Sinapic Acid Attenuated Cardiac Remodeling After Myocardial Infarction by Promoting Macrophage M2 Polarization

Mei Yang1,2,3, Jun Xiong4, Qiang Zou1,2,3

  • 1Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.

Abstract

Insights

Sinapic acid (SA) improves heart function after myocardial infarction by promoting M2 macrophage polarization. This process, mediated by PPARγ activation, reduces inflammation and structural remodeling.

Area of Science:

  • Cardiovascular Research
  • Immunology
  • Pharmacology

Background:

  • Macrophage polarization critically regulates ventricular remodeling post-myocardial infarction (MI).
  • Sinapic acid (SA) exhibits anti-inflammatory properties, but its role in macrophage polarization remains unclear.

Purpose of the Study:

  • To investigate the effects of SA on macrophage polarization.
  • To determine SA's impact on ventricular remodeling following MI.

Main Methods:

  • Myocardial infarction (MI) model induced by coronary artery ligation in rats.
  • SA treatment administered 1 or 4 weeks post-MI; in vitro studies on bone marrow-derived macrophages (BMDMs).

Main Results:

  • SA treatment improved cardiac systolic function, reduced inflammatory markers (TNF-α, IL-1β), and decreased macrophage infiltration.
  • SA promoted M2 macrophage polarization (increased CD206, Arg-1, IL-10) via PPARγ upregulation.
  • SA attenuated myocardial fibrosis, MMP levels, and suppressed neural remodeling markers.

Conclusions:

  • SA attenuates structural and neural remodeling after MI.
  • SA promotes M2 macrophage polarization through PPARγ activation, offering therapeutic potential.