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[Effect of astraglus injection on serum apoptosis relevant factors in patients with chronic heart failure]
Jin-guo Zhang1, Na Yang, Hua He
1Department of Cardiology, Hospital Affiliated to Jining Medical College, Shandong. jgzhang@183.ha.cn
Insights
Astragalus injection (AGI) effectively treats chronic heart failure (CHF) by reducing apoptosis-related factors. This traditional remedy improved heart function and lowered serum markers like soluble Fas (sFas) and tumor necrosis factor alpha (TNF-alpha).
Area of Science:
- Cardiology and Traditional Chinese Medicine
- Investigates the role of apoptosis in heart failure pathogenesis.
Background:
- Chronic heart failure (CHF) is a complex condition often associated with increased apoptosis.
- Apoptosis-related factors, including soluble Fas (sFas), soluble Fas ligand (sFasL), and tumor necrosis factor alpha (TNF-alpha), are implicated in CHF progression.
Purpose of the Study:
- To evaluate the therapeutic effect of Astragalus injection (AGI) on serum apoptosis-related factors in CHF patients.
- To assess AGI's impact on heart function indices and NYHA classification in CHF.
Main Methods:
- Eighty-four CHF patients (NYHA II-IV) were randomized into AGI treatment and control groups.
- Serum levels of sFas, sFasL, and TNF-alpha were measured using ELISA.
- Left ventricular function indices and NYHA classification were assessed before and after treatment.
Main Results:
- AGI treatment significantly improved NYHA grades and left ventricular ejection fraction (LVEF) while reducing LVESV and LVEDV compared to the control group.
- Serum levels of sFas, sFasL, and TNF-alpha were significantly decreased in the AGI group post-treatment.
- No significant changes in cardiac function or apoptosis markers were observed in the control group.
Conclusions:
- Astragalus injection demonstrates efficacy in managing chronic heart failure.
- AGI's therapeutic benefits are attributed to its ability to reduce elevated serum apoptosis-related factors.
- AGI represents a promising treatment option for CHF patients.
Objective:
To investigate the effect of Astragalus injection (AGI) on serum apoptosis related factors such as soluble Fas (sFas), soluble Fas ligand (sFasL) and tumor necrosis factor alpha (TNF-alpha) in patients with chronic heart failure (CHF).
Methods:
Eighty-four patients with CHF of NYHA II-IV grade were randomly divided into two groups, the treated group (42 patients) treated with AGI and the control group (42 patients) treated with routine treatment. The level of serum sFas, sFasL, and TNF-alpha were measured with ELISA before and after treatment. At the same time, patients' heart function were graded according to the NYHA classification and their indices of left ventricular function were determined.
Results:
Patients' NYHA grade was improved in both groups after treatment (P < 0.05 or P < 0.01), and it was better in the treated group than that in the control group (P < 0.05). Moreover, in the treated group, the left ventricular end-systolic volume (LVESV) and left ventricular end-diastolic volume (LVEDV) decreased, the left ventricular ejection fraction (LVEF) increased, which was significantly different than that before treatment (P < 0.05) respectively; level of serum apoptosis related factors sFas, sFas L and TNF-alpha were significantly decreased after treatment, showing significant difference as compared with those before treatment or with those in the control group after treatment (P < 0.05 or P < 0.01). While all indices had no obvious change in the control group.
Conclusion:
AGI may be regarded as an effective remedy for treatment of CHF owing to its effects in decreasing the level of serum apoptosis related factors in patients with CHF.
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