机构:[1]Heart Center, Guangdong Provincial Hospital of Chinese Medicine, 2nd Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510006, China广东省中医院[2]Department of Critical-Care Medicine, Guangdong Provincial Hospital of Chinese Medicine, 2nd Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510006, China大德路总院重症医学科大德路总院重症医学科广东省中医院[3]Cardiac Department, Aerospace Center Hospital, Peking University Aerospace Clinical College of Medicine, Beijing 100049, China
Purpose: Shensong Yangxin (SSYX) capsule is a traditional Chinese medicine that has been used widely to treat cardiac arrhythmia. This study aimed to assess whether SSYX prevents atrial fibrillation (AF) after chronic myocardial infarction (MI)-induced heart failure and to determine the underlying mechanisms. Materials and methods: The study included 45 male Sprague Dawley rats. The rats underwent MI induction or sham surgery. One week after MI induction surgery, we performed serial echocardiography and administered SSYX capsule to some rats that experienced MI. After 4 weeks of treatment, AF inducibility was assessed with transesophageal programmed electrical stimulation technology. Additionally, multielectrode array assessment, histological analysis, and Western blot analysis were performed. Results: AF inducibility was significantly lower in SSYX rats than in MI rats (33.3% vs 73.3%, P<0.05). Additionally, conduction velocities in the left atrium were greater in SSYX rats than in MI rats. Moreover, SSYX decreased left atrial fibrosis, downregulated TGF-beta 1, MMP-9, TIMP-I, and type I and III collagen expressions, and inhibited the differentiation of cardiac fibroblasts to myofibroblasts. Conclusion: SSYX reduces AF inducibility after MI by improving left atrial conduction function via the inhibition of left atrial fibrosis. It prevents the development of an MI-induced vulnerable substrate for AF.
基金:
This work was supported by a grant from Natural Science Foundation of China (No 81503394), Guangzhou Science and Technology Foundation (No 201607010364), Natural Science Foundation of Guangdong Province (No 2016A030313634, No 2017A030313888), and Guangdong Province Talents Project in Colleges and Universities (No 2050205). The Specific Research Fund for TCM Science and Technology Foundation of Guangdong Provincial Hospital of Chinese Medicine (No YN2018MJ02).
第一作者机构:[1]Heart Center, Guangdong Provincial Hospital of Chinese Medicine, 2nd Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510006, China
共同第一作者:
通讯作者:
通讯机构:[1]Heart Center, Guangdong Provincial Hospital of Chinese Medicine, 2nd Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510006, China[3]Cardiac Department, Aerospace Center Hospital, Peking University Aerospace Clinical College of Medicine, Beijing 100049, China[*1]Heart Center, Guangdong Provincial Hospital of Chinese Medicine, 2nd Affiliated Hospital of Guangzhou University of Chinese Medicine, 55 Neihuan Xilu, Panyu District, Guangzhou 510006, China[*2]Cardiac Department, Aerospace Center Hospital, Peking University Aerospace Clinical College of Medicine, 15 Yuquan Road, Haidian District, Beijing 100049, China
推荐引用方式(GB/T 7714):
Jin Ma,Chunxia Yin,Shiyu Ma,et al.Shensong Yangxin capsule reduces atrial fibrillation susceptibility by inhibiting atrial fibrosis in rats with post-myocardial infarction heart failure[J].DRUG DESIGN DEVELOPMENT AND THERAPY.2018,12:3407-3418.doi:10.2147/DDDT.S182834.
APA:
Jin Ma,Chunxia Yin,Shiyu Ma,Huiliang Qiu,Chaoyang Zheng...&Weihui Lv.(2018).Shensong Yangxin capsule reduces atrial fibrillation susceptibility by inhibiting atrial fibrosis in rats with post-myocardial infarction heart failure.DRUG DESIGN DEVELOPMENT AND THERAPY,12,
MLA:
Jin Ma,et al."Shensong Yangxin capsule reduces atrial fibrillation susceptibility by inhibiting atrial fibrosis in rats with post-myocardial infarction heart failure".DRUG DESIGN DEVELOPMENT AND THERAPY 12.(2018):3407-3418