Tongxinluo Activates PI3K/AKT Signaling Pathway to Inhibit Endothelial Mesenchymal Transition and Attenuate Myocardial Fibrosis after Ischemia-Reperfusion in Mice.

IF 2.2 3区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Chinese Journal of Integrative Medicine Pub Date : 2024-07-01 Epub Date: 2024-02-22 DOI:10.1007/s11655-024-3652-5
Ya-Ru Wei, Yun-Long Hou, Yu-Jie Yin, Zhen Li, Yi Liu, Ning-Xin Han, Zi-Xuan Wang, Lu Liu, Xiao-Qi Wang, Yuan-Jie Hao, Kun Ma, Jiao-Jiao Gu, Zhen-Hua Jia
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Abstract

Objective: To investigate the potential role of Tongxinluo (TXL) in attenuating myocardial fibrosis after myocardial ischemia-reperfusion injury (MIRI) in mice.

Methods: A MIRI mouse model was established by left anterior descending coronary artery ligation for 45 min. According to a random number table, 66 mice were randomly divided into 6 groups (n=11 per group): the sham group, the model group, the LY-294002 group, the TXL group, the TXL+LY-294002 group and the benazepril (BNPL) group. The day after modeling, TXL and BNPL were administered by gavage. Intraperitoneal injection of LY-294002 was performed twice a week for 4 consecutive weeks. Echocardiography was used to measure cardiac function in mice. Masson staining was used to evaluate the degree of myocardial fibrosis in mice. Qualitative and quantitative analysis of endothelial mesenchymal transition (EndMT) after MIRI was performed by immunohistochemistry, immunofluorescence staining and flow cytometry, respectively. The protein expressions of platelet endothelial cell adhesion molecule-1 (CD31), α-smoth muscle actin (α-SMA), phosphatidylinositol-3-kinase (PI3K) and phospho protein kinase B (p-AKT) were assessed using Western blot.

Results: TXL improved cardiac function in MIRI mice, reduced the degree of myocardial fibrosis, increased the expression of CD31 and inhibited the expression of α-SMA, thus inhibited the occurrence of EndMT (P<0.05 or P<0.01). TXL significantly increased the protein expressions of PI3K and p-AKT (P<0.05 or P<0.01). There was no significant difference between TXL and BNPL group (P>0.05). In addition, the use of the PI3K/AKT pathway-specific inhibitor LY-294002 to block this pathway and combination with TXL intervention, eliminated the protective effect of TXL, further supporting the protective effect of TXL.

Conclusion: TXL activated the PI3K/AKT signaling pathway to inhibit EndMT and attenuated myocardial fibrosis after MIRI in mice.

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通心络激活PI3K/AKT信号通路,抑制小鼠缺血再灌注后的内皮间充质转化并减轻心肌纤维化
目的研究通心络(TXL)在减轻小鼠心肌缺血再灌注损伤(MIRI)后心肌纤维化中的潜在作用:方法:通过左前降支冠状动脉结扎 45 分钟建立 MIRI 小鼠模型。66只小鼠按随机数字表随机分为6组(每组11只):假组、模型组、LY-294002组、TXL组、TXL+LY-294002组和贝那普利(BNPL)组。建模后第二天,灌胃给药 TXL 和 BNPL。腹腔注射 LY-294002 每周两次,连续注射 4 周。超声心动图用于测量小鼠的心脏功能。马森染色用于评估小鼠心肌纤维化的程度。免疫组化、免疫荧光染色和流式细胞术分别对 MIRI 后的内皮间质转化(EndMT)进行了定性和定量分析。用 Western blot 评估了血小板内皮细胞粘附分子-1(CD31)、α-蛾状肌动蛋白(α-SMA)、磷脂酰肌醇-3-激酶(PI3K)和磷酸蛋白激酶 B(p-AKT)的蛋白表达:结果:TXL 改善了 MIRI 小鼠的心功能,降低了心肌纤维化程度,增加了 CD31 的表达,抑制了 α-SMA 的表达,从而抑制了 EndMT 的发生(P0.05)。此外,使用PI3K/AKT通路特异性抑制剂LY-294002阻断该通路,并结合TXL干预,消除了TXL的保护作用,进一步支持了TXL的保护作用:结论:TXL激活了PI3K/AKT信号通路,抑制了小鼠MIRI后的内膜种植,减轻了心肌纤维化。
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来源期刊
Chinese Journal of Integrative Medicine
Chinese Journal of Integrative Medicine 医学-全科医学与补充医学
CiteScore
5.90
自引率
3.40%
发文量
2413
审稿时长
3 months
期刊介绍: Chinese Journal of Integrative Medicine seeks to promote international communication and exchange on integrative medicine as well as complementary and alternative medicine (CAM) and provide a rapid forum for the dissemination of scientific articles focusing on the latest developments and trends as well as experiences and achievements on integrative medicine or CAM in clinical practice, scientific research, education and healthcare.
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