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Updated: Feb 12, 2026

Modeling and Evaluation of Murine Diabetic Cardiomyopathy Model
Published on: November 29, 2024
Astraglaus polysaccharide protects diabetic cardiomyopathy by activating NRG1/ErbB pathway
Xiao Chang1, Kang Lu2, Ling Wang1
1Department of intensive care unit, Shenzhen Traditional Chinese Medicine Hospital.
Insights
Astragalus polysaccharide (APS) protects against diabetic cardiomyopathy (DCM) by activating the NRG1/ErbB pathway. This natural compound promotes cell proliferation, reduces apoptosis, and exerts antioxidant effects, offering potential therapeutic benefits for DCM.
Area of Science:
- Cardiovascular Research
- Endocrinology
- Pharmacology
Background:
- Diabetic cardiomyopathy (DCM) is a cardiac complication of diabetes, linked to oxidative stress and cell apoptosis.
- The Neuregulin 1 (NRG1)/ErbB signaling pathway is crucial in cardiac cell function and is impaired in DCM.
- Astragalus polysaccharide (APS), derived from Astragalus mongholicus, exhibits significant antioxidant properties.
Purpose of the Study:
- To investigate the protective effects of APS on an advanced glycation end-product (AGE)-induced DCM cell model.
- To elucidate the underlying molecular mechanisms of APS action, focusing on the NRG1/ErbB signaling pathway.
Main Methods:
- Utilized an AGE-induced DCM cell model to assess APS effects on cell proliferation, apoptosis, and oxidative stress markers.
- Employed Western blot analysis to evaluate the expression and phosphorylation levels of key proteins in the NRG1/ErbB/AKT/PI3K pathway.
- Used Canertinib, an ErbB inhibitor, to confirm the role of the NRG1/ErbB pathway in APS-mediated protection.
Main Results:
- APS treatment promoted proliferation and decreased apoptosis in DCM model cells.
- APS demonstrated antioxidant effects by reducing reactive oxygen species (ROS) and malondialdehyde (MDA), and increasing superoxide dismutase (SOD) and glutathione peroxidase (GSH-Px) activity.
- APS upregulated NRG1 expression and ErbB2/4 phosphorylation, subsequently activating AKT and PI3K, effects partially blocked by Canertinib.
Conclusions:
- APS exerts protective effects in DCM cells, primarily by activating the NRG1/ErbB signaling pathway and its downstream AKT/PI3K components.
- These findings suggest APS holds potential for the prevention and therapy of diabetic cardiomyopathy.
Abstract:
Diabetic cardiomyopathy (DCM) is one of the main cardiac complications among diabetic patients. According to previous studies, the pathogenesis of DCM is associated with oxidative stress, apoptosis and proliferation of local cardiac cells. It showed, NRG1 can improve the function of mitochondria, and thereby, increasing proliferation and decreasing apoptosis of cardiac muscle cell via ErbB/AKT signaling, also, exert antioxidative function. Besides, NRG1/ErbB pathway was impaired in the DCM model which suggested this signaling played key role in DCM. Astraglaus polysaccharide (APS), one of the active components of Astragalus mongholicus, showed striking antioxidative effect. Here, in this study, our data showed that APS can promote proliferation and decrease apoptosis in AGE-induced DCM cell model, besides, APS can decrease intracellular ROS level, increase activity of SOD, GSH-Px and lower level of MDA and NO in DCM cell model, indicating APS exerted antioxidative function in DCM model cells. Besides, western blot results revealed APS induced NRG1 expressing and the phosphorylation level of ErbB2/4. In addition, the elevated NRG1 promoted AKT and PI3k phosphorylation which indicated APS may exert its function by NRG1/ErbB and the downstream AKT/PI3K signaling. Canertinib is ErbB inhibitor. The effect of APS on proliferation, apoptosis, antioxidation and NRG1/ErbB pathway was partly abolished after the cells were co-treated with APS and canertinib. Taken together, these results suggested APS may display its protective function in DCM cells by activating NGR1/ErbB signaling pathway. And our study increased potential for prevention and therapy to DCM.
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