Abstract
Objective
To explore whether Panax notoginseng saponins (PNS) exhibits heart protective effect in myocardial infarction (MI) rats and to identify the potential signaling pathways involved.
Methods
MI rats induced by ligating the left anterior descending (LAD) coronary artery were assigned to sham coronary artery ligation or coronary artery ligation. Totally 36 Sprague-Dawley rats were randomly divided into sham group (distilled water, n=9), MI group (distilled water, n=9), PNS group (PNS, 40 mg/kg daily, n=9) and fosinopril group (FIP, 1.2 mg/kg daily, n=9) according to a random number table. The left ventricular morphology and function were conducted by echocardiography. Histological alterations were evaluated by the stainings of HE and Masson. The serum levels of C reactive protein (CRP), tumor necrosis factor α (TNF-α), growth differentiation factor-15 (GDF-15) and the ratio of metalloproteinase-9 (MMP-9) and tissue inhibitor of MMP-9 (TIMP-1) were determined by ELISA. The levels of activating transcription factor 3 (ATF3), mitogen-activated protein kinase kinase 3 (MAP2K3), p38 mitogen-activated protein kinase (p38 MAPK), phosphorylation of p38 MAPK (p-p38 MAPK), transforming growth factor-β (TGF-β1), collagen I, nuclear factor kappa B p65 (NFκB p65), phosphorylation of NFκB p65 (p-NFκB p65), and phosphorylation of inhibitory kappa Bα (p-Iκ Bα) in hearts were measured by Western blot and immunohistochemical staining, respectively.
Results
PNS improved cardiac function and fibrosis in MI rats (P<0.05). The serum levels of CRP, TNF-α, GDF-15 and the ratio of MMP9/TIMP1 were reversed by PNS in MI rats. The expressions of TGF-β1, collagen I, MAP2K3, p38 MAPK, p-p38 MAPK, NFκB p65, p-NFκB p65, and p-IκBα were down-regulated, while ATF3 increased with the treatment of PNS (P<0.05).
Conclusions
PNS may improve cardiac function and fibrosis in MI rats via regulating ATF3/MAP2K3/p38 MAPK and NFκB signaling pathways. These results suggest the potential of PNS in preventing the development of ventricular remodeling in MI rats.
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References
Reed GW, Rossi JE, Cannon CP. Acute myocardial infarction. Lancet 2017;389:197–210.
Zhu HM, Zhou JM, Jin XJ, Fu MQ, Zhu LT, Cui XT, et al. Observational study of Chinese medicine syndrome distribution in patients with acute myocardial infarction and its impact on prognosis. Chin J Integr Med 2019;25:825–830.
Mehta LS, Beckie TM, DeVon HA, Grines CL, Krumholz HM, Johnson MN, et al. Acute myocardial infarction in women: A scientific statement from the American Heart Association. Circulation 2016;133:916–947.
Duan L, Xiong X, Hu J, Liu Y, Li J, Wang J. Panax notoginseng saponins for treating coronary artery disease: a functional and mechanistic overview. Front Pharmacol 2017;8:702.
Zheng SD, Wu HJ, Yu SP, Ren JX, Duo WW, Ma ZC, et al. Shenfu Injection suppresses inflammation by targeting haptoglobin and pentraxin 3 in rats with chronic ischemic heart failure. Chin J Integr Med 2015;21:22–28.
Li Y, Li Z, Zhang C, Li P, Wu Y, Wang C, et al. Cardiac fibroblastspecific activating transcription factor 3 protects against heart failure by suppressing MAP2K3-p38 Signaling. Circulation 2017;135:2041–2057.
Brooks AC, DeMartino AM, Brainard RE, Brittian KR, Bhatnagar A, Jones SP. Induction of activating transcription factor 3 limits survival following infarct-induced heart failure in mice. Am J Physiol Heart Circ Physiol 2015;309:H1326–335.
Ong SB, Hernandez-Resendiz S, Crespo-Avilan GE, Mukhametshina RT, Kwek XY, Cabrera-Fuentes HA, et al. Inflammation following acute myocardial infarction: multiple players, dynamic roles, and novel therapeutic opportunities. Pharmacol Ther 2018;186:73–87.
Maier HJ, Schips TG, Wietelmann A, Kruger M, Brunner C, Sauter M, et al. Cardiomyocyte-specific Ikappa B kinase (IKK)/NF-kappa B activation induces reversible inflammatory cardiomyopathy and heart failure. Proc Natl Acad Sci USA 2012;109:11794–11799.
Duerrschmid C, Trial J, Wang Y, Entman ML, Haudek SB. Tumor necrosis factor: a mechanistic link between angiotensin-?-induced cardiac inflammation and fibrosis. Circ Heart Fail 2015;8:352–361.
Westman PC, Lipinski MJ, Luger D, Waksman R, Bonow RO, Wu E, et al. Inflammation as a driver of adverse left ventricular remodeling after acute myocardial infarction. J Am Coll Cardiol 2016;67:2050–2060.
Guo JW, Deng ZJ, Fu YH, Yang M, Ren B, Pan JQ, et al. Effects of Panax notoginsenoside on TNF-alpha and MMP-2 expressions in rats with post-myocardial infarction ventricular remodeling and the mechanism. J South Med Univ 2009;29:2048–2050.
