Qiao YaMei, Lai SongQing, Wang YaRu, Hu FaJia, Liu Yue, Zhai FeiXiang, Zhang ZeYu, Liu Dan, Huang Huang
Department of Cardiovascular Surgery, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang 330006, Jiangxi, P. R. China.
School of Pharmacy, Jiangxi Medical College, Nanchang University, Nanchang 330006, Jiangxi, P. R. China.
Am J Chin Med. 2025;53(5):1501-1520. doi: 10.1142/S0192415X25500570. Epub 2025 Jul 11.
Myocardial ischemia-reperfusion (I/R) injury continues to be a significant clinical challenge, and ferroptosis has been identified as a major contributing factor to its development. Puerarin (Pue), an isoflavone derived from , has demonstrated promising cardioprotective effects, although the mechanisms involved are not fully elucidated. This study explores Pue's ability to attenuate myocardial I/R damage through the modulation of ferroptosis, specifically focusing on the role of the 14-3-3η protein. Network pharmacology identified 356 potential targets for Pue, with 25 genes overlapping between myocardial I/R injury and ferroptosis pathways. Molecular docking analysis revealed a strong interaction between Pue and 14-3-3η, suggesting a mechanistic link. studies using H9c2 cardiomyocytes showed that Pue pretreatment significantly improved cell viability and reduced lactate dehydrogenase (LDH) release under conditions of anoxia/reoxygenation (A/R). Pue's inhibition of ferroptosis was evidenced by reduced iron accumulation, decreased malondialdehyde (MDA) levels, lowered reactive oxygen species (ROS), and boosted anti-oxidant defenses. Central to these protective effects was the upregulation of 14-3-3η, and knockdown experiments confirmed its pivotal role in ferroptosis regulation. Furthermore, Pue preserved mitochondrial function by stabilizing mitochondrial membrane potential, limiting mitochondrial permeability transition pore (mPTP) opening, and improving mitochondrial energy metabolism and structural integrity. These activities were all mediated by 14-3-3η. , Pue administration in a rat I/R model significantly reduced myocardial injury markers and improved cardiac function, and its effects were reversed when 14-3-3η expression was downregulated. This study provides compelling evidence that Pue mitigates myocardial I/R injury by inhibiting ferroptosis through 14-3-3η modulation, and presents a novel therapeutic avenue for cardioprotection.
心肌缺血再灌注(I/R)损伤仍然是一个重大的临床挑战,铁死亡已被确定为其发展的主要促成因素。葛根素(Pue)是一种从[来源未提及]中提取的异黄酮,尽管其涉及的机制尚未完全阐明,但已显示出有前景的心脏保护作用。本研究探讨了Pue通过调节铁死亡来减轻心肌I/R损伤的能力,特别关注14-3-3η蛋白的作用。网络药理学确定了Pue的356个潜在靶点,其中25个基因在心肌I/R损伤和铁死亡途径之间重叠。分子对接分析显示Pue与14-3-3η之间有强烈的相互作用,表明存在机制联系。使用H9c2心肌细胞的研究表明,Pue预处理在缺氧/复氧(A/R)条件下显著提高了细胞活力并减少了乳酸脱氢酶(LDH)释放。铁积累减少、丙二醛(MDA)水平降低、活性氧(ROS)降低以及抗氧化防御增强证明了Pue对铁死亡的抑制作用。这些保护作用的核心是14-3-3η的上调,敲低实验证实了其在铁死亡调节中的关键作用。此外,Pue通过稳定线粒体膜电位、限制线粒体通透性转换孔(mPTP)开放以及改善线粒体能量代谢和结构完整性来保留线粒体功能。这些活动均由14-3-3η介导。在大鼠I/R模型中给予Pue可显著降低心肌损伤标志物并改善心脏功能,当14-3-3η表达下调时其作用被逆转。本研究提供了令人信服的证据,表明Pue通过14-3-3η调节抑制铁死亡来减轻心肌I/R损伤,并为心脏保护提出了一条新的治疗途径。