首页|基于lncGAS5/DNMT3A通路探讨心康冲剂对慢性心力衰竭大鼠心肌纤维化的影响

基于lncGAS5/DNMT3A通路探讨心康冲剂对慢性心力衰竭大鼠心肌纤维化的影响

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目的 探讨心康冲剂调控长链非编码RNA生长停滞特异性转录本5(long non-coding RNA growth arrest specif-ic transcript 5,lncGAS5)/DNA甲基转移酶3A(DNA methyltransferase 3A,DNMT3A)通路抗慢性心力衰竭大鼠心肌纤维化的机制。方法 62只SD大鼠,其中随机取6只大鼠为正常组,余56只经腹腔注射阿霉素药物建立慢性心力衰竭模型,将造模成功的52只大鼠随机分为模型组12只(注射PBS+生理盐水灌胃),GAS5沉默组(注射AAV9-GAS5-RNAi病毒+生理盐水灌胃)、阴性对照组(注射AAV NC病毒+生理盐水灌胃)、心康冲剂组(注射AAV9-GAS5-RNAi病毒+心康冲剂溶液灌胃)、缬沙坦组(注射AAV9-GAS5-RNAi病毒+缬沙坦溶液灌胃)各10只。分组处理后,心脏超声检测各组大鼠心功能;Masson染色观察心脏组织形态;免疫荧光染色检测各组大鼠左心室纤维化蛋白α-SMA表达;酶联免疫吸附法检测大鼠血清Col Ⅰ表达;实时荧光定量PCR法检测各组大鼠心尖组织lncGAS5、DNMT3A mRNA;Western blot法检测DNMT3A、第10号染色体缺失的磷酸酶及张力蛋白同源基因(phosphatase and tensin homolog deleted on chro-mosome ten,PTEN)、磷酸化蛋白质激酶蛋白B(phosphorylated protein kinase B,AKT)各蛋白表达量。结果 与正常组相比,模型组大鼠左室射血分数(left ventricular ejection fractions,LVEF)、左心室短轴缩短率(left ventricular fractional short-ening,LVFS)均明显降低(P<0。05);染色结果显示心肌纤维化严重;血液中Ⅰ型胶原(type Ⅰ collagen,Col Ⅰ)明显升高(P<0。05);lncGAS5 mRNA表达降低,DNMT3A mRNA及蛋白表达升高,PTEN蛋白表达降低,AKT蛋白表达升高(P<0。05);与模型组相比,GAS5沉默组染色或指标结果进一步降低或升高;与GAS5沉默组相比,染色结果显示心康冲剂、缬沙坦组干预后心肌纤维化减轻,LVEF、LVFS都不同程度地增加(P<0。05);血清中Col Ⅰ水平降低;lncGAS5mRNA表达升高,DNMT3AmRNA表达降低;DNMT3A、AKT蛋白表达降低,PTEN蛋白表达升高(P<0。05)。结论 心康冲剂可通过调控lncGAS5/DNMT3A/PTEN/AKT通路及下游纤维化因子,从而改善慢性心力衰竭之心肌纤维化。
Effects of Xinkang Granule(康冲剂)on Myocardial Fibrosis in Rats of Chronic Heart Failure Based on LncGAS5/DNMT3A Pathway
Objective To investigate the mechanism of Xinkang Granule(心康冲剂)regulating long non-coding RNA growth arrest specific transcript 5(LncGAS5)/DNA methyltransferase 3A(DNMT3A)pathway against myocardial fibrosis in rats with chronic heart failure.Methods Among 62 SD rats,6 rats were randomly selected as the normal group,and the remaining 56 rats were intraperitoneally injected with adriamycin to establish the chronic heart failure model.The 52 rats successfully modeled were randomly divided into the model group(12 rats,injected with PBS+normal saline by gavage),GAS5 silence group(10 rats,injec-ted with AAV9-GAS5-RNAi+normal saline by gavage),negative control group(10 rats,injected with AAV NC+normal sa-line by gavage),Xinkang Granule group(10 rats,injected with AAV9-GAS5-RNAi+Xinkang Granule solution by gavage)and Valsartan group(10 rats,injected with AAV9-GAS5-RNAi+Valsartan solution by gavage).After treatment,the cardiac func-tion of each group was detected by cardiac ultrasound.Masson staining was used to observe the morphology of heart tissue.The expression of left ventricular fibrosis protein α-SMA in each group was detected by immunofluorescence staining.Serum Col Ⅰexpression was detected by enzyme-linked immunosorbent assay.lncGAS5 and DNMT3A mRNA were detected by Real-time PCR.The protein expression levels of DNMT3A,phosphatase and tensin homolog deleted on chromosome ten(PTEN)and phos-phorylated protein kinase B(AKT)were detected by Western blot.Results Compared with those of the blank group,the values of left ventricular ejection fractions(LVEF)and left ventricular fractional shortening(LVFS)in the model group were significantly decreased(P<0.05).The staining results showed serious myocardial fibrosis.Col Ⅰ levels in blood were increased significantly(P<0.05).lncGAS5 mRNA expression was decreased,DNMT3A mRNA and protein expression was increased,PTEN protein expression was decreased and AKT protein expression was increased(P<0.05).Compared with the of the model group,the stai-ning or index results of GAS5 silencing group were further decreased or increased.Compared with that of the GAS5 silencing group,the staining results showed that myocardial fibrosis was alleviated after intervention of Xinkang Granule and valsartan,and the values of LVEF and LVFS were increased to varying degrees(P<0.05).Col Ⅰ levels in serum were decreased.lnc-GAS5mRNA expression increased and DNMT3A mRNA expression decreased.The protein expressions of DNMT3A and AKT were decreased,while the protein expressions of PTEN were increased(P<0.05).Conclusion Xinkang Granule can improve the cardiac function of rats with chronic heart failure by regulating LncGAS5/DNMT3A/PTEN/AKT pathway and downstream fibrosis factors,thereby improving myocardial fibrosis in rats with chronic heart failure.

Xinkang Granule(心康冲剂)chronic heart failuremyocardial fibrosisLncGAS5DNTM3A

郭冰、毛以林、余意、王敏、李园、贺璇、刘蓉芳

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湖南中医药大学,湖南长沙 410208

湖南中医药大学第二附属医院,湖南长沙 410005

江门市五邑中医院,广东江门 529000

心康冲剂 慢性心力衰竭 心肌纤维化 lncGAS5 DNMT3A

国家自然科学基金青年科学基金广东省中医药局面上项目湖南中医药大学"一方"研究生创新项目

82004283202014242021YF05

2024

中华中医药学刊
中华中医药学会 ,辽宁中医药大学

中华中医药学刊

CSTPCD北大核心
影响因子:1.007
ISSN:1673-7717
年,卷(期):2024.42(3)
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