首页|茯苓酸调节PI3K/Akt信号通路对心力衰竭大鼠心肌纤维化的影响

茯苓酸调节PI3K/Akt信号通路对心力衰竭大鼠心肌纤维化的影响

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目的 观察茯苓酸(PA)调节磷脂酰肌醇3-激酶(PI3K)/丝苏氨酸蛋白激酶B(Akt)信号通路对心力衰竭(HF)大鼠心肌纤维化(MF)的影响.方法 将108只大鼠随机分为6组,分别为假手术组、模型组、茯苓酸低剂量组(1mg/kg)、茯苓酸中剂量组(5mg/kg)、茯苓酸高剂量组(10mg/kg)、激活剂组(10mg/kg PA+0.02 mg/kg PI3K激活剂740Y-P),每组18只.采用左冠状动脉前降支结扎法诱导心肌梗死(MI)后HF大鼠造模成功后用超声影像系统检测大鼠心功能;HE染色观察大鼠心肌组织形态;Masson染色观察大鼠心肌胶原蛋白的分布并计算胶原容积分数(CVF);羟脯氨酸(HYP)试剂盒测定大鼠心肌组织HYP含量;TUNEL染色检测大鼠心肌细胞的凋亡情况;检测大鼠心肌组织活性氧(ROS)、谷胱甘肽(GSH)、超氧化物歧化酶(SOD)、丙二醛(MDA)水平;ELISA法检测各组大鼠心肌组织白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平;Western Blot检测心肌组织Bcl-2相关X蛋白(Bax)、半胱氨酸蛋白酶-3(Caspase-3)、心肌组织转化生长因子-β1(TGF-β1)、Smad2、Smad3、PI3K/Akt信号通路蛋白表达.结果 与假手术组比较,模型组大鼠心肌组织结构受损严重,左室射血分数(LVEF)、左室短轴缩短分数(LVFS)、GSH、SOD水平显著下降,左室舒张末期内径(LVEDD)、左室收缩末期内径(LVESD)、CVF、HYP含量、心肌细胞凋亡率、ROS、MDA、IL-6、TNF-α水平、Bax、Caspase-3、TGF-β1、Smad2、Smad3、p-PI3K/PI3K、p-Akt/Akt水平显著升高(P<0.05);与模型组比较,PA低、中、高剂量组大鼠心肌组织结构受损减轻,LVEF、LVFS、GSH、SOD水平显著升高,LVEDD、LVESD、CVF、HYP含量、心肌细胞凋亡率、ROS、MDA、IL-6、TNF-α水平、Bax、Caspase-3、TGF-β1、Smad2、Smad3、p-PI3K/PI3K、p-Akt/Akt水平显著降低(P<0.05);与高剂量组比较,激活剂组大鼠LVEF、LVFS、GSH、SOD水平显著下降,LVEDD、LVESD、CVF、HYP含量、心肌细胞凋亡率、ROS、MDA、IL-6、TNF-α水平、Bax、Caspase-3、TGF-β1、Smad2、Smad3、p-PI3K/PI3K、p-Akt/Akt显著升高(P<0.05).结论 PA通过抑制PI3K/Akt信号通路,抑制HF大鼠心肌纤维化.
Influence of pachylic acid on myocardial fibrosis in rats with heart failure by regulating PI3K/Akt signaling pathway
Objective To observe the influence of pachymic acid(PA)on myocardial fibrosis(MF)in rats with heart failure(HF)by regulating phosphatidylinositol 3-kinase(PI3K)/serine-threonine kinase B(Akt)signaling pathway.Methods A total of 108 rats were randomly separated into 6 groups:18 rats/group:sham group,model group,PA low-dose group(1 mg/kg),PA medium-dose group(5 mg/kg),PA high-dose group(10 mg/kg),and activator group(10 mg/kg PA+0.02 mg/kg PI3K activator 740Y-P).Except for sham group,the other groups were treated with left anterior descending coronary artery ligation to induce HF rat model after myocardial infarction(MI).After successful modeling,the corresponding drugs were in-tragastrically and intraperitoneally injected once a day for 4 consecutive weeks;after 4 weeks,the rat cardiac function was detected by an ultrasound imaging system;HE staining was used to observe the morphology of rat myocardial tissue;Masson staining was used to observe the distribution of rat myocardial collagen and calculate the collagen volume fraction(CVF);hy-droxyproline(HYP)kit was used to determine the content of HYP in rat myocardial tissue;TUNEL staining was used to detect the apoptosis of rat cardiomyocytes;kits were used to detect the levels of reactive oxygen species(ROS),glutathione(GSH),superoxide dismutase(SOD)and malondialdehyde(MDA)in rat myocardial tissue respectively;ELISA method was applied to detect the levels of interleukin(IL)-6 and tumor necrosis factor(TNF)-α in myocardial tissue of rats in each group;Western Blot was applied to measure the expression of Bcl-2-associated X protein(Bax),cysteine protease 3(Caspase-3),transforming growth factor-betal(TGF-β1),Smad2,Smad3,PI3K/Akt signaling pathway proteins in myocardial tissue.Results Compared with sham group,the myocardial tissue structure of the rats in model group was severely damaged,the levels of left ventricular ejection fraction(LVEF),left ventricle fraction shortening(LVFS),GSH and SOD were obviously decreased,the contents of left ventricular end diastolic diameter(LVEDD),left ventricular end systolic diameter(LVESD),CVF,HYP,cardiomyocyte apoptosis rate,and the levels of ROS,MDA,IL-6,TNF-α,Bax,Caspase-3,TGF-β1,Smad2,Smad3,p-PI3K/PI3K,and p-Akt/Akt were obviously increased(P<0.05);compared with model group,the myocardial tissue damage in PA low,medium and high dose groups was alleviated,the levels of LVEF,LVFS,GSH and SOD were obviously increased,the contents of LVEDD,LVESD,CVF,HYP,cardiomyocyte apoptosis rate,and the levels of ROS,MDA,IL-6,TNF-α,Bax,Caspase-3,TGF-β1,Smad2,Smad3,p-PI3K/PI3K,and p-Akt/Akt were obviously decreased(P<0.05);compared with PA high-dose group,the levels of LVEF,LVFS,GSH,and SOD in activator group were obviously decreased,the contents of LVEDD,LVESD,CVF,HYP,cardiomyocyte apoptosis rate,and the levels of ROS,MDA,IL-6,TNF-α,Bax,Caspase-3,TGF-β1,Smad2,Smad3,p-PI3K/PI3K,and p-Akt/Akt were obviously increased(P<0.05).Conclusion PA inhibits myocardial fibrosis in HF rats by inhibiting PI3K/Akt signaling pathway.

Heart failureMyocardial fibrosisPoriaic acidPI3K/Akt

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湖北中医药大学附属武汉市中医医院心血管病科,湖北武汉 430014

心力衰竭 心肌纤维化 茯苓酸 PI3K/Akt

湖北省武汉市中医药科研项目

WZ22Z21

2024

湖北中医药大学学报
湖北中医药大学

湖北中医药大学学报

CSTPCD
影响因子:0.873
ISSN:1008-987X
年,卷(期):2024.26(1)
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