Compound Danshen Dripping Pill inhibits doxorubicin or isoproterenol-induced cardiotoxicity

Ke Feng1, Yuxin Liu1, Jia Sun2

  • 1College of Life Sciences, State Key Laboratory of Medicinal Chemical Biology, Key Laboratory of Bioactive Materials of Ministry of Education, Nankai University, Tianjin, China.

Insights

Compound Danshen Dripping Pill (CDDP) protects against heart failure (HF) by normalizing cardiac function and reducing injury markers. This traditional Chinese medicine shows potential for treating cardiovascular disease and HF.

Area of Science:

  • Cardiovascular Research
  • Traditional Chinese Medicine
  • Pharmacology

Background:

  • Heart failure (HF) presents significant morbidity and mortality.
  • Compound Danshen Dripping Pill (CDDP) is a widely used Traditional Chinese Medicine for cardiovascular conditions.

Purpose of the Study:

  • To investigate the protective effects of CDDP against doxorubicin (DOX) or isoprenaline (ISO)-induced heart failure in mice.
  • To elucidate the underlying mechanisms of CDDP's cardioprotective actions.

Main Methods:

  • Mice were treated with CDDP followed by DOX or ISO induction of heart failure.
  • Cardiac function was assessed using electrocardiography and echocardiography.
  • Biochemical parameters, myocardial structure, gene expression (RNAseq, qRT-PCR), and protein levels (Western blot) were analyzed.

Main Results:

  • CDDP normalized heart weight changes, HF parameters, and fibrogenesis in DOX/ISO-treated mice.
  • CDDP restored left ventricular ejection fraction and fractional shortening impaired by DOX/ISO.
  • CDDP inhibited DOX/ISO-induced inflammation, cell apoptosis, and pro-fibrotic molecule expression while enhancing antioxidant enzyme expression.

Conclusions:

  • CDDP demonstrates significant cardioprotective effects against various models of myocardial injury.
  • CDDP normalizes cardiac function and mitigates pathological changes associated with heart failure.
  • These findings suggest CDDP has potential therapeutic applications for treating heart failure.

Related Concept Videos

Heart Failure Drugs: Inotropic Agents01:26

Heart Failure Drugs: Inotropic Agents

Positive inotropic agents are commonly used as the first line of treatment for heart failure. One such agent is digoxin, derived from the genus Digitalis, which has been known for centuries but effectively utilized since 1785. However, these cardiac glycosides can have potentially toxic effects due to their mechanism of action, which involves inhibiting Na+/K+-ATPase and increasing contractility. Digoxin is absorbed orally and distributed in various tissues, including the CNS. It has a long...
852
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
603
Antiarrhythmic Drugs: Class II Agents as β-Adrenergic Blockers01:24

Antiarrhythmic Drugs: Class II Agents as β-Adrenergic Blockers

Adrenergic stimulation generally impacts cardiac rate and rhythm. Specifically, stimulation of the β-adrenoceptors triggers an increase in intracellular calcium ion influx and pacemaker currents, which may cause arrhythmias. Catecholamines like adrenaline also demonstrate β2-adrenoceptor-mediated hypokalemia, impacting cardiac action potential and disrupting the normal cardiac rhythm. Class II antiarrhythmic drugs are β-adrenoceptor antagonists or β-blockers, which...
1.1K
Cardiomyopathy II: Dilated Cardiomyopathy01:30

Cardiomyopathy II: Dilated Cardiomyopathy

Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
87
Antiarrhythmic Drugs: Class III Agents as Potassium Channel Blockers01:12

Antiarrhythmic Drugs: Class III Agents as Potassium Channel Blockers

Class III antiarrhythmic drugs are a group of medications that can prolong action potentials in the heart. They achieve this by blocking potassium channels or enhancing inward currents from sodium channels. However, these drugs have a unique property of "reverse use-dependence," which is most pronounced at slower heart rates and can lead to torsades de pointes—a specific type of arrhythmia. However, it is essential to note that excessive QT interval prolongation—a measure of...
1.4K
Heart Failure Drugs: β-Blockers01:22

Heart Failure Drugs: β-Blockers

β-adrenergic antagonists, commonly known as β-blockers, block the effects of sympathetic neurotransmitters such as noradrenaline (NA) and adrenaline (ADR). They have several beneficial effects in heart failure treatment. They reduce heart rate, the force of contraction, and cardiac muscle relaxation. They also slow the atrial-ventricular conduction rate and raise the threshold for arrhythmias. The concentration of β-blockers determines their effects on bronchodilation,...
517