The protective effect of isosteviol sodium on cardiac function and myocardial remodelling in transverse aortic

Qingjin Ke1, Fei Liu1, Yuxin Tang1

  • 1Institute of Biomedical and Pharmaceutical Sciences, Guangdong University of Technology, Guangzhou, China.

Insights

Isosteviol sodium (STVNa) effectively reverses pressure overload-induced cardiac hypertrophy and fibrosis in rats. This compound shows promise for treating heart failure, even improving autonomic nervous system function.

Area of Science:

  • Cardiology
  • Pharmacology
  • Biochemistry

Background:

  • Pathological cardiac hypertrophy is a major contributor to heart failure with limited effective treatments.
  • Isosteviol has demonstrated cardioprotective effects against ischemia-reperfusion injury and isoproterenol-induced hypertrophy, but its efficacy in pressure overload models was unknown.

Purpose of the Study:

  • To investigate the therapeutic effects of isosteviol sodium (STVNa) on pressure overload-induced cardiac hypertrophy.
  • To evaluate STVNa's impact on cardiac function, fibrosis, and autonomic nervous system activity in a rat model.

Main Methods:

  • A rat model of cardiac hypertrophy was induced using transverse aortic constriction (TAC).
  • Cardiac function, electrocardiograms, and histological analyses were performed.
  • In vitro studies assessed STVNa's effects on adult rat ventricular cell calcium transients and neonatal rat cardiac fibroblast proliferation.

Main Results:

  • TAC induced significant cardiac hypertrophy, dysfunction, and electronic remodeling by 9 weeks.
  • STVNa treatment reversed these TAC-induced changes, showing superiority over sildenafil in some aspects and without significantly altering calcium transients.
  • STVNa also ameliorated cardiac fibrosis and inhibited TGF-β1-induced fibroblast proliferation, while uniquely improving autonomic nervous system function.

Conclusions:

  • Isosteviol sodium is a potent therapeutic agent for pressure overload-induced cardiac hypertrophy and associated pathologies.
  • STVNa offers a promising therapeutic strategy for heart failure, potentially by addressing fibrosis and autonomic dysfunction.