首页|半夏有效成分环阿屯醇对小鼠心肌缺血再灌注损伤的保护作用及机制研究

半夏有效成分环阿屯醇对小鼠心肌缺血再灌注损伤的保护作用及机制研究

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目的 探究半夏有效成分环阿屯醇对小鼠心肌缺血再灌注损伤(Myocardial ischemia reperfusion injury,MIRI)的影响及作用机制.方法 在体外实验中,从 1~3 日龄的SD雄性大鼠乳鼠上提取原代心肌细胞,分为对照(Control)组、缺氧/复氧(Hy-poxia/Reoxygenation,H/R)组、环阿屯醇低剂量组(3 μmol·L-1)、环阿屯醇高剂量组(10 μmol·L-1)和SB203580 组.各组预给药干预后,在缺氧培养箱中缺氧培养 3 h,正常培养箱中复氧培养 3 h复制缺氧/复氧模型.利用CCK-8 检测各组心肌细胞活力,流式法检测细胞凋亡率,Western blot 检测 p38 MAPK、p-p38 MAPK 的表达水平.在体内实验中,将 7 周龄的雄性C57BL/6J小鼠随机分为对照(Control)组,缺血/再灌注损伤(Ischemia/Reperfusion,I/R)组,环阿屯醇低、中、高(0.2、0.5、1.0 mg·kg-1)剂量组.手术前 7 d 连续给药,通过小鼠心脏冠状动脉左前降支(Left anterior descending artery,LAD)结扎30 min,再灌注 24 h的方式制备MIRI模型.小动物超声心动图检测左心室射血分数(Left ventricular ejection fraction,LVEF)、小鼠心输出量(Cardiac output,CO)、左室缩短分数(Left ventricular fractional shortening,LVFS);TTC染色法检测各组小鼠心脏的缺血梗死面积的变化;HE 染色法观察各组小鼠心肌组织的变化;Western blot 检测小鼠心肌组织中 p38 MAPK、p-p38 MAPK、IL-6及TNF-α的表达水平;ELISA法检测小鼠血清肌酸激酶同工酶(CK-MB)、乳酸脱氢酶(LDH)、肌钙蛋白I(cTnI)、细胞白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平.结果 体外实验中,与 H/R 组相比,环阿屯醇预处理组和SB203580 组的心肌细胞活力有明显提高(P<0.05),细胞凋亡率有所下降(P<0.05),可以下调IL-6 表达水平(P<0.01),降低p-p38 MAPK/p38 MAPK的比值(P<0.05,P<0.01).体内实验证明,与I/R组相比,中、高剂量环阿屯醇预处理可以显著提高LVEF、LVFS及CO值(P<0.05,P<0.01),减少心肌缺血梗死面积(P<0.05),提高心肌功能,有效保护心肌组织纤维,下调小鼠血清中CK-MB、LDH、cTnI、IL-6 和 TNF-α 水平(P<0.05);环阿屯醇高剂量组降低 p-p38 MAPK/p38 MAPK 的比值(P<0.05),减少IL-6和TNF-α的表达水平(P<0.05).结论 环阿屯醇预处理可以保护小鼠心功能,减轻MIRI,其作用机制可能与抑制p38 MAPK磷酸化,减轻炎性反应有关.
Research on the Protective Effects and Mechanisms of Cycloartenol,the Effective Component of Pinellia Ternata,on Myo-cardial Ischemia-Reperfusion Injury in Mice
OBJECTIVE To explore the effects and mechanisms of cycloartenol on myocardial ischemia-reperfusion injury in mice.METHODS In vitro experiments,primary cardiomyocytes were extracted from 1-3 days SD mice.The hypoxia/reoxygenation model was established by incubating cells in a hypoxic culture box for 3 hours followed by reoxygenation in a normal culture box for 3 hours.The primary cardiomyocytes were divided into Control group,H/R group,low-dose(3 μmol·L-1)and high-dose(10 μmol·L-1)cycloartenol groups,and SB203580 group.CCK-8 was used to detect cell viability,the apoptosis rate was detected by flow cytometry,and Western blot was used to detect the expression levels of p38 MAPK and p-p38 MAPK in each group.In an in vi-vo experiment,7-week-old male C57BL/6J mice were randomly divided into a Control group,an I/R group,and three doses of cyclo-artenol(0.2,0.5,1.0 mg·kg-1)groups.The mice were continuously administered for seven days before the surgery.The model was prepared by ligation of the left anterior descending coronary artery(LAD)for 30 minutes,followed by reperfusion for 24 hours to in-duce myocardial ischemia-reperfusion injury.Left ventricular ejection fraction(LVEF),cardiac output(CO),left ventricular fractional shortening(LVFS)of each group of mice were detected by small animal ultrasound.TTC staining was used to detect the changes of is-chemic infarct size in each group.The changes of myocardial tissue in each group were observed by HE staining.The expression levels of p38 MAPK,p-p38 MAPK,IL-6 and TNF-α in myocardial tissue of mice were detected by Western blot.Serum levels of creatine ki-nase isoenzyme(CK-MB),lactate dehydrogenase(LDH),cardiac troponin I(cTnI),interleukin-6(IL-6),and tumor necrosis fac-tor-α(TNF-α)were measured using ELISA kits.RESULTS In vitro experiments demonstrated that compared with the H/R group,both the cycloartenol and SB203580 pretreatment groups showed a significant increase in myocardial cell viability and the apoptosis rate decrease,which can downregulate the protein expression level of p-p38 MAPK and decrease the ratio of p-p38 MAPK/p38 MAPK(P<0.05).In vivo experiments confirmed that compared with the I/R group,cycloartenol pretreatment significantly improved LVEF,LVFS,and CO values(P<0.05),reduce myocardial ischemic infarct size,thereby enhancing myocardial function.The protein ex-pression level of p-p38 MAPK in myocardial tissue was down-regulated,the ratio of p-p38 MAPK/p38 MAPK was decreased,and the expression levels of IL-6 and TNF-α were decreased.Additionally,cycloartenol pretreatment reduced the levels of CK-MB,LDH,cT-nI,IL-6,and TNF-α in mouse serum(P<0.05).CONCLUSION Pre-treatment with cycloartenol can protect mouse cardiac func-tion and alleviate myocardial ischemia-reperfusion injury.Its mechanism of action may be related to the inhibition of p38 MAPK phos-phorylation,reducing inflammatory reactions.

cycloartenolhypoxia/reoxygenationischemia/reperfusion injuryp38 MAPKinflammatory response

梁雅婷、姜雅宁、孙永宁

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上海中医药大学附属市中医医院,上海 200040

环阿屯醇 缺氧/复氧 缺血/再灌注损伤 p38 MAPK 炎性反应

上海中医药大学研究生创新创业能力培养项目(2020)上海市中医医院"未来计划"中医药传承人才培育项目

03.ZY11.202013NWLJH2021ZY-MZY018

2024

南京中医药大学学报
南京中医药大学

南京中医药大学学报

CSTPCD北大核心
影响因子:1.658
ISSN:1672-0482
年,卷(期):2024.40(1)
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