机构:[1]The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China广东省中医院重症医学中医药应用研究团队重症医学科大德路总院[2]Guangzhou Key Laboratory of Chinese Medicine for Prevention and Treatment of Myocardial Infarction, Guangzhou, China
Danqi soft capsule (DQ) is a traditional Chinese medicine containing Salvia miltiorrhiza and Panax notoginseng; it is safe and efficient in treating ischaemic heart diseases. The purpose of the present study was to assess whether DQ could prevent infarct border zone (IBZ) remodelling and decrease ventricular arrhythmias occurrence in post-myocardial infarction (MI) stage. MI was induced by a ligation of the left anterior descending coronary artery. DQ was administered to the post-MI rats started from 1 week after MI surgery for 4 weeks. The results showed that DQ treatment significantly attenuated tachyarrhythmia induction rates and arrhythmia score in post-MI rats. In echocardiography, DQ improved left ventricular (LV) systolic and diastolic function. Histological assessment revealed that DQ significantly reduced fibrotic areas and myocyte areas, and increased connexin (Cx) 43 positive areas in IBZ. Western blot revealed that DQ treatment significantly reduced the protein expression levels of type I and III collagens, a-smooth muscle actin (alpha-SMA), transforming growth factor-ss 1 (TGF-ss 1) and Smad3 phosphorylation, while increasing Cx43 amounts. Overall, these findings mainly indicated that DQ intervention regulates interstitial fibrosis, Cx43 expression and myocyte hypertrophy by TGF-ss 1/Smad3 pathway in IBZ, inhibits LV remodelling and reduces vulnerability to tachyarrhythmias after MI. This study presents a proof of concept for novel antiarrhythmic strategies in preventing IBZ remodelling, modifying the healed arrhythmogenic substrate and thus reducing susceptibility to ventricular arrhythmias in the late post-MI period.
基金:
Guangdong Provincial Key laboratory
of Chinese Medicine for Prevention and
Treatment of Refractory Chronic Diseases,
Grant/Award Number: 2018B030322012;
Natural Science Foundation of Guangdong
Province, Grant/Award Number:
#2016A030313634, #2017A030313888;
TCM Science and Technology Foundation
of Guangdong Provincial Hospital
of Chinese Medicine, Grant/Award
Number: #YN2018MJ02; Natural Science
Foundation of China, Grant/Award Number:
#81503394; Guangzhou science and
Technology Foundation, Grant/Award
Number: #201607010364
第一作者机构:[1]The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China[2]Guangzhou Key Laboratory of Chinese Medicine for Prevention and Treatment of Myocardial Infarction, Guangzhou, China
通讯作者:
通讯机构:[1]The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China[2]Guangzhou Key Laboratory of Chinese Medicine for Prevention and Treatment of Myocardial Infarction, Guangzhou, China[*1]The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 510006, China
推荐引用方式(GB/T 7714):
Ma Shiyu,Ma Jin,Mai Xiaoyi,et al.Danqi soft capsule prevents infarct border zone remodelling and reduces susceptibility to ventricular arrhythmias in post-myocardial infarction rats[J].JOURNAL OF CELLULAR AND MOLECULAR MEDICINE.2019,23(8):5454-5465.doi:10.1111/jcmm.14428.
APA:
Ma, Shiyu,Ma, Jin,Mai, Xiaoyi,Zhao, Xujie,Guo, Liheng&Zhang, Minzhou.(2019).Danqi soft capsule prevents infarct border zone remodelling and reduces susceptibility to ventricular arrhythmias in post-myocardial infarction rats.JOURNAL OF CELLULAR AND MOLECULAR MEDICINE,23,(8)
MLA:
Ma, Shiyu,et al."Danqi soft capsule prevents infarct border zone remodelling and reduces susceptibility to ventricular arrhythmias in post-myocardial infarction rats".JOURNAL OF CELLULAR AND MOLECULAR MEDICINE 23..8(2019):5454-5465