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Updated: Feb 15, 2026

A Rat Model of Pressure Overload Induced Moderate Remodeling and Systolic Dysfunction as Opposed to Overt Systolic Heart Failure
Published on: April 30, 2020
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.
Abstract:
The RhoA/Rho-kinase cascade plays an important role in many aspects of cardiovascular function. This study aims to investigate the protective effects of fasudil, a Rho-kinase inhibitor, on pressure overload induced heart failure in rats. Pressure overload induced heart failure was induced in SD rats by banding the abdominal aorta for 8 weeks. The rats were divided into four groups: Sham, TAC, TAC plus low dose of fasudil, and TAC plus high dose of fasudil group. Low dose and high dose fasudil were 5 and 10 mg/kg/day, respectively. Rats in the Sham and TAC groups were treated with vehicle. Fasudil effectively inhibited TAC-induced heart failure, as evaluated by echocardiography and transmission electron microscopy. Fasudil could significantly promote superoxide dismutase (SOD), catalase (CAT), and glutathione peroxidase (GPx) activity and significantly decrease malondialdehyde (MDA) content in a dose-dependent maner in TAC rats. Consistently, fasudil evoked significant nuclear translocation of Nuclear factor (erythroid-derived 2)-like 2 (Nrf2) with increased DNA/promoter binding and transactivation of Nrf2 targets. In addition, fasudil increased the content of iron as well as transferrin receptor 1 (TfR1) in TAC rats. A mild oxidative stress induced by iron may activate the antioxidant enzymes by feedback response. Taken together, these results indicate that the protective effect of fasudil may be due to its strong antioxidative activities which related with the activated Nrf2 and its down-regulated genes. These findings provide a new treatment concept and support the benefit of fasudil treatment in heart failure.
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.
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