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Zingerone alleviates the delayed ventricular repolarization and AV conduction in diabetes: Effect on cardiac fibrosis
Hany M El-Bassossy1, Wafaa S Al-Thubiani2, Ahmed A Elberry3
1Department of Pharmacology and Toxicology, Faculty of Pharmacy, King Abdulaziz University, Jeddah, Saudi Arabia and Faculty of Pharmacy, Zagazig University, Zagazig, Egypt.
Background:
The study aims to analyse the action of zingerone in diabetes-related cardiac arrhythmias.
Methods:
Diabetes was induced by streptozocin while treatment groups received 20 mg/kg zingerone daily. Following extra seven weeks, electrocardiography, extraction of blood, urine and heart for biochemical analysis, histopathology and immunofluorescence were undertaken.
Results:
The suppression of QT and QTc prolongation in diabetic rats was indicative of prolonged cardiac repolarisation that was greatly reduced by zingerone treatment. In addition, the reduction in PR interval attested that zingerone improved AV delay in diabetic rats. The fibrogenic transforming growth factor β1 upregulation in diabetic hearts was suppressed by zingerone. The marked glycogen deposition and muscle degeneration seen in diabetic heart sections were also alleviated by zingerone. Furthermore, zingerone prevented the decrease in of the serum anti-inflammatory cytokine adiponectin in diabetics. The heightened levels of oxidative stress markers 8-isoprostane and uric acid in diabetic rats were suppressed. In the diabetic heart, the reduced catalase activity was improved and the excessive expression of angiotensin receptor 1 was inhibited by zingerone.
Conclusion:
Cardiac delayed repolarisation and AV conduction in rats with diabetes were halted by zingerone. It appears that inhibition of cardiac fibrosis and associated inflammation-oxidative stress signalling underpins the zingerone effect.
Insights
Zingerone effectively treats diabetes-related cardiac arrhythmias by improving heart repolarization and conduction. It combats fibrosis, inflammation, and oxidative stress, offering a potential therapeutic for diabetic heart complications.
Area of Science:
- Cardiovascular Pharmacology
- Diabetology
- Natural Product Chemistry
Background:
- Diabetes mellitus is associated with significant cardiac complications, including arrhythmias.
- Diabetic cardiomyopathy presents a complex challenge, often exacerbated by electrophysiological disturbances.
Purpose of the Study:
- To investigate the cardioprotective effects of zingerone against diabetes-induced cardiac arrhythmias.
- To elucidate the underlying mechanisms of zingerone's action in a diabetic rat model.
Main Methods:
- Diabetes was induced using streptozotocin in rats.
- Treatment involved daily administration of zingerone (20 mg/kg).
- Comprehensive analysis included electrocardiography, biochemical assays, histopathology, and immunofluorescence.
Main Results:
- Zingerone significantly reduced QT and QTc prolongation, indicating improved cardiac repolarization.
- It alleviated atrioventricular (AV) delay and suppressed cardiac fibrosis by inhibiting transforming growth factor β1.
- Zingerone normalized glycogen deposition, reduced muscle degeneration, and counteracted oxidative stress markers.
Conclusions:
- Zingerone effectively halts cardiac delayed repolarization and AV conduction abnormalities in diabetic rats.
- Its therapeutic effects are attributed to the inhibition of cardiac fibrosis, inflammation, and oxidative stress signaling pathways.
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