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The Cardioprotective Potential of Herbal Formulas in Myocardial Infarction-Induced Heart Failure through Inhibition
Youn-Jae Jang1,2, Hye-Yoom Kim1, Se-Won Na1,2
1Hanbang Cardio-Renal Syndrome Research Center, Wonkwang University, Iksan 54538, Republic of Korea.
Insights
Dohongsamul-tang (DHT) significantly improved cardiac function and reduced heart damage in a rat model of myocardial infarction (MI)-induced heart failure. This traditional Korean herbal formula shows potential for treating heart failure by modulating key molecular pathways.
Area of Science:
- Cardiovascular Research
- Pharmacology
- Traditional Medicine
Background:
- Myocardial infarction (MI) is a primary cause of heart failure, leading to detrimental cardiac remodeling.
- Existing treatments for MI-induced heart failure often have limitations, necessitating novel therapeutic strategies.
- Traditional herbal medicines represent a potential source for new cardioprotective agents.
Purpose of the Study:
- To investigate the cardioprotective effects of Dohongsamul-tang (DHT), a traditional Korean herbal formula, in a rat model of MI-induced heart failure.
- To evaluate the impact of DHT on cardiac function, infarct size, cardiac biomarkers, and molecular signaling pathways.
Main Methods:
- Myocardial infarction was induced in rats via left anterior descending (LAD) artery ligation.
- Rats were treated with two doses of DHT (100 mg/kg or 200 mg/kg) daily for 8 weeks.
- Cardiac function (ejection fraction, fractional shortening), infarct size, heart weight, biomarker levels (LDH, CK-MB), left ventricle fibrosis, and molecular markers (phospho-JAK, phospho-STAT3, Bax/Bcl-2, caspase-3) were assessed.
Main Results:
- DHT treatment significantly improved ejection fraction and fractional shortening, indicating enhanced cardiac function.
- DHT markedly reduced infarct size, heart weight, and levels of heart failure biomarkers (LDH, CK-MB).
- DHT treatment decreased left ventricle fibrosis and inhibited pro-apoptotic and inflammatory signaling pathways, including JAK/STAT3.
Conclusions:
- Dohongsamul-tang (DHT) demonstrates significant cardioprotective effects against MI-induced heart failure in a rat model.
- DHT improves cardiac function, reduces cardiac damage, and mitigates adverse cardiac remodeling.
- The cardioprotective mechanisms of DHT involve the modulation of the JAK/STAT3 signaling pathway, suggesting its potential as a therapeutic agent for heart failure.
Abstract:
Myocardial infarction (MI) is a leading cause of heart failure, characterized by adverse cardiac remodeling. This study evaluated the cardioprotective potential of Dohongsamul-tang (DHT), a traditional Korean herbal formula, in a rat model of MI-induced heart failure. Rats underwent left anterior descending (LAD) artery ligation and were treated with either 100 mg/kg or 200 mg/kg of DHT daily for 8 weeks. DHT treatment significantly improved cardiac function, as evidenced by increased ejection fraction (EF) from 62.1% to 70.1% (100 mg/kg) and fractional shortening (FS) from 32.3% to 39.4% (200 mg/kg) compared to the MI control group. Additionally, DHT reduced infarct size by approximately 63.3% (from 60.0% to 22.0%) and heart weight by approximately 16.7% (from 3.6 mg/g to 3.0 mg/g), and significantly decreased levels of heart failure biomarkers: LDH was reduced by 37.6% (from 1409.1 U/L to 879.1 U/L) and CK-MB by 47.6% (from 367.3 U/L to 192.5 U/L). Histological analysis revealed a reduction in left ventricle (LV) fibrosis by approximately 50% (from 24.0% to 12.0%). At the molecular level, DHT inhibited the expression of phospho-JAK by 75% (from 2-fold to 0.5-fold), phospho-STAT3 by 30.8% (from 1.3-fold to 0.9-fold), Bax/Bcl-2 by 56.3% (from 3.2-fold to 1.4-fold), and caspase-3 by 46.3% (from 1.23-fold to 0.66-fold). These results suggest that DHT exerts cardioprotective effects by modulating the JAK/STAT3 signaling pathway, highlighting its potential as a therapeutic option for heart failure.
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