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Herbal Munziq Ameliorates Myocardial Ischemia-Reperfusion Injury by Inhibiting Inflammation
Published on: January 10, 2025
PPARα activation alleviates damage to the cytoskeleton during acute myocardial ischemia/reperfusion in rats
Jie Yuan1, Hongdan Mo1, Jing Luo1
1Department of Cardiology, The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang 150001, P.R. China.
Abstract:
The cytoskeleton serves an important role in maintaining cellular morphology and function, and it is a substrate of calpain during myocardial ischemia/reperfusion (I/R) injury (MIRI). Calpain may be activated by endoplasmic reticulum (ER) stress during MIRI. The activation of peroxisome proliferator‑activated receptor α (PPARα) may inhibit ischemia/reperfusion damage by regulating stress reactions. The present study aimed to determine whether the activation of PPARα protects against MIRI‑induced cytoskeletal degradation, and investigated the underlying mechanism involved. Wistar rats were pretreated with or without fenofibrate and subjected to left anterior descending coronary artery ligation for 45 min, followed by 120 min of reperfusion. Calpain activity and the expression of PPARα, desmin and ER stress parameters were evaluated. Electrocardiography was performed and cardiac function was evaluated. The ultrastructure was observed under transmission electron microscopy. I/R significantly induced damage to the cytoskeleton in cardiomyocytes and cardiac dysfunction, all of which were improved by PPARα activation. In addition, I/R increased ER stress and calpain activity, which were significantly decreased in fenofibrate‑pretreated rat heart tissue. The results suggested that PPARα activation may exert a protective effect against I/R in the myocardium, at least in part via ER stress inhibition. Suppression of ER stress may be an effective therapeutic target for protecting the I/R myocardium.
Insights
Peroxisome proliferator-activated receptor α (PPARα) activation protects the heart from myocardial ischemia/reperfusion injury by inhibiting endoplasmic reticulum stress and cytoskeletal damage. This suggests PPARα activation is a potential therapeutic strategy for heart protection.
Area of Science:
- Cardiovascular Biology
- Cellular Stress Response
- Molecular Pharmacology
Background:
- The cytoskeleton is crucial for cellular structure and function, and is degraded by calpain during myocardial ischemia/reperfusion injury (MIRI).
- Endoplasmic reticulum (ER) stress may activate calpain during MIRI.
- Peroxisome proliferator-activated receptor α (PPARα) activation can mitigate ischemia/reperfusion damage by modulating stress responses.
Purpose of the Study:
- To investigate whether PPARα activation protects against MIRI-induced cytoskeletal degradation.
- To elucidate the underlying mechanisms of PPARα's protective effects in MIRI.
Main Methods:
- Wistar rats were pretreated with fenofibrate (a PPARα activator) or vehicle before undergoing induced myocardial ischemia/reperfusion.
- Assessed calpain activity, PPARα expression, desmin levels, ER stress markers, cardiac function (ECG, hemodynamic parameters), and cardiomyocyte ultrastructure.
Main Results:
- Ischemia/reperfusion induced significant cytoskeletal damage and cardiac dysfunction.
- PPARα activation by fenofibrate improved cardiac function and reduced cytoskeletal damage.
- Fenofibrate pretreatment decreased ER stress and calpain activity in the heart tissue post-I/R.
Conclusions:
- PPARα activation exerts a protective effect against myocardial ischemia/reperfusion injury.
- This protection is, at least partly, mediated by the inhibition of endoplasmic reticulum stress.
- Inhibiting ER stress represents a potential therapeutic target for protecting the ischemic/reperfused myocardium.
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