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Andrographolide Protects Against Adverse Cardiac Remodeling After Myocardial Infarction through Enhancing Nrf2
Saiyang Xie1,2,3, Wei Deng1,2,3, Jiaojiao Chen4
1Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan 430060, RP China.
Insights
Andrographolide (Andr) protects against adverse cardiac remodeling after myocardial infarction (MI) by reducing fibrosis and inflammation. This natural compound enhances antioxidant capacity via the Nrf2/HO-1 pathway, improving heart function.
Area of Science:
- Cardiovascular Biology
- Pharmacology
- Molecular Medicine
Background:
- Adverse cardiac remodeling post-myocardial infarction (MI) leads to high mortality.
- Current therapies struggle to fully preserve cardiac function and structure.
- Identifying novel therapeutic targets for post-MI recovery is crucial.
Purpose of the Study:
- To investigate the protective effects of Andrographolide (Andr) on cardiac remodeling after MI.
- To elucidate the underlying molecular mechanisms of Andr's cardioprotective action.
Main Methods:
- Myocardial infarction induced by LAD ligation in a mouse model.
- Administration of Andrographolide (Andr) and assessment of cardiac function and structure.
- Evaluation of fibrosis, inflammation, oxidative stress, and Nrf2/HO-1 signaling pathway activation.
- In vitro studies using H9C2 cells with hypoxia, Andr, and Nrf2 inhibition.
Main Results:
- Andrographolide (Andr) significantly attenuated cardiac fibrosis and inflammation post-MI.
- Andr reduced oxidative stress and inhibited p-P65 nuclear translocation.
- Andr activated the Nrf2/HO-1 signaling pathway, enhancing antioxidative capacity.
- In vitro, Andr's protective effects were dependent on Nrf2 activation.
Conclusions:
- Andrographolide (Andr) ameliorates adverse cardiac remodeling following myocardial infarction.
- The cardioprotective effects of Andr are mediated by the activation of the Nrf2 signaling pathway.
- Andr represents a potential therapeutic agent for mitigating post-MI cardiac damage.
Abstract:
Adverse cardiac remodeling after myocardial infarction (MI) is associated with extremely high mortality rates worldwide. Although optimized medical therapy, Preservation of lusitropic and inotropic function and protection against adverse remodeling in ventricular structure remain relatively frequent. This study demonstrated that Andrographolide (Andr) significantly ameliorated adverse cardiac remodeling induced by myocardial infarction and improves contractile function in mice with LAD ligation compared with the control group. Briefly, Andr markedly attenuated cardiac fibrosis and relieved inflammation after myocardial infarction. Specifically, Andr significantly blocked oxidative stress and the nuclear translocation of p-P65 following myocardial infarction. At the mechanistic level, antioxidant effect of Andr was achieved through strengthening antioxidative stress capacity and attributed to the activation of Nrf2/HO-1 Signaling. Consistently, H9C2 administrated with Andr showed a decreased oxidative stress caused by hypoxia precondition, but treatment with specific Nrf2 inhibitor (ML385) or the silence of Nrf2 blunted the activation of Nrf2/HO-1 Signaling and removed the protective effects of Andr in vitro. Thus, we suggest that Andr alleviates adverse cardiac remodeling following myocardial infarction through enhancing Nrf2 signaling pathway.
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