San-Huang-Xie-Xin-Tang Prevents Rat Hearts from Ischemia/Reperfusion-Induced Apoptosis through eNOS and MAPK Pathways.

San-Huang-Xie-Xin-Tang Prevents Rat Hearts from Ischemia/Reperfusion-Induced Apoptosis through eNOS and MAPK Pathways.
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San-huang-Xie-XIN-Tang通过ENOS和MAPK途径阻止大鼠心脏缺血/再灌注诱导的凋亡。

DOI:
10.1093/ecam/neq061
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发表时间:
2011
期刊:
Evidence-based complementary and alternative medicine : eCAM
影响因子:
--
通讯作者:
Yeh JL
Yeh JL
中科院分区:
其他
文献类型:
--
作者:
Liou SF;Ke HJ;Hsu JH;Liang JC;Lin HH;Chen IJ;Yeh JL

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三黄泻心汤是一种由黄芪、丹参、丹参组成的传统中药。本研究旨在观察SHXT对大鼠急性心肌缺血/再灌注(I/R)诱导的心肌细胞凋亡的保护作用。在I/R(左冠状动脉闭塞45分钟,然后再灌注2小时)之前施用媒介物(静脉内盐水)或SHXT(静脉内或口服)。在溶剂组中,心肌I/R引起心肌梗死,血浆心肌酶升高,严重心律失常和死亡率。DNA梯状条带和Bcl-2/Bax比值显示I/R可诱导心肌细胞凋亡。在SHXT组中,我们发现SHXT显著降低了血浆心肌酶水平,心律失常评分(从5 ± 1降至2 ± 1,P <0.01)和死亡率(从53%降至0%,P <0.01)。此外,与溶剂组相比,静脉注射SHXT预处理可剂量依赖性地减少梗死面积(10 mg kg−1:14.0 ± 0.2 vs 44.5 ± 5.0%,30 mg kg−1:6.2 ± 1.2% vs 44.5 ± 5.0%,均P <0.01)。类似地,口服SHXT剂量依赖性地减少梗死面积。SHXT可明显降低缺血再灌注诱导的细胞凋亡,并增加Bcl-2/Bax比值。最后,我们发现,SHXT抵消I/R诱导的下游信号,导致心肌eNOS表达和血浆亚硝酸盐增加,ERK 1/2,p38和JNK的激活减少。这些数据表明,SHXT对I/R诱导的细胞凋亡具有心脏保护作用,并且这些作用至少部分由eNOS和MAPK通路介导。
San-Huang-Xie-Xin-Tang (SHXT) is a traditional Chinese medication consisting of three herbs, namely Coptidis rhizome, Scutellariae radix and Rhei rhizome. This study aimed to examine the cardioprotective effects of SHXT in a rat model of acute myocardial apoptosis induced by ischemia/reperfusion (I/R). Vehicle (intravenous saline) or SHXT (intravenous or oral) was administered prior to I/R (occlusion of left coronary artery for 45 min followed by reperfusion for 2 h). In the vehicle group, myocardial I/R caused myocardial infarction with increased plasma cardiac enzymes, severe arrhythmia and mortality. Myocardial apoptosis was induced by I/R as evidenced by DNA ladder and Bcl-2/Bax ratio. In the SHXT group, we found that SHXT significantly reduced plasma levels of cardiac enzymes, arrhythmia scores (from 5 ± 1 to 2 ± 1, P < .01) and mortality rate (from 53 to 0%, P < .01). In addition, pretreatment with intravenous SHXT reduced the infarct size dose-dependently when compared with the vehicle group (10 mg kg−1: 14.0 ± 0.2 versus 44.5 ± 5.0%, and 30 mg kg−1: 6.2 ± 1.2% versus 44.5 ± 5.0%, both P < .01). Similarly, oral administration of SHXT reduced the infarct size dose-dependently. Furthermore, SHXT markedly decreased the apoptosis induced by I/R with increased Bcl-2/Bax ratio. Finally, we found that SHXT counteracted the I/R-induced downstream signaling, resulting in increased myocardial eNOS expression and plasma nitrite, and decreased activation of ERK1/2, p38 and JNK. These data suggest that SHXT has cardioprotective effects against I/R-induced apoptosis, and that these effects are mediated, at least in part, by eNOS and MAPK pathways.
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