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Updated: Jan 30, 2026

Herbal Munziq Ameliorates Myocardial Ischemia-Reperfusion Injury by Inhibiting Inflammation
Published on: January 10, 2025
Granulocyte colony stimulating factor directly inhibits myocardial ischemia-reperfusion injury through
Kazutaka Ueda1, Hiroyuki Takano, Hiroshi Hasegawa
1Department of Cardiovascular Science and Medicine, Chiba University Graduate School of Medicine, Japan.
Insights
Granulocyte colony-stimulating factor (G-CSF) protects the heart from ischemia-reperfusion injury by reducing infarct size. This cardioprotective effect is mediated by the Akt-endothelial nitric oxide synthase pathway.
Area of Science:
- Cardiology
- Molecular Biology
- Biochemistry
Background:
- Granulocyte colony-stimulating factor (G-CSF) has shown potential in preventing cardiac remodeling post-myocardial infarction.
- The role of G-CSF in acute myocardial injury, particularly against ischemia-reperfusion, requires further investigation.
Purpose of the Study:
- To investigate the acute effects of G-CSF on cardiac protection against ischemia-reperfusion injury.
- To elucidate the signaling pathways involved in G-CSF-mediated cardioprotection.
Main Methods:
- Rat hearts were subjected to global ischemia and reperfusion in a Langendorff system.
- G-CSF was administered at the onset of reperfusion.
- Infarct size was assessed using triphenyltetrazolium chloride staining.
- Key signaling molecules (Jak2, STAT3, ERK, Akt, NOS) activation was analyzed.
Main Results:
- G-CSF significantly reduced infarct size in a rat model of ischemia-reperfusion injury.
- G-CSF activated multiple signaling pathways, including Jak2, STAT3, ERK, Akt, and endothelial NO synthase (NOS).
- Inhibition of phosphatidylinositol 3-kinase, Jak2, and NOS abolished the infarct-reducing effect of G-CSF.
Conclusions:
- G-CSF exerts acute, nongenomic cardioprotective effects directly on the myocardium during ischemia-reperfusion injury.
- The Akt-endothelial NOS pathway is crucial for the observed cardioprotection.
- G-CSF represents a potential therapeutic agent for acute cardiac injury.
Objective:
Granulocyte colony stimulating factor (G-CSF) has been reported recently to prevent cardiac remodeling and dysfunction after acute myocardial infarction through signal transducer and activator of transcription 3 (STAT3). In this study, we examined acute effects of G-CSF on the heart against ischemia-reperfusion injury.
Methods And Results:
Rat hearts were subjected to global 35-minute ischemia and 120-minute reperfusion in Langendorff system with or without G-CSF (300 ng/mL). G-CSF administration was started at the onset of reperfusion. Triphenyltetrazolium chloride staining revealed that G-CSF markedly reduced the infarct size. G-CSF strongly activated Janus kinase 2 (Jak2), STAT3, extracellular signal-regulated kinase (ERK), Akt, and endothelial NO synthase (NOS) in the hearts subjected to ischemia followed by 15-minute reperfusion. The G-CSF-induced reduction in infarct size was abolished by inhibitors of phosphatidylinositol 3-kinase, Jak2, and NOS but not of mitogen-activated protein kinase kinase (MEK).
Conclusions:
These results suggest that G-CSF acts directly on the myocardium during ischemia-reperfusion injury and has acute nongenomic cardioprotective effects through the Akt-endothelial NOS pathway.
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