或治疗有益。在此,我们探讨了TF3对心肌缺血/再灌注(I/R)损伤的治疗作用。通过缺血(30分钟)后再灌注(24小时)在大鼠中诱导I/R损伤。在I/R前七天给予TF3。通过超声心动图测定心脏功能。分别使用TTC和TUNEL评估梗死面积和细胞凋亡。用TF3或/和PI3K抑制剂(LY294002)处理H9C2心肌细胞,然后使其暴露于缺氧/复氧(H/R)环境。使用相应试剂盒检测大鼠心脏和H9C2心肌细胞中心肌损伤指标的含量水平。通过流式细胞术评估H9C2心肌细胞凋亡。使用蛋白质印迹法检测体内和体外自噬、凋亡以及PI3K/Akt/mTOR信号通路的蛋白质水平。TF3减小了心肌梗死面积,并降低了心肌I/R大鼠模型血清中CK-MB、cTnT和LDH的含量水平。TF3通过降低Bax、裂解的caspase-3、Beclin-1和LC3B水平,以及提高Bcl-2和p62水平,减少了I/R大鼠心脏和H9C2心肌细胞中的凋亡和自噬。给予TF3激活了I/R大鼠心脏和H9C2细胞中的PI3K/Akt/mTOR信号通路。PI3K抑制剂LY294002逆转了TF3对H9C2细胞中H/R诱导的凋亡和自噬的抑制作用。总体而言,TF3通过激活PI3K/Akt/mTOR信号通路减少自噬和凋亡,从而减轻I/R诱导的心肌损伤。

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