The
present study investigated the effect of an herbal extract-supplemented
cardiomyopeptin preparation (HECP), in the rat model of chronic heart failure.
HECP pre-/co-treatment at a daily dose of 0.072 to 0.124 g/kg for 30 days
protected against isoproterenol (ISO)-induced chronic myocardial damage in rats
in a dose-dependent manner, with the extent of protection, as assessed by
plasma cardiac troponin I level, being up to 76%. The cardioprotection afforded
by HECP was associated with the enhancement of myocardial mitochondrial
antioxidant status, amelioration of plasma parameters on cardiac dysfunction
and hypertrophy, as well as an increase in myocardial endothelial nitric oxide
synthase activity. Myocardial apoptotic and anti-apoptotic parameters were
suppressed and stimulated, respectively. The cardioprotection afforded by HECP
was accompanied by an increase in exercise capacity, an indirect functional
index of the myocardium, in ISO-challenged rats. In conclusion, HECP may offer
a promising prospect in preventing chronic heart failure in human subjects.
References
[1]
Ferdinandy, P., Schulz, R. and Baxter, G.F. (2007) Interaction of Cardiovascular Risk Factors with Myocardial Ischemia/Reperfusion Injury, Preconditioning, and Postconditioning. Pharmacological Reviews, 59, 418-458. https://doi.org/10.1124/pr.107.06002
[2]
Zhou, R., Ma, P., Xiong, A., Xu, Y., Wang, Y. and Xu, Q. (2016) Protective Effects of Low-Dose Rosuvastatin on Isoproterenol-Induced Chronic Heart Failure in Rats by Regulation DDAH-ADMA-NO Pathway. Cardiovascular Therapeutics, 35, e12241. https://doi.org/10.1111/1755-5922.12241
[3]
San, H., Liu, L., Zhang, L., Meng, Q. and Du, J. (2018) Creative Optimization and Industrial Research of Freeze Drying Process of the Cardiomyopeptidin for Injection. Chemical Engineering Transactions, 70, 1201-1206.
[4]
Kong, X., Wan, H., Li, R., Yi, X. and Xu, Z. (2000) Effects of Cardiomyopeptidin on Anoxia-Reoxygenation Injury in Cultured Neonatal Rat Myocardial Cells. Chinese Pharmacological Bulletin, 16, 52-54.
[5]
Wan, H., Kong, X. Yang, L. Li, R. and Zhang, Y. (2001) Protective Effect of Cardiomyopeptidin on Cultured Myocardial Cells Injured by Anoxia-Reoxygenation. Chinese Journal of Pathophysiology, 17, 481-484.
[6]
Yang, L.P., Wan, H.Y., Kong, X.P., Wu, Y., Teng, J. and Fan, L.L. (2000) Preventive Effect of Cardiomyopeptidin on Rat Heart Injured by Ischemia-Reperfusion. China Journal of Chinese Materia Medica, 25, 105-107.
[7]
Hao, P., Jiang, F., Cheng, J., Ma, L., Zhang, Y. and Zhao, Y. (2017) Traditional Chinese Medicine for Cardiovascular Diseases: Evidence and Potential Mechanisms. Journals of the American College of Cardiology, 69, 2952-2966. https://doi.org/10.1016/j.jacc.2017.04.041
[8]
Li, J., Ding, Y., Wang, C. and Ma, Y. (2016). New Development of Traditional Chinese Medicine on Myocardial Ischemia-Reperfusion Injury. Acta Chinese Medicine Pharmacology, 44, 105-107.
[9]
Krenek, P., Kmecova, J., Kucerova, D., Bajuszova, Z., Musil, P., Gazova, A., Ochodnicky, P., Klimas, J. and Kyselovic, J. (2009) Isoproterenol-Induced Heart Failure in the Rat Is Associated with Nitric Oxide-Dependent Functional Alterations of Cardiac Function. European Journal of Heart Failure, 11, 140-146. https://doi.org/10.1093/eurjhf/hfn026
[10]
Ko, K.M., Chiu, P.Y., Leung, H.Y., Siu, A.H., Chen, N., Leong, E.P. and Poon, M.K. (2010) Long-Term Dietary Supplementation with a Yang-Invigorating Chinese Herbal Formula Increases Lifespan and Mitigates Age-Associated Declines in Mitochondrial Antioxidant Status and Functional Ability of Various Tissues in Male and Female C57BL/6J Mice. Rejuvenation Research, 13, 168-171. https://doi.org/10.1089/rej.2009.0893
[11]
Sun, M., Yu, H., Zhang, Y., Li, Z. and Gao, W. (2015) MicroRNA-214 Mediates Isoproterenol-Induced Proliferation and Collagen Synthesis in Cardiac Fibroblasts. Scientific Reports, 5, Article No. 18351. https://doi.org/10.1038/srep18351
[12]
Chen, H., Xu, Y., Wang, J., Zhao, W. and Ruan, H. (2015) Baicalin Ameliorates Isoproterenol-Induced Acute Myocardial Infarction through iNOS, Inflammation and Oxidative Stress in Rat. International Journal of Clinical and Experimental Pathology, 8, 10139-10147.
