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1.首都医科大学附属北京世纪坛医院心脏外科,北京 100038
2.首都医科大学附属朝阳医院医学研究中心,北京 100020
3.首都医科大学附属北京安贞医院心外科,北京 100029
主治医师,硕士。研究方向:心肌缺血再灌注损伤。E-mail:sjtxzwk@163.com
主任医师,硕士。研究方向:心肌缺血再灌注损伤。E-mail:13911028861@163.com
纸质出版日期:2023-05-30,
收稿日期:2022-12-02,
修回日期:2023-04-25,
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陈兴华,韩露,贡鸣等.落新妇苷对大鼠心肌缺血再灌注损伤的影响及机制 Δ[J].中国药房,2023,34(10):1193-1198.
CHEN Xinghua,HAN Lu,GONG Ming,et al.Effects and mechanism of astilbin on myocardial ischemia-reperfusion injury in rats[J].ZHONGGUO YAOFANG,2023,34(10):1193-1198.
陈兴华,韩露,贡鸣等.落新妇苷对大鼠心肌缺血再灌注损伤的影响及机制 Δ[J].中国药房,2023,34(10):1193-1198. DOI: 10.6039/j.issn.1001-0408.2023.10.08.
CHEN Xinghua,HAN Lu,GONG Ming,et al.Effects and mechanism of astilbin on myocardial ischemia-reperfusion injury in rats[J].ZHONGGUO YAOFANG,2023,34(10):1193-1198. DOI: 10.6039/j.issn.1001-0408.2023.10.08.
目的
2
探究落新妇苷(AST)对大鼠心肌缺血再灌注损伤(MIRI)的影响,以及可能的作用机制。
方法
2
将SD雄性大鼠随机分为假手术组、模型组、阳性对照组(复方丹参片240 mg/kg)和AST低、高剂量组(30、90 mg/kg)以及AST高剂量+缺氧诱导因子1α(HIF-1α)抑制剂组(AST 90 mg/kg+2-甲氧基雌二醇15 mg/kg),每组25只。除假手术组外,其他各组大鼠均建立MIRI模型,灌胃或腹腔注射相应药物或生理盐水,连续28 d。测定各组大鼠血清中心肌肌钙蛋白I(cTnI)、肌酸激酶同工酶(CK-MB)含量,测量心肌梗死体积比,观察心肌组织病理形态变化、心肌细胞凋亡率和心肌组织线粒体的超微结构,测定心肌组织中肿瘤坏死因子α(TNF-α)、白细胞介素6(IL-6)、丙二醛(MDA)含量和超氧化物歧化酶(SOD)活性以及HIF-1α、腺病毒E1B相互作用蛋白3(BNIP3)、肌球蛋白样Bcl-2结合蛋白(Beclin1)的表达,并计算微管相关蛋白轻链3(LC3)Ⅱ与Ⅰ的比值(简称“LC3Ⅱ/Ⅰ”)。
结果
2
与模型组比较,阳性对照组和AST低、高剂量组大鼠的心肌组织无明显肿胀,心肌纤维排列整齐,心肌梗死体积比和cTnI、CK-MB、TNF-α、IL-6、MDA含量以及细胞凋亡率均显著降低(
P
<0.05),SOD活性和HIF-1α、BNIP3、Beclin1蛋白表达量以及LC3Ⅱ/Ⅰ均显著升高(
P
<0.05)。HIF-1α抑制剂可显著削弱AST对MIRI模型大鼠上述指标的改善作用(
P
<0.05)。
结论
2
AST可以通过激活HIF-1α/BNIP3信号通路来增强线粒体自噬,从而减轻大鼠MIRI。
OBJECTIVE
2
To investigate the effects of astilbin (AST) on myocardial ischemia-reperfusion injury (MIRI) in rats and its potential mechanism.
METHODS
2
SD male rats were randomly divided into sham operation group, model group, positive control group (Compound
Salvia miltiorrhiza
tablets, 240 mg/kg), AST low-dose and high-dose groups (30, 90 mg/kg), and high-dose of AST+hypoxia-inducible factor-1α(HIF-1α) inhibitor group (AST 90 mg/kg+2ME2 15 mg/kg), with 25 rats in each group. Except for sham operation group, MIRI model was induced in other groups, and then given relevant drug or normal saline intragastrically or intraperitoneally, for consecutive 28 d. Serum contents of cardiac troponin I (cTnI) and creatine kinase isoenzyme (CK-MB) were detected; volume ratio of myocardial infarction was measured; the pathological changes of myocardium, the apoptotic rate of myocardial cells and ultrastructure of mitochondria in myocardial tissue were all observed. The contents of tumor necrosis factor α (TNF-α), interleukin 6 (IL-6) and malondialdehyde (MDA), the activity of superoxide dismutase (SOD), the expressions of HIF-1α, adenovirus E1B interacting protein 3 (BNIP3) and myosin-like Bcl-2 interacting protein (Beclin1) were determined in myocardium. The ratio of microtubule-associated protein light chain 3 (LC3) Ⅱ to Ⅰ (LC3Ⅱ/Ⅰ) in rat myocardium was calculated.
RESULTS
2
Compared with model group, no obvious swelling was found in the myocardial tissue of rats in positive control group, AST low-dose and high-dose groups, and the myocardial fibers were arranged regularly; the volume ratio of myocardial infarction, the contents of cTnI, CK-MB, TNF-α, IL-6 and MDA, the apoptotic rate were decreased significantly (
P
<0.05), while SOD activity, protein expressions of HIF-1α, BNIP3 and Beclin1, LC3Ⅱ/Ⅰ were increased significantly (
P
<0.05). HIF-1α inhibitor could significantly weaken the improvement effect of AST on the above indicators in MIRI model rats (
P
<0.05).
CONCLUSIONS
2
AST enhances mitochondrial autophagy by activating HIF-1α/BNIP3 signaling pathway, thereby reducing MIRI in rats.
落新妇苷心肌缺血再灌注损伤缺氧诱导因子1αB细胞淋巴瘤2/腺病毒E1B相互作用蛋白3自噬
myocardial ischemia-reperfusion injuryhypoxia-inducible factor-1αB-cell lymphoma-2/adenovirus E1B interacting protein 3autophagy
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