Protective Effect of Wutou Chishizhi Wan on Vascular Endothelial Cells and Oxidative Stress in Myocardial Ischemia-reperfusion Rats
10.13422/j.cnki.syfjx.20202003
- VernacularTitle:乌头赤石脂丸对心肌缺血再灌注大鼠血管内皮细胞及氧化应激的保护作用
- Author:
Meng-ni WANG
1
;
Lu-lu XIE
1
;
Zhao-peng ZHANG
1
;
Bing LING
1
;
Zhi-hui LIN
1
;
Pai LIU
1
;
Jun-peng GUO
1
;
Hong-yan LIU
1
Author Information
1. Changchun University of Chinese Medicine, Changchun 130117, China
- Publication Type:Research Article
- Keywords:
Wutou Chishizhi Wan;
myocardial ischemia/reperfusion;
coagulation function;
oxidative stress;
Keap1/transcription factor-E2-related factor (Nrf2)
- From:
Chinese Journal of Experimental Traditional Medical Formulae
2020;26(21):40-47
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the protective effect of Wutou Chishizhi Wan on myocardial ischemia reperfusion injury (MIRI) in rats, and observe its effect on such mechanisms as coagulation function, vascular endothelial cells and oxidative stress in rats. Method:A total of 40 SD rats were randomly divided into normal group, model group, positive drug group (Urokinase group) and Wutou Chishizhi Wan group, with 10 rats in each group. Except for the normal group, rat myocardial ischemia-reperfusion injury models were established. The changes of heart rate (HR) at 10 min before ischemia, 30 min after ischemia and 30, 60, 120 min (T0,T1,T2,T3,T4), and the change of electrocardiogram (ECG) J point after modeling in rats were observed. The pathological changes of rat myocardial tissue were observed by hematoxylin-eosin (HE) staining. The changes of four indexes of coagulation [prothrombin time (PT), activated partial thromboplastin time (APTT), thrombin time (TT), fibrinogen content decreased significantly (FIB)] in rats were observed. The contents of endothelin-1 (ET-1), thromboxane A2 (TXA2) and prostacyclin (PGI2) in serum and myocardium levels of superoxide dismutase (SOD), malondialdehyde (MDA) and glutathione peroxidase (GSH-Px) of MIRI rats were observed. Western blot assay was used for the detection of oxidative stress protein Keap1 and transcription factor-E2-related factor (Nrf2) expression levels in rat myocardial tissue. Result:Compared with the normal group, the ECG of MIRI rats showed significant myocardial ischemic injury-like changes, ST segment was significantly elevated, J point was significantly increased, and the incidences of HR in T1, T2, T3 and T4 were significantly reduced (P<0.05, P<0.01). Compared with the model group, Wutou Chishizhi Wan significantly reduced ECG J-point changes in MIRI rats, while increased the incidence of HR in T1, T2, T3 and T4 (P<0.05, P<0.01). Compared with the normal group, PT, APTT and TT in the model group were significantly shortened (P<0.01), FIB content was significantly increased (P<0.01), and the serum PGI2 level decreased and TXA2 and ET-1 levels increased significantly in the model group (P<0.01). SOD content and GSH-Px activities of myocardial tissue in the model group were significantly reduced (P<0.01), whereas the MDA content was increased (P<0.01). Compared with the model group, PT of the Wutou Chishizhi Wan group was prolonged (P<0.05) and APTT slightly prolonged, TT significantly prolonged (P<0.01), FIB content decreased (P<0.05), serum PGI2 increased (P<0.05), TXA2 and ET-1 decreased significantly in the Wutou Chishizhi Wan group (P<0.01), myocardial MDA content decreased, and SOD content and GSP-Px activity increased significantly (P<0.01). Meanwhile, the Wutou Chishizhi Wan group was able to activate the Keap1/Nrf2 signaling pathway, which significantly increased Nrf2 expression and significantly decreased Keap1 expression (P<0.01). Conclusion:Wutou Chishizhi Wan group can protect myocardial injury in MIRI rats. The specific mechanism is to protect MIRI by regulating vascular endothelial cell homeostasis and oxidative stress levels and activating Keap1/Nrf2 signaling pathway.