Fasudil alleviates pressure overload-induced heart failure by activating Nrf2-mediated antioxidant responses

Peng Guan1,2, Yingran Liang1, Na Wang1

  • 1School of Basic Medicine, Hebei University of Chinese Medicine, Shijiazhuang, Hebei, China.

Insights

Fasudil, a Rho-kinase inhibitor, protects against pressure overload heart failure in rats by enhancing antioxidant activity and activating the Nrf2 pathway. This suggests fasudil as a potential treatment for heart failure.

Area of Science:

  • Cardiovascular Research
  • Pharmacology
  • Molecular Biology

Background:

  • The RhoA/Rho-kinase pathway is crucial for cardiovascular function.
  • Pressure overload leads to heart failure, a significant clinical challenge.
  • Identifying effective therapeutic targets for heart failure is essential.

Purpose of the Study:

  • To investigate the protective effects of fasudil, a Rho-kinase inhibitor, against pressure overload-induced heart failure in rats.
  • To elucidate the underlying mechanisms of fasudil's protective action, focusing on oxidative stress and the Nrf2 pathway.

Main Methods:

  • Heart failure was induced in Sprague-Dawley rats via abdominal aortic banding for 8 weeks.
  • Rats were treated with varying doses of fasudil (5 and 10 mg/kg/day) or vehicle.
  • Echocardiography, transmission electron microscopy, and biochemical assays were used for evaluation.

Main Results:

  • Fasudil significantly inhibited the progression of heart failure, improving cardiac function.
  • Fasudil dose-dependently increased antioxidant enzyme activities (SOD, CAT, GPx) and decreased lipid peroxidation (MDA).
  • Fasudil promoted nuclear translocation of Nrf2, enhancing antioxidant gene expression and increasing iron and TfR1 levels.

Conclusions:

  • Fasudil exerts protective effects against pressure overload-induced heart failure in rats.
  • These protective effects are attributed to enhanced antioxidative activities mediated by the Nrf2 pathway.
  • Fasudil represents a promising therapeutic strategy for heart failure, offering a novel treatment concept.

Related Concept Videos

Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
1.0K
Pathophysiology of Heart Failure01:17

Pathophysiology of Heart Failure

Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
4.0K
Heart Failure I: Introduction01:27

Heart Failure I: Introduction

Heart failure refers to a clinical syndrome caused by structural or functional cardiac disorders that prevent the heart from pumping an adequate amount of blood to meet the body's metabolic needs. This condition often arises from myocardial infarction or ischemia, leading to decreased cardiac output, reduced tissue perfusion, impaired gas exchange, fluid volume imbalance, and decreased functional ability.Heart failure can result from disruptions in the mechanisms that regulate cardiac output...
966
Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
402
Heart Failure Drugs: Diuretics01:22

Heart Failure Drugs: Diuretics

Heart failure and kidney perfusion are interconnected in a complex way. Reduced renal perfusion and venous congestion are two significant factors that contribute to renal dysfunction in heart failure. The kidneys, primarily responsible for fluid balance in the body, are adversely affected due to compromised cardiac output and increased venous pressure. In response to reduced renal perfusion, the kidneys activate neurohumoral mechanisms to restore balance. However, these mechanisms can be...
1.0K
Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
369