Tropisetron inhibits sepsis by repressing hyper-inflammation and regulating the cardiac action potential in rat

Zhengjiang Liu1, Zhiheng Zeng2, Changdong Wu3

  • 1Department of Cardiology, the Six Affiliated Hospital of Guangzhou Medical University/ Qingyuan People's Hospital, Qingyuan 511500, China.

Abstract

Insights

Tropisetron, a 5-HT3 receptor antagonist, reduced inflammatory factors and improved cardiac function in septic rats. This suggests tropisetron may mitigate sepsis-induced myocardial injury and electrophysiological changes.

Area of Science:

  • Pharmacology
  • Cardiology
  • Immunology

Background:

  • Sepsis triggers systemic inflammation, leading to myocardial injury and cardiac dysfunction.
  • Inflammatory mediators like IL-6, CK-MB, sST2, and IgE play a crucial role in sepsis-induced cardiac damage.
  • Cardiac electrophysiological changes, including altered action potentials, are observed in sepsis.

Purpose of the Study:

  • To investigate the effect of tropisetron, a 5-HT3 receptor antagonist, on inflammatory markers and cardiac function in a rat model of sepsis.
  • To assess tropisetron's impact on interleukin-6 (IL-6), creatine kinase isoenzyme (CK-MB), soluble growth stimulating gene 2 protein (sST2), and immunoglobulin E (IgE) levels.
  • To evaluate tropisetron's influence on cardiac action potential and myocardial structure in septic rats.

Main Methods:

  • A cecal ligation and perforation (CLP) model was used to induce sepsis in Sprague Dawley rats.
  • Serum levels of IL-6, CK-MB, sST2, and IgE were measured using ELISA.
  • Immunohistochemistry and H&E staining were employed to analyze 5-HT3 receptor expression and myocardial structure, respectively.

Main Results:

  • Sepsis significantly increased IL-6, CK-MB, sST2, and IgE levels, while decreasing heart rate and prolonging atrial ventricular action potential.
  • 5-HT3 receptor expression was significantly reduced in septic rats compared to controls.
  • Tropisetron administration significantly inhibited the expression of IL-6, CK-MB, sST2, and IgE, and improved cardiac electrophysiological parameters.

Conclusions:

  • Sepsis induces a systemic inflammatory response, myocardial injury, and immune imbalance.
  • Tropisetron demonstrates significant anti-inflammatory effects and improves cardiac electrophysiological function in sepsis.
  • The efferent vagus nerve's role in regulating inflammatory disorders may mediate tropisetron's beneficial effects on cardiac electrophysiology during sepsis.

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