Guo JW, Li LM, Qiu GQ, Deng ZJ, Fu YH, Yang M, et al. Effects of Panax notoginseng saponins on ACE2 and TNF-alpha in rats with post-myocardial infarction-ventricular remodeling. J Chin Med Mater (Chin) 2010;33:89–92.
Han SY, Li HX, Ma X, Zhang K, Ma ZZ, Jiang Y, et al. Evaluation of the anti-myocardial ischemia effect of individual and combined extracts of Panax notoginseng and Carthamus tinctorius in rats. J Ethnopharmacol 2013;145:722–727.
Zhang W, Chen G, Deng CQ. Effects and mechanisms of total Panax notoginseng saponins on proliferation of vascular smooth muscle cells with plasma pharmacology method. J Pharm Pharmacol 2012;64:139–145.
Dominguez-Rodriguez A, Abreu-Gonzalez P, Avanzas P. Relation of growth-differentiation factor 15 to left ventricular remodeling in ST-segment elevation myocardial infarction. Am J Cardiol 2011;108:955–958.
Marques MD, Nauffal V, Ambale-Venkatesh B, Vasconcellos HD, Wu C, Bahrami H, et al. Association between inflammatory markers and myocardial fibrosis. Hypertension 2018;72:902–908.
Devaux Y, Vausort M, McCann GP, Zangrando J, Kelly D, Razvi N, et al. MicroRNA-150: a novel marker of left ventricular remodeling after acute myocardial infarction. Circ Cardiovasc Genet 2013;6:290–298.
Frangogiannis NG. The extracellular matrix in ischemic and nonischemic heart failure. Circ Res 2019;125:117–146.
Wang J, Lu L, Wang Y, Wu Y, Han J, Wang W, et al. Qishen Yiqi Dropping Pill attenuates myocardial fibrosis in rats by inhibiting RAAS-mediated arachidonic acid inflammation. J Ethnopharmacol 2015;176:375–384.
Ma S, Ma J, Mai X, Zhao X, Guo L, Zhang M. Danqi Soft Capsule prevents infarct border zone remodelling and reduces susceptibility to ventricular arrhythmias in post-myocardial infarction rats. J Cell Mol Med 2019;23:5454–5465.
Liu L, Ning B, Cui J, Zhang T, Chen Y. miR-29c is implicated in the cardioprotective activity of Panax notoginseng saponins against isoproterenol-induced myocardial fibrogenesis. J Ethnopharmacol 2017;198:1–4.
Kelly D, Khan SQ, Thompson M, Cockerill G, Ng LL, Samani N, et al. Plasma tissue inhibitor of metalloproteinase-1 and matrix metalloproteinase-9: novel indicators of left ventricular remodelling and prognosis after acute myocardial infarction. Eur Heart J 2008;29:2116–2124.
Brooks AC, Guo Y, Singh M, McCracken J, Xuan YT, Srivastava S, et al. Endoplasmic reticulum stress-dependent activation of ATF3 mediates the late phase of ischemic preconditioning. J Mol Cell Cardiol 2014;76:138–147.
Zhang T, Zhao LL, Cao X, Qi LC, Wei GQ, Liu JY, et al. Bioinformatics analysis of time series gene expression in left ventricle (LV) with acute myocardial infarction (AMI). Gene 2014;543:259–267.
Humeres C, Frangogiannis NG. Fibroblasts in the infarcted, remodeling, and failing heart. JACC Basic Transl Sci 2019;4:449–467.
Hu S, Liu T, Wu Y, Yang W, Hu S, Sun Z, et al. Panax notoginseng saponins suppress lipopolysaccharide-induced barrier disruption and monocyte adhesion on bEnd.3 cells via the opposite modulation of Nrf2 antioxidant and NF-kappa B inflammatory pathways. Phytother Res 2019;33:3163–3176.
Berthonneche C, Sulpice T, Boucher F, Gouraud L, de Leiris J, O'Connor SE, et al. New insights into the pathological role of TNFalpha in early cardiac dysfunction and subsequent heart failure after infarction in rats. Am J Physiol-Heart C 2004;287:H340–H50.
Frangogiannis NG. Regulation of the inflammatory response in cardiac repair. Circ Res 2012;110:159–173.
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Each author has contributed significantly to the submitted work. Ma RF and Wang J conceived and designed the research, Ma RF, Zhang Y, and Liu YM conducted the experiments, Ma RF and Zhang Y analyzed the data and prepared the figures, Ma RF and Cheng G drafted the paper, Li HZ, He QH, Liu CY, Xie ZC, Zhang ZP, and Wang J revised the manuscript. All authors read and approved the final manuscript.
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Supported by the National Significant New Drugs Development (No. 2013ZX09301307) and National Natural Science Foundation of China (No. 81774168)
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Ma, Rf., Chen, G., Li, Hz. et al. Panax Notoginseng Saponins Inhibits Ventricular Remodeling after Myocardial Infarction in Rats Through Regulating ATF3/MAP2K3/p38 MAPK and NF κ B Pathway. Chin. J. Integr. Med. 26, 897–904 (2020). https://doi.org/10.1007/s11655-020-2856-6
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DOI: https://doi.org/10.1007/s11655-020-2856-6