Shuxuening Injection Inhibits Apoptosis and Reduces Myocardial Ischemia-Reperfusion Injury in Rats through PI3K/AKT Pathway

© 2023. The Chinese Journal of Integrated Traditional and Western Medicine Press and Springer-Verlag GmbH Germany, part of Springer Nature..

OBJECTIVE: To investigate the main components and potential mechanism of Shuxuening Injection (SXNI) in the treatment of myocardial ischemia-reperfusion injury (MIRI) through network pharmacology and in vivo research.

METHODS: The Traditional Chinese Medicine Systems Pharmacology (TCMSP) and PharmMapper databases were used to extract and evaluate the effective components of Ginkgo biloba leaves, the main component of SXNI. The Online Mendelian Inheritance in Man (OMIM) and GeneCards databases were searched for disease targets and obtain the drug target and disease target intersections. The active ingredient-target network was built using Cytoscape 3.9.1 software. The STRING database, Metascape online platform, and R language were used to obtain the key targets and signaling pathways of the anti-MIRI effects of SXNI. In order to verify the therapeutic effect of different concentrations of SXNI on MIRI in rats, 60 rats were first divided into 5 groups according to random number table method: the sham operation group, the model group, SXNI low-dose (3.68 mg/kg), medium-dose (7.35 mg/kg), and high-dose (14.7 mg/kg) groups, with 12 rats in each group. Then, another 60 rats were randomly divided into 5 groups: the sham operation group, the model group, SXNI group (14.7 mg/kg), SXNI+LY294002 group, and LY294002 group, with 12 rats in each group. The drug was then administered intraperitoneally at body weight for 14 days. The main biological processes were validated using in vivo testing. Evans blue/triphenyltetrazolium chloride (TTC) double staining, hematoxylin-eosin (HE) staining, terminal deoxynucleotidyl transferase dUTP nick end labeling (TUNEL) assay, enzyme-linked immunosorbent assay (ELISA), and Western blot analysis were used to investigate the efficacy and mechanism of SXNI in MIRI rats.

RESULTS: Eleven core targets and 30 Kyoto Encyclopedia of Genes and Genomes (KEGG) pathways were selected. Among these, the phosphoinositide 3-kinase (PI3K)/ protein kinase B (AKT) pathway was closely related to SXNI treatment of MIRI. In vivo experiments showed that SXNI reduced the myocardial infarction area in the model group, improved rat heart pathological damage, and reduced the cardiomyocyte apoptosis rate (all P<0.01). After SXNI treatment, the p-PI3K/PI3K and p-AKT/AKT ratios as well as B-cell lymphoma-2 (Bcl-2) protein expression in cardiomyocytes were increased, while the Bax and cleaved caspase 3 protein expression levels were decreased (all P<0.05). LY294002 partially reversed the protective effect of SXNI on MIRI.

CONCLUSION: SXNI protects against MIRI by activating the PI3K/AKT signaling pathway.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:30

Enthalten in:

Chinese journal of integrative medicine - 30(2024), 5 vom: 27. Apr., Seite 421-432

Sprache:

Englisch

Beteiligte Personen:

Yue, Tong-Tong [VerfasserIn]
Cao, Ying-Jie [VerfasserIn]
Cao, Ya-Xuan [VerfasserIn]
Li, Wei-Xia [VerfasserIn]
Wang, Xiao-Yan [VerfasserIn]
Si, Chun-Ying [VerfasserIn]
Xia, Han [VerfasserIn]
Zhu, Ming-Jun [VerfasserIn]
Tang, Jin-Fa [VerfasserIn]
Wang, He [VerfasserIn]

Links:

Volltext

Themen:

Apoptosis
Drugs, Chinese Herbal
EC 2.7.1.-
EC 2.7.11.1
Ginkgo biloba leaves
Journal Article
Myocardial ischemia reperfusion injury
PI3K/AKT signaling pathway
Phosphatidylinositol 3-Kinases
Proto-Oncogene Proteins c-akt
Shuxuening
Shuxuening Injection

Anmerkungen:

Date Completed 23.04.2024

Date Revised 23.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s11655-023-3650-z

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM366442473