[13]
Kim, K., Chini, N., Fairchild, D.G., Engle, S.K., Reagan, W.J., Summers, S.D. and Mirsalis, J.C. (2016) Cardiac Hypertrophy Working Group of the Predictive Safety Testing Consortium: Evaluation of Cardiac Toxicity Biomarkers in Rats from Different Laboratories. Toxicologic Pathology, 44, 1072-1083. https://doi.org/10.1177/0192623316668276
[14]
Wong, S.M., Chiu, P.Y., Leung, H.Y., Zhou, L., Zuo, Z., Lam, P.Y. and Ko, K.M. (2011) Myocardial Post-Conditioning with Danshen-Gegen Decoction Protects against Isoproterenol-Induced Myocardial Injury via a PKCε/mKATP-Mediated Pathway in Rats. Chinese Medicine, 6, Article No. 7. https://doi.org/10.1186/1749-8546-6-7
[15]
Novaes, R.D., Gonçalves, R.V., Penitente, A.R., Bozi, L.H., Neves, C.A., Maldonado, I.R., Natali, A.J. and Talvani, A. (2016) Modulation of Inflammatory and Oxidative Status by Exercise Attenuates Cardiac Morphofunctional Remodeling in Experimental Chagas Cardiomyopathy. Life Science, 152, 210-219. https://doi.org/10.1016/j.lfs.2016.03.053
[16]
Lecour, S. (2009) Activation of the Protective Survivor Activating Factor Enhancement (SAFE) Pathway against Reperfusion Injury: Does It Go beyond the Risk Pathway? Journal of Molecular and Cellular Cardiology, 47, 32-40. https://doi.org/10.1016/j.yjmcc.2009.03.019
[17]
Zhou, R., Xu, Q., Zheng, P., Yan, L., Zheng, J. and Dai, G. (2008) Cardioprotective Effect of Fluvastatin on Isoproterenol-Induced Myocardial Infarction in Rat. European Journal of Pharmacology, 586, 244-250. https://doi.org/10.1016/j.ejphar.2008.02.057
[18]
Nivethetha, M., Jayasri, J. and Brindha, P. (2009) Effects of Muntingia calabura L. on Isoproterenol-Induced Myocardial Infarction. Singapore Medical Journal, 50, 300-302.
[19]
Senthil, S., Sridev,i M. and Pugalendi, K.V. (2007) Cardioprotective Effect of Oleanolic Acid on Isoproterenol-Induced Myocardial Ischemia in Rats. Toxicologic Pathology, 35, 418-423. https://doi.org/10.1080/01926230701230312
[20]
Lobo, R.O. and Shenoy, C.K. (2015) Myocardial Potency of Bio-Tea against Isoproterenol Induced Myocardial Damage in Rats. Journal of Food Science and Technology, 52, 4491-4498. https://doi.org/10.1007/s13197-014-1492-6
[21]
Chiu, P.Y., Wong, S.M., Leung, H.Y., Leong, P.K., Chen, N., Zhou, L., Zuo, Z., Lam, P.Y. and Ko, K.M. (2011) Acute Treatment with Danshen-Gegen Decoction Protects the Myocardium against Ischemia/Reperfusion Injury via the Redox-Sensitive PKCε/mKATP Pathway in Rats. Phytomedicine, 18, 916-925. https://doi.org/10.1016/j.phymed.2011.03.006
[22]
Chen, L., Shi, D. and Guo, M. (2021) The Roles of PKC-δ and PKC-ε in Myocardial Ischemia/Reperfusion Injury. Pharmacological Research, 170, Article ID: 105716. https://doi.org/10.1016/j.phrs.2021.105716
[23]
Heusch, G. (2015) Molecular Basis of Cardioprotection: Signal Transduction in Ischemic Pre-, Post-, and Remote Conditioning. Circulation Research, 116, 674-699. https://doi.org/10.1161/CIRCRESAHA.116.305348
[24]
Lee, C.H. and Kim, J.H. (2014) A Review on the Medicinal Potentials of Ginseng and Ginsenosides on Cardiovascular Diseases. Journal of Ginseng Research, 38, 161-166. https://doi.org/10.1016/j.jgr.2014.03.001
[25]
Zhu, X., Wu, W., Chen, X., Yang, F., Zhang, J. and Hou, J. (2018) Protective Effects of Polygonatum sibiricum Polysaccharide on Acute Heart Failure in Rats. Acta Cirúrgica Brasileira, 33, 868-878. https://doi.org/10.1590/s0102-865020180100000001
[26]
Rosales, S.L.O., Anog, B.F.A., Blanza, R.M., Cuartero, M.A.D., Landicho, M.C., Talledo, E.G.D., Cabanela, R.A., Dumaoal, O.S. R. and Magbojos, C.R. (2013) Cardioprotective Activity of Bambusa blumeana Schultes Leaf Crude Extract against Isoproterenol Induced Myocardial Infarction in Sprague-Dawley Rats. The Steth, 7, 41-57.
[27]
Lu, N., Sun, Y. and Zheng, X. (2011) Orientin-Induced Cardioprotection against Reperfusion Is Associated with Attenuation of Mitochondrial Permeability Transition. Planta Medica, 77, 984-991. https://doi.org/10.1055/s-0030-1